Individual provider Active NPI

Stephen Ervin Dorsch, MD

  • Family Medicine Physician
  • Independence, MO
National Provider Identifier
1992871883
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36595 Issued in MO
Practice address
1638 W 24 Hwy
Independence, MO 64050
Phone
(816) 627-2000
Fax
(816) 448-2956
NPI assigned
Nov 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36595 MO Primary

Addresses

Primary practice location

1638 W 24 Hwy
Independence, MO 64050

Mailing address

1638 W 24 Hwy
Independence, MO 64050
Phone (816) 627-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210528001285 MO Order and Referring Only - Family PracticePractitioner - Family Practice 8628477379

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36595MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swope Health Services Past Accepting new patients
Swope Health Services Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992871883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 W 24 HWY",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64050",
            "telephone_number": "816-627-2000",
            "fax_number": "816-448-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 W 24 HWY",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64050",
            "telephone_number": "816-627-2000",
            "fax_number": "816-448-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSCH",
        "first_name": "STEPHEN",
        "middle_name": "ERVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "36595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.