# CORE MEDICAL CENTER CC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760199194
- **Authorized official:** DR. ASTON GOLDSWORTHY FNP-BC (CEO)
- **Authorized official phone:** (816) 674-2693

## Contact information

- **Practice address:** 1131 W MAIN ST STE C, BLUE SPRINGS, MO 64015-3611
- **Practice address phone:** (816) 281-5275
- **Practice address fax:** (816) 229-7085
- **Mailing address:** 1131 W MAIN ST STE C, BLUE SPRINGS, MO 64015-3611
- **Mailing address phone:** (816) 281-5275
- **Mailing address fax:** (816) 229-7085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NX0100X | Occupational Health Chiropractor | — | — | — |
| 202C00000X | Independent Medical Examiner Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081P0301X | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2083X0100X | Occupational Medicine Physician | — | — | — |
| 2084P0301X | Brain Injury Medicine (Psychiatry & Neurology) Physician | — | — | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 363LX0106X | Occupational Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/04/2022
- **Last updated:** 09/12/2023