Active NPI
Mark T Stivers, MD
- Hematology (Pathology) Physician
- North Kansas City, MO
National Provider Identifier
1992794143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology (Pathology) Physician
- License
- 04-18667
- Practice address
- 2750 Clay Edwards Dr
Suite 420
North Kansas City, MO 64116-3237 - Phone
- (816) 241-3338
- Fax
- (816) 936-8118
- NPI assigned
- Oct 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Pathology) Physician | 207ZH0000X | 35102 | MO | |
| Hematology (Pathology) Physician | 207ZH0000X | 04-18667 | KS | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 35102 | MO | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 04-18667 | KS |
Addresses
Primary practice location
2750 Clay Edwards Dr
Suite 420
North Kansas City, MO 64116-3237
Mailing address
2750 Clay Edwards Dr
Suite 420
North Kansas City, MO 64116-3237
Phone (816) 241-3338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-18667 | KS | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mawd Pathology Partners PA | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
Locations
9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230
615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004
2750 Clay Edwards Dr
Ste 420
North Kansas City, MO 64116
Phone (816) 221-2750
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Lenexa, KS
- NPI 1508249228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1992794143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 CLAY EDWARDS DR",
"address_2": "SUITE 420",
"city": "NORTH KANSAS CITY",
"state": "MO",
"postal_code": "641163237",
"telephone_number": "816-241-3338",
"fax_number": "816-936-8118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 CLAY EDWARDS DR",
"address_2": "SUITE 420",
"city": "NORTH KANSAS CITY",
"state": "MO",
"postal_code": "641163237",
"telephone_number": "816-241-3338",
"fax_number": "816-936-8118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIVERS",
"first_name": "MARK",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "MO",
"license": "35102",
"primary": false
},
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "KS",
"license": "04-18667",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MO",
"license": "35102",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "KS",
"license": "04-18667",
"primary": false
}
],
"identifiers": [],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.