Individual
PETER J GENARIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6675 HOLMES RD, SUITE 300, KANSAS CITY, MO 64131-1150
(816) 333-5005
(816) 333-6351
Mailing address
6675 HOLMES RD, SUITE 300, KANSAS CITY, MO 64131-1150
(816) 333-5005
(816) 333-6351
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
02002025A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
2009014176
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000196459
ANTHEM PROVIDER NUMBER
IN
05
—
100160600G
—
KS
01
—
11484484
CAQH NUMBER
IN
05
—
200211960
—
IN
01
—
9028181
PHCS PID NUMBER
IN
Enumeration date
03/16/2006
Last updated
03/03/2026
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