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Contact Information

CARONDELET PHYSICIAN SERVICES INC.
220 NW RD MIZE RD
SUITE 101
BLUE SPRINGS, MO64014-2527
 Phone: 816-228-9841
 Fax: 816-228-1514
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Neurology

2084N0400X 13 Physician/Neurology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CARONDELET PHYSICIAN SERVICES INC · (Female)

NPI # 1063693232
Status Active
Credentials
Entity Individual
Enumeration date 11/16/2007
Last updated 05/06/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • KS License # 0431315
  • MO License # 100628
  • MO License # 2004006974
  • MO License # 2006003132
  • MO License # 2010008119
  • MO License # 35929
  • MO License # R4B19
  • MO License # R8H50
  • KS Medicaid 200640420A
  • MO Medicaid 501269500
  • Other 39532013 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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