CJP Surgical LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

CJP SURGICAL LLC

Practice address

19600 E 39TH St S
Independence, MO 64057-2301

Phone

(816) 698-8150

Fax

(816) 698-8165

NPI assigned

Mar 7, 2013

Last updated

Mar 7, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Lee Shucart

Title

Business Manager

Phone

(913) 627-9100

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1841531407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9117 DELMAR ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662072660",
            "telephone_number": "913-627-9100",
            "fax_number": "913-627-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19600 E 39TH ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572301",
            "telephone_number": "816-698-8150",
            "fax_number": "816-698-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJP SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "SHUCART",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "913-627-9100"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Chung, DDS
• Sarah Cicero, MA, CRAADC
• Amelia Cierpiot
• Djaris Cisneros
• City of Independence
• Marcia Clapp
• Barbara J Clark, CRNA
• Breanna Faith Clark, MSN, FPMHNP
• Kyle A Clark, MS, LPC
• Laurie Beth Clark, CNP

• Surgery Physician in Independence, MO
• Providers in Independence, MO by specialty
• Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.