Damon Michael Heybrock, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2006019875 Issued in MO

Practice address

2901 Rockcreek Pkwy
Kansas City, MO 64117-2536

Phone

(816) 201-6215

NPI assigned

Aug 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Liberty Hospital Corporation

  • Family Medicine Physician
  • Liberty, MO
  • NPI 1023360690
  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881702066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3931 HOLMES ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641101123",
            "telephone_number": "816-531-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 ROCKCREEK PKWY",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641172536",
            "telephone_number": "816-201-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYBROCK",
        "first_name": "DAMON",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2006019875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Hetrick, LPC
• Amanda M Heuszel, MD
• Amanda Lee Hevalow, LPN
• James P Hewins, R.PH.
• Aeriole Hext, CPNP-PC
• Edy G Heydinger, CPNP
• Brian P Heydon, ED.S., LPC
• George John Heymach III, MD
• Ashley Nicole Hiatt, M.D.
• Kennedy Rae Hibbs

• Family Medicine Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.