Ozark Healthcare LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

2015021629 Issued in MO

Legal business name

OZARK HEALTHCARE LLC

Practice address

7505 E 87TH St
Kansas City, MO 64138-3917

Phone

(573) 201-0356

NPI assigned

Jan 13, 2017

Organization subpart

No

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

Authorized official

Name

Andrea Jasdanwala, FNP

Title

Director

Phone

(573) 201-0356

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1942746912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 COUNTY ROAD 4190",
            "city": "SALEM",
            "state": "MO",
            "postal_code": "655608286",
            "telephone_number": "312-953-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 E 87TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641383917",
            "telephone_number": "573-201-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "JASDANWALA",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "573-201-0356",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "2015021629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abimbola Oyedeji
• Stephanie Eloho Chisom Oyibo
• Tosan F Oyowe, M.D.
• Mangesh D Oza, M.D.
• Ozanam
• Ozark Recovery Housing LLC
• Ozark Rural Healthcare LLC
• Mert Can Ozdemir
• Can Ozlu, M.D.
• Patience Ozor, D.O.

• Clinic/Center in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.