Active NPI
John B Sturgeon, M.D.
- Gastroenterology Physician
- Shawnee Mission, KS
National Provider Identifier
1942201348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 0423283
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100159950B | Medicaid | KS | |
| 100014795 | Other | RR MEDICARE | |
| 424345 | Other | KS | BLUE CROSS BLUE SHIELD KS |
| 100514 | Other | KS | BLUE CROSS BS GARNETT |
| 20913039 | Other | BCBS 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0423283 | KS | MD | Gastroenterology Physician |
| MD114207 | MO | MD | Gastroenterology 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.