INDEPENDENCE MEDICAL GROUP PC
NPI 1255545737
Specialist in Independence, MO

Active since May 10, 2007
17601 E US HIGHWAY 40, SUITE S, INDEPENDENCE, MO 64055(816) 373-0655(816) 478-6374 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Independence Medical Group Pc NPPES

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

INDEPENDENCE MEDICAL GROUP PC (NPI 1255545737) is a healthcare organization registered as a specialist in Independence, Missouri and active in the NPI registry since May 2007. The organization lists William V Andrews, Physician President, as its authorized official.

NPPES Registry Identity

NPI1255545737
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameINDEPENDENCE MEDICAL GROUP PC
Location Address17601 E US HIGHWAY 40, SUITE SIndependence, MO 64055-5434
Mailing Address17601 E Us Highway 40, Suite SIndependence, MO 64055-5434 · (816) 373-0655 · Fax (816) 478-6374
Fax(816) 478-6374
Organization SubpartNo
Authorized OfficialWilliam V AndrewsPhysician President · (816) 373-0655
Enumeration DateMay 10, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1255545737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MO · 103646
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
17601 E US HIGHWAY 40, Independence, MO 64055

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Independence Medical Group PC's NPI number?

The NPI number for Independence Medical Group PC is 1255545737. It was assigned to this organization in the NPPES registry on May 10, 2007.

Where is Independence Medical Group PC located?

Independence Medical Group PC is located at 17601 E Us Highway 40 Suite S, Independence, MO 64055. The listed phone number is (816) 373-0655.

What is Independence Medical Group PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Independence Medical Group PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.