NPIMap

Organization Active NPI

Missouri Phlebology Inc

  • Vascular Surgery Physician
  • Kansas City, MO
National Provider Identifier
1932155389
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
MISSOURI PHLEBOLOGY INC
Practice address
9501 N Oak TW, Suite 201
North Oak Medical Building IV
Kansas City, MO 64155-3137
Phone
(816) 436-7373
Fax
(816) 436-7385
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Authorized official

Name
Cynthia Jones
Title
Credentialing
Phone
(630) 725-2737

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202K00000X MO
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X MO
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X MO
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X MO Primary

Addresses

Primary practice location

9501 N Oak TW, Suite 201
North Oak Medical Building IV
Kansas City, MO 64155-3137

Mailing address

2015 Spring Rd Ste 300
Oak Brook, IL 60523-3944
Phone (630) 725-2700

Other identifiers 2

IdentifierTypeStateIssuer
DF3698OtherMOMEDICARE RAILROAD
37220011OtherMOBLUE CROSS BLUE SHIELD OF KANSAS CITY

National Provider Directory

National Provider Directory

Locations

12400 Olive Blvd
Ste 203
Saint Louis, MO 63141
Phone (314) 878-2100

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1932155389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 SPRING RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605233944",
            "telephone_number": "630-725-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 N OAK TW, SUITE 201",
            "address_2": "NORTH OAK MEDICAL BUILDING IV",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641553137",
            "telephone_number": "816-436-7373",
            "fax_number": "816-436-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI PHLEBOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "630-725-2737"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DF3698",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF KANSAS CITY",
            "identifier": "37220011",
            "state": "MO"
        }
    ],
    "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 Feb 21, 2022; 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.