Active NPI
Prompt Medical Clinic Inc.
Doing business as Enhanced Health and Wellness
- Internal Medicine Physician
- Independence, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PROMPT MEDICAL CLINIC INC.
- Doing business as
- Enhanced Health and Wellness
- Practice address
- 1325 S Noland Rd
Independence, MO 64055-1303 - Phone
- (816) 252-6647
- Fax
- (816) 252-0012
- NPI assigned
- May 17, 2006
- Last updated
- Apr 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arporn Siriwangchai
- Title
- Vice President
- Phone
- (816) 252-6647
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1325 S Noland Rd
Independence, MO 64055-1303
Mailing address
1325 S Noland Rd Ste C
Independence, MO 64055-1346
Phone (816) 252-6647
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10365019 | Other | MO | BCBS OF KANSAS CITY |
Other names 1
- Enhanced Health and Wellness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Enhanced Health and Wellness
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Mid-America Internal Medicine
- Acute Care Nurse Practitioner
- Independence, MO
- NPI 1982863718
Locations
1325 S Noland Rd
Ste C
Independence, MO 64055
Phone (816) 252-6647
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Internal Medicine Physician
- Independence, MO
- NPI 1265484323
-
- Internal Medicine Physician
- North Kansas City, MO
- NPI 1205870227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649376000000",
"number": "1942252945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 S NOLAND RD STE C",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640551346",
"telephone_number": "816-252-6647",
"fax_number": "833-673-0532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 S NOLAND RD",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640551303",
"telephone_number": "816-252-6647",
"fax_number": "816-252-0012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROMPT MEDICAL CLINIC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A",
"authorized_official_last_name": "SIRIWANGCHAI",
"authorized_official_first_name": "ARPORN",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "816-252-6647"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KANSAS CITY",
"identifier": "10365019",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Enhanced Health and Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.