| Centerpoint Physicians Group Llc | |
|
19550 E 39th St S Suite 250 Independence MO 64057-2303 | |
| (816) 373-0655 | |
| (816) 478-6374 |
| Full Name | Centerpoint Physicians Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 19550 E 39th St S, Independence, Missouri |
| Authorized Official Name and Position | Patrick Kueny (VICE PRESIDENT) |
| Authorized Official Contact | 8165084096 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerpoint Physicians Group Llc 19550 E 39th St S Suite 250 Independence MO 64057-2303 Ph: (816) 373-0655 | Centerpoint Physicians Group Llc 19550 E 39th St S Suite 250 Independence MO 64057-2303 Ph: (816) 373-0655 |
| NPI Number | 1497954754 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 07/16/2007 |
| Medicare PECOS PAC ID | 7214020635 |
|---|---|
| Medicare Enrollment ID | O20070830000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497954754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Secondary |
| Provider Name | Sandra L Mccormick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942264718 PECOS PAC ID: 1850355850 Enrollment ID: I20041118000956 |
| Provider Name | Jason B Bergman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326056722 PECOS PAC ID: 1456358050 Enrollment ID: I20061024000308 |
| Provider Name | John J Connolly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962450312 PECOS PAC ID: 3274626601 Enrollment ID: I20070830000584 |
| Provider Name | Marjon M Gillbanks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326096488 PECOS PAC ID: 5698868024 Enrollment ID: I20070830000608 |
| Provider Name | Louis A Orlando |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790770725 PECOS PAC ID: 5799828653 Enrollment ID: I20100201000753 |
| Provider Name | Kimberly A Swan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295997039 PECOS PAC ID: 8527107507 Enrollment ID: I20190514000052 |
| Provider Name | Greg L Testerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154979938 PECOS PAC ID: 1850725177 Enrollment ID: I20191219001397 |
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