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CARONDELET PHYSICIAN SERVICES INC.
NPI 1063693232
Internal Medicine in Blue Springs, MO

Active since November 16, 2007
220 NW RD MIZE RD, SUITE 101, BLUE SPRINGS, MO 64014(816) 228-9841(816) 228-1514 Get Directions Write a Review

NPPES record last updated: May 6, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carondelet Physician Services Inc. NPPES

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

CARONDELET PHYSICIAN SERVICES INC. (NPI 1063693232) is a healthcare organization registered as an internal medicine in Blue Springs, Missouri and active in the NPI registry since November 2007. The organization lists Steven R Cleary, Cfo, as its authorized official.

NPPES Registry Identity

NPI1063693232
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCARONDELET PHYSICIAN SERVICES INC.
Location Address220 NW RD MIZE RD, SUITE 101Blue Springs, MO 64014-2527
Mailing Address801 Nw Saint Mary Dr, Suite 230Blue Springs, MO 64014-2524 · (816) 655-5792 · Fax (816) 655-5787
Phone(816) 228-9841
Fax(816) 228-1514
Organization SubpartYesParent: Carondelet Health
Authorized OfficialSteven R ClearyCfo · (816) 943-2819
Enumeration DateNovember 16, 2007
Last NPPES UpdateMay 6, 2011
✔ NPI 1063693232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 35929
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 0431315 (KS)
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License 2006003132 (MO)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License R8H50 (MO)
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 2004006974 (MO)
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 100628 (MO)
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 2010008119 (MO)
Also ListedSurgeryTaxonomy 208600000X · License R4B19 (MO)
220 NW RD MIZE RD, Blue Springs, MO 64014
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Other Identifiers 8

Other39532013Blue Cross Blue Shield
Medicaid200640420AKS
Medicaid501269500MO
Medicare NSC6076320003MO
Medicare PINMA1922MO
Medicare PINKA2102KS
Medicare PIN130758KS
Medicare PINY360000MO

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

Other Providers at the Same Location NPPES 2

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

ANGELA KAY CALLICOTT PT
Physical Therapist (Orthopedic)
220 NW RD MIZE RD, SUITE B203
BLUE SPRINGS, MO 64014
Jackson County (913) 220-0223
ADVANCED PHYSICAL THERAPY AND SPORTS REHABILITATION, PA
Clinic/Center (Physical Therapy)
220 NW RD MIZE RD
BLUE SPRINGS, MO 64014
Jackson County (816) 220-0223

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 Carondelet Physician Services Inc.'s NPI number?

The NPI number for Carondelet Physician Services Inc. is 1063693232. It was assigned to this organization in the NPPES registry on November 16, 2007.

Where is Carondelet Physician Services Inc. located?

Carondelet Physician Services Inc. is located at 220 NW Rd Mize Rd Suite 101, Blue Springs, MO 64014. The listed phone number is (816) 228-9841.

What is Carondelet Physician Services Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Carondelet Physician Services Inc. was last updated on May 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.