Organization
CARONDELET PHYSICIAN SERVICES INC.
Active
Parent organization
CARONDELET HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARONDELET HEALTH
Authorized official
MR. STEVEN R CLEARY (CFO)
(816) 943-2819
Entity
Organization
Contact information
Practice address
220 NW RD MIZE RD, SUITE 101, BLUE SPRINGS, MO 64014-2527
(816) 228-9841
(816) 228-1514
Mailing address
801 NW SAINT MARY DR, SUITE 230, BLUE SPRINGS, MO 64014-2524
(816) 655-5792
(816) 655-5787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0431315
KS
207R00000X
Internal Medicine Physician
Primary
35929
MO
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
2006003132
MO
207RP1001X
Pulmonary Disease Physician
R8H50
MO
207V00000X
Obstetrics & Gynecology Physician
2004006974
MO
207X00000X
Orthopaedic Surgery Physician
100628
MO
2084N0400X
Neurology Physician
2010008119
MO
208600000X
Surgery Physician
R4B19
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200640420A
—
KS
01
—
39532013
BLUE CROSS BLUE SHIELD
—
05
—
501269500
—
MO
Enumeration date
11/16/2007
Last updated
05/06/2011
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