Organization
CENTERWELL SENIOR PRIMARY CARE MO PC
Active
Parent organization
CENTERWELL SENIOR PRIMARY CARE MO PC
Other names
CenterWell Senior Primary Care-Bannister Rd, Partners in Primary Care - Raytown, CenterWell Senior Primary Care-Raytown, Partners in Primary Care NC PC, Partners in Primary Care MO PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTERWELL SENIOR PRIMARY CARE MO PC
Authorized official
ANGIE MARTINEZ (SENIOR CREDENTIALING PROFESSIONAL)
(407) 447-7120
Entity
Organization
Contact information
Practice address
5420 E. BANNISTER ROAD, KANSAS CITY, MO 64137
(816) 946-6930
(855) 392-7990
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(305) 500-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
08/16/2018
Last updated
01/26/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us