NPIMap

Organization Active NPI

Northland Neurological Associates, P.C.

  • Neurology Physician
  • North Kansas City, MO
National Provider Identifier
1972540524
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NORTHLAND NEUROLOGICAL ASSOCIATES, P.C.
Practice address
2790 Clay Edwards Dr
Suite 500
North Kansas City, MO 64116-3276
Phone
(816) 472-5157
Fax
(816) 472-7201
NPI assigned
Jun 1, 2006
Last updated
Feb 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Authorized official

Name
Ms. Beth Ritter
Title
Billing Supervisor
Phone
(816) 472-5157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Primary

Addresses

Primary practice location

2790 Clay Edwards Dr
Suite 500
North Kansas City, MO 64116-3276

Mailing address

2790 Clay Edwards Dr
Suite 500
North Kansas City, MO 64116-3276
Phone (816) 472-5157

Other identifiers 4

IdentifierTypeStateIssuer
509500OtherKSBLUE SHIELD
15564011OtherMOBLUE SHIELD
506664804MedicaidMO
1972540524OtherMONPI

National Provider Directory

National Provider Directory

Locations

2521 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-5006

Practitioners & affiliated clinicians

Practitioners 8

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": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1972540524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR",
            "address_2": "SUITE 500",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163276",
            "telephone_number": "816-472-5157",
            "fax_number": "816-472-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DR",
            "address_2": "SUITE 500",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641163276",
            "telephone_number": "816-472-5157",
            "fax_number": "816-472-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND NEUROLOGICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "RITTER",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "816-472-5157",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "509500",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "15564011",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506664804",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972540524",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.