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JACKSON DRIVE EMERGENCY PHYSICIANS LLC
NPI 1053732248
Emergency Medicine in Independence, MO

Active since December 15, 2013
19600 E 39TH ST S, INDEPENDENCE, MO 64057(816) 698-7000 Get Directions Write a Review

NPPES record last updated: December 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 21, 2020, Aug 29, 2019 (2 updates tracked since 2019).

About Jackson Drive Emergency Physicians Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON DRIVE EMERGENCY PHYSICIANS LLC (NPI 1053732248) is a healthcare organization registered as an emergency medicine in Independence, Missouri and active in the NPI registry since December 2013. The organization lists Kathy Kondas, Officer, as its authorized official.

NPPES Registry Identity

NPI1053732248
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameJACKSON DRIVE EMERGENCY PHYSICIANS LLC
Location Address19600 E 39TH ST SIndependence, MO 64057-2301
Mailing Address13737 Noel Rd, Ste 1600Dallas, TX 75240-1331 · Fax (214) 712-2444
Phone(816) 698-7000
Organization SubpartNo
Authorized OfficialKathy KondasOfficer · (973) 251-1132
Enumeration DateDecember 15, 2013
Last NPPES UpdateDecember 21, 20202 updates tracked since enumeration
NPPES CertifiedDecember 21, 2020
✔ NPI 1053732248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
19600 E 39TH ST S, Independence, MO 64057
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTERPOINT MEDICAL CENTER OF INDEPENDENCE LLC
Skilled Nursing Facility
19600 E 39TH ST S
INDEPENDENCE, MO 64057
Jackson County (816) 836-8100
MEGHAN SHAY VAUGHAN
Nurse Anesthetist, Certified Registered
19600 E 39TH ST S
INDEPENDENCE, MO 64057
Jackson County (816) 698-7000
EMERGENCY MEDICINE SERVICES OF MO, LLC
Emergency Medicine
19600 E 39TH ST S
INDEPENDENCE, MO 64057
Jackson County (816) 698-7000
ALAN PETER JENSEN RN, BSN, CRNA
Nurse Anesthetist, Certified Registered
19600 E 39TH ST S
INDEPENDENCE, MO 64057
Jackson County (816) 698-7000
SOL ALLAN ENRIQUEZ
Hospitalist
19600 E 39TH ST S
INDEPENDENCE, MO 64057
Jackson County (816) 698-7000
MR. RICK DANIEL DOWNEY C.R.N.A.
Nurse Anesthetist, Certified Registered
19600 E 39TH ST S
INDEPENDENCE, MO 64057
Jackson County (816) 698-8433
MRS. JILL ELIZABETH WIESE RN, NNP-BC
Nurse Practitioner (Neonatal)
19600 E 39TH ST S, ATTN: NICU
INDEPENDENCE, MO 64057
Jackson County (816) 698-7340
DR. RITIKA KAUSHAL MD
Internal Medicine
19600 E 39TH ST S
INDEPENDENCE, MO 64057
Jackson County (913) 222-9779

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Drive Emergency Physicians LLC's NPI number?

The NPI number for Jackson Drive Emergency Physicians LLC is 1053732248. It was assigned to this organization in the NPPES registry on December 15, 2013.

Where is Jackson Drive Emergency Physicians LLC located?

Jackson Drive Emergency Physicians LLC is located at 19600 E 39th St S, Independence, MO 64057. The listed phone number is (816) 698-7000.

What is Jackson Drive Emergency Physicians LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

What insurance does Jackson Drive Emergency Physicians LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Jackson Drive Emergency Physicians LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackson Drive Emergency Physicians LLC was last updated on December 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.