Organization Active NPI

Prompt Medical Clinic Inc.

Doing business as Enhanced Health and Wellness

  • Internal Medicine Physician
  • Independence, MO
National Provider Identifier
1942252945
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10365019OtherMOBCBS OF KANSAS CITY

Other names 1

  • Enhanced Health and Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040519001198 MO Part B Supplier - Clinic/Group Practice 0446241483 Receives reassigned benefits from 2 practitioners
Practice locations: Independence, MO

National Provider Directory

National Provider Directory
Tax ID family
Enhanced Health and Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.