Active NPI
Smo Care of Mo II, LLC
- Orthopaedic Surgery of the Spine Physician
- Kansas City, MO
National Provider Identifier
1962964023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- Legal business name
- SMO CARE OF MO II, LLC
- Practice address
- 111 W 10TH St Ste 101
Kansas City, MO 64105-1700 - Phone
- (615) 386-0064
- NPI assigned
- Apr 5, 2019
- 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
- Edward Leland Hutton Eadie
- Title
- Director
- Phone
- (615) 733-2064
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | Primary |
Addresses
Primary practice location
111 W 10TH St Ste 101
Kansas City, MO 64105-1700
Mailing address
102 Woodmont Blvd Ste 350
Nashville, TN 37205-2216
Phone (615) 386-0064
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554422400000",
"number": "1962964023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODMONT BLVD STE 350",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372052216",
"telephone_number": "615-386-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W 10TH ST STE 101",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641051700",
"telephone_number": "615-386-0064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMO CARE OF MO II, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-05",
"last_updated": "2019-04-05",
"status": "A",
"authorized_official_last_name": "EADIE",
"authorized_official_first_name": "EDWARD LELAND",
"authorized_official_middle_name": "HUTTON",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "615-733-2064"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.