Northland Integrated Medical, Inc

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

NORTHLAND INTEGRATED MEDICAL, INC

Practice address

5563 NW Barry Rd
Kansas City, MO 64154-1408

Phone

(816) 841-2600

Fax

(816) 841-2601

NPI assigned

Sep 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Dillen Easley

Title

President

Phone

(816) 841-2600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1902113178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5563 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541408",
            "telephone_number": "816-841-2600",
            "fax_number": "816-841-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5563 NW BARRY RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641541408",
            "telephone_number": "816-841-2600",
            "fax_number": "816-841-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND INTEGRATED MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "EASLEY",
        "authorized_official_first_name": "DILLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-841-2600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northland Family Counseling Center, Inc.
• Northland Hearing Centers, Inc.
• Northland Hearing Centers, Inc.
• Northland Hospitalsts LLC
• Northland Imaging, LLC
• Northland Ltach, LLC
• Northland Medical and Wellness Center LLC
• Northland Neurosurgery, PC
• Northland Open MRI LLC
• Northland Optical Center, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.