Organization Active NPI

Kansas City Heart Group

  • Cardiovascular Disease Physician
  • Kansas City, MO
National Provider Identifier
1912954777
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
KANSAS CITY HEART GROUP
Practice address
930 Carondelet Dr
Suite 200
Kansas City, MO 64114-4855
Phone
(816) 941-7727
Fax
(816) 941-7456
NPI assigned
May 27, 2006
Last updated
Jan 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Colleen Stack
Title
Office Manager
Phone
(816) 941-7727

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MO Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X MO
Interventional Cardiology Physician 207RI0011X MO
Nuclear Cardiology Physician 207UN0901X MO

Addresses

Primary practice location

930 Carondelet Dr
Suite 200
Kansas City, MO 64114-4855

Mailing address

PO Box 872788
Kansas City, MO 64187-0001
Phone (913) 362-9690

Other identifiers 3

IdentifierTypeStateIssuer
17937010OtherMOBCBS-KANSAS CITY
495273OtherKSBCBS-KANSAS
CI1541OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1912954777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 872788",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641870001",
            "telephone_number": "913-362-9690",
            "fax_number": "913-384-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 CARONDELET DR",
            "address_2": "SUITE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144855",
            "telephone_number": "816-941-7727",
            "fax_number": "816-941-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS CITY HEART GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "STACK",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "816-941-7727"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "MO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-KANSAS CITY",
            "identifier": "17937010",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-KANSAS",
            "identifier": "495273",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI1541",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.