Organization
SAINT LUKES PHYSICIAN GROUP II LLC
Active
Other names
Saint Lukes Physician Specialists LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH STASI (CHIEF ADMINSTRATIVE OFFICER)
(816) 599-9587
Entity
Organization
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 502-7000
Mailing address
PO BOX 504407, SAINT LOUIS, MO 63150-0001
(816) 502-7000
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
—
—
207L00000X
Anesthesiology Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RT0003X
Transplant Hepatology Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086X0206X
Surgical Oncology Physician
—
—
208M00000X
Hospitalist Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750335337
—
MO
05
—
200389520A
—
KS
05
—
200389520B
—
KS
Enumeration date
05/19/2006
Last updated
02/28/2017
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