Carondelet Physician Services, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CARONDELET PHYSICIAN SERVICES, INC

Doing business as

Carondelet Family Medical Care

Practice address

930 Carondelet Dr
Suite 304
Kansas City, MO 64114-4855

Phone

(816) 943-7777

Fax

(816) 943-7778

NPI assigned

Jun 19, 2014

Organization subpart

Yes

Parent organization

CARONDELET HEALTHAs reported in NPPES

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

Authorized official

Name

Mr. Steven R Cleary

Title

VP/Cfo

Phone

(816) 943-2819

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Carondelet Family Medical Care Doing business as

Part of

Carondelet Health

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Carondelet Health

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1164401477
  NPPES parent name

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1982018719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 NW SAINT MARY DR",
            "address_2": "SUITE 230",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142524",
            "telephone_number": "816-655-5791",
            "fax_number": "816-655-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 CARONDELET DR",
            "address_2": "SUITE 304",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144855",
            "telephone_number": "816-943-7777",
            "fax_number": "816-943-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARONDELET PHYSICIAN SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARONDELET HEALTH",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "CLEARY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "816-943-2819",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS CITY",
            "identifier": "39532013",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501269500",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carondelet Family Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Caring Hands Home Health LLC
• Carondelet Emergency Physicians Inc
• Carondelet Eye Care Associates PC
• Carondelet Health
• Carondelet Long Term Care Facilities Inc
• Carondelet Primary Care Network Dba Carondelet Specialty Care Network
• Carondelet Primary Care Network, Inc
• Phyllis Marie Carozza, PH.D.
• Amy Callaway Carpenter, APRN
• Christopher Carpenter, CRNA

• Family Medicine Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.