Individual provider Active NPI

John B Sturgeon, M.D.

  • Gastroenterology Physician
  • Shawnee Mission, KS
National Provider Identifier
1942201348
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0423283 Issued in KS
Practice address
8800 W 75TH St
Suite 310
Shawnee Mission, KS 66204-2205
Phone
(913) 671-7803
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0423283 KS Primary
Gastroenterology Physician 207RG0100X MD114207 MO

Addresses

Primary practice location

8800 W 75TH St
Suite 310
Shawnee Mission, KS 66204-2205

Mailing address

PO Box 803855
Kansas City, MO 64180-3855
Phone (913) 234-1350

Other identifiers 5

IdentifierTypeStateIssuer
100159950BMedicaidKS
100014795OtherRR MEDICARE
424345OtherKSBLUE CROSS BLUE SHIELD KS
100514OtherKSBLUE CROSS BS GARNETT
20913039OtherBCBS OF KCMO INDIVIDUAL NUMBER UNDER GROUP 40286019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0423283KSMDGastroenterology Physician
MD114207MOMDGastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411603200000",
    "number": "1942201348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 803855",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641803855",
            "telephone_number": "913-234-1350",
            "fax_number": "913-234-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 W 75TH ST",
            "address_2": "SUITE 310",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042205",
            "telephone_number": "913-671-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURGEON",
        "first_name": "JOHN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2014-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KS",
            "license": "0423283",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "MD114207",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100159950B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "100014795",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD KS",
            "identifier": "424345",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BS GARNETT",
            "identifier": "100514",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KCMO INDIVIDUAL NUMBER UNDER GROUP 40286019",
            "identifier": "20913039",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee Mission, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.