| Empower Medical Center | |
|
350 Sw Greenwich Dr Lees Summit MO 64082-4408 | |
| (803) 547-4343 | |
| Not Available |
| Full Name | Empower Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 350 Sw Greenwich Dr, Lees Summit, Missouri |
| Authorized Official Name and Position | Jordan Long (OFFICIAL) |
| Authorized Official Contact | 8165375995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empower Medical Center 350 Sw Greenwich Dr Lees Summit MO 64082-4408 Ph: () - | Empower Medical Center 350 Sw Greenwich Dr Lees Summit MO 64082-4408 Ph: (803) 547-4343 |
| NPI Number | 1710341110 |
|---|---|
| Provider Enumeration Date | 04/12/2016 |
| Last Update Date | 11/26/2019 |
| Medicare PECOS PAC ID | 4082900303 |
|---|---|
| Medicare Enrollment ID | O20160912002110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710341110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Theodore J Felts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861436347 PECOS PAC ID: 1557350410 Enrollment ID: I20080523000081 |
| Provider Name | Tiffany L Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114161031 PECOS PAC ID: 3072664523 Enrollment ID: I20090624000297 |
| Provider Name | Kiana D Long |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285807362 PECOS PAC ID: 5496884397 Enrollment ID: I20100603000019 |
| Provider Name | Kathryn L Potts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639476963 PECOS PAC ID: 1557547791 Enrollment ID: I20110523000860 |
| Provider Name | Sandra A Lopez-kemerling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265721237 PECOS PAC ID: 4981882974 Enrollment ID: I20110621000798 |
| Provider Name | Jeffery Clay Campbell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1730521402 PECOS PAC ID: 3779714910 Enrollment ID: I20140826001258 |
| Provider Name | Hirenkumar Damjighai Italia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487815387 PECOS PAC ID: 7012164718 Enrollment ID: I20160913001394 |
| Provider Name | Ashley E Ascencio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801185277 PECOS PAC ID: 0547542169 Enrollment ID: I20170116000364 |
| Provider Name | Kasey N Heiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134660665 PECOS PAC ID: 4688950330 Enrollment ID: I20170411001897 |
| Provider Name | Christopher John Long |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1184861072 PECOS PAC ID: 3678848926 Enrollment ID: I20180813001409 |
| Provider Name | Eileen Derks-wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083276042 PECOS PAC ID: 1153653647 Enrollment ID: I20191104000280 |
| Provider Name | Kalie Leinenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518571512 PECOS PAC ID: 1658776646 Enrollment ID: I20210830002415 |
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