NPIMap

Organization Active NPI

Consultants in Gastroenterology, PC

  • Specialist
  • Independence, MO
National Provider Identifier
1932189768
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CONSULTANTS IN GASTROENTEROLOGY, PC
Practice address
3800 S Whitney Ave
Suite 200
Independence, MO 64055-6739
Phone
(816) 478-4887
Fax
(816) 478-7140
NPI assigned
Jan 18, 2006
Last updated
Nov 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Tara R Reyna
Title
Credentialing Coordinator
Phone
(816) 478-4887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

3800 S Whitney Ave
Suite 200
Independence, MO 64055-6739

Mailing address

17501 E US Highway 40
Suite 213a
Independence, MO 64055-5442
Phone (816) 478-4887

Other identifiers 1

IdentifierTypeStateIssuer
501536809MedicaidMO

National Provider Directory

National Provider Directory

Locations

814 E Nursery St
Butler, MO 64730
Phone (660) 679-4000

814 E Nursery St
Butler, MO 64730
Phone (660) 679-4000

1515 W Truman Rd
Ste 607
Independence, MO 64050
Phone (816) 833-0466

3800 S Whitney Ave
Independence, MO 64055
Phone 8164784887122

3800 S Whitney Ave
Ste 100
Independence, MO 64055

5330 N Oak Trfy
Ste 102
Kansas City, MO 64118
Phone (816) 459-9300

Practitioners & affiliated clinicians

Practitioners 57

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.

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1932189768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17501 E US HIGHWAY 40",
            "address_2": "SUITE 213A",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555442",
            "telephone_number": "816-478-4887",
            "fax_number": "816-478-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S WHITNEY AVE",
            "address_2": "SUITE 200",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556739",
            "telephone_number": "816-478-4887",
            "fax_number": "816-478-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTANTS IN GASTROENTEROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "REYNA",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "816-478-4887"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501536809",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.