Organization
SAINT LUKE'S PHYSICIAN GROUP INC
Active
Parent organization
SAINT LUKE'S HEALTH SYSTEM INC
Other names
Saint Luke's Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT LUKE'S HEALTH SYSTEM INC
Authorized official
DAMARA L HARPER (CFO)
(816) 599-9563
Entity
Organization
Contact information
Practice address
901 E 104TH ST, MS 400N, KANSAS CITY, MO 64131-4517
(816) 502-8782
Mailing address
901 E 104TH ST # MS 400S, KANSAS CITY, MO 64131-4517
(816) 502-8782
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B940000
MEDICARE PIN
MO
Enumeration date
09/12/2016
Last updated
11/14/2024
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