JACKSON COUNTY GASTROENTEROLOGY PC
NPI 1386699718
Internal Medicine - Gastroenterology in Blue Springs, MO

Active since May 24, 2006CLIA 26D2326310 · Certificate of Compliance
206 NW MOCK AVE, SUITE 100, BLUE SPRINGS, MO 64014(816) 229-1191(816) 229-1198 Get Directions Write a Review

NPPES record last updated: December 31, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson County Gastroenterology Pc NPPES

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

JACKSON COUNTY GASTROENTEROLOGY PC (NPI 1386699718) is a healthcare organization registered as a gastroenterology in Blue Springs, Missouri and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through June 30, 2027 and lists Gregory M Vardakis, Owner, as its authorized official.

NPPES Registry Identity

NPI1386699718
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameJACKSON COUNTY GASTROENTEROLOGY PC
Location Address206 NW MOCK AVE, SUITE 100Blue Springs, MO 64014-2507
Mailing AddressPo Box 412622Kansas City, MO 64141-2622 · (816) 229-1191 · Fax (816) 229-1198
Fax(816) 229-1198
Organization SubpartNo
Authorized OfficialGregory M VardakisOwner · (816) 229-1191
Enumeration DateMay 24, 2006
Last NPPES UpdateDecember 31, 2009
NPI 1386699718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
206 NW MOCK AVE, Blue Springs, MO 64014

Other Identifiers 1

Medicare ID-Type UnspecifiedR140000MO

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 26D2326310

Jackson County Gastroenterology · Independence, MO
Active · expires Jun 30, 2027
CLIA Number26D2326310
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorTiansheng Shen
Laboratory Phone(816) 229-1191
Laboratory LocationJackson County Gastroenterology18640 E 38th Terrance South, Independence, MO 64057
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 8

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

Specialist
206 NW MOCK AVE, STE 200
BLUE SPRINGS, MO 64014
Specialist
206 NW MOCK AVE, SUITE 200
BLUE SPRINGS, MO 64014
Nurse Practitioner (Family)
206 NW MOCK AVE, SUITE 100
BLUE SPRINGS, MO 64014
Family Medicine
206 NW MOCK AVE, SUITE 201
BLUE SPRINGS, MO 64014
Family Medicine
206 NW MOCK AVE
BLUE SPRINGS, MO 64014
Specialist
206 NW MOCK AVE, SUITE 200
BLUE SPRINGS, MO 64014
Internal Medicine (Cardiovascular Disease)
206 NW MOCK AVE, SUITE 200
BLUE SPRINGS, MO 64014
Internal Medicine (Gastroenterology)
206 NW MOCK AVE, STE 100
BLUE SPRINGS, MO 64014

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 County Gastroenterology PC's NPI number?

The NPI number for Jackson County Gastroenterology PC is 1386699718. It was assigned to this organization in the NPPES registry on May 24, 2006.

Where is Jackson County Gastroenterology PC located?

Jackson County Gastroenterology PC is located at 206 NW Mock Ave Suite 100, Blue Springs, MO 64014. The listed phone number is (816) 229-1191.

What is Jackson County Gastroenterology PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Jackson County Gastroenterology PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 26D2326310) is associated with this NPI, valid through June 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jackson County Gastroenterology PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Jackson County Gastroenterology PC 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 County Gastroenterology PC was last updated on December 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.