CREEKWOOD FAMILY CARE
NPI 1417919283
Family Medicine in Gladstone, MO

Q: What is Jayhawk Primary Care Inc's NPI number?

The NPI number for Jayhawk Primary Care Inc is 1417919283. It was assigned to this organization in the NPPES registry on April 5, 2006. The provider is doing business as Creekwood Family Care.

Q: What is Jayhawk Primary Care Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 05, 2006

6420 N PROSPECT AVE, GLADSTONE, MO 64119(913) 945-9700(913) 945-9707 Get Directions Write a Review

NPPES record last updated: June 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Creekwood Family Care NPPES

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

CREEKWOOD FAMILY CARE (NPI 1417919283) is a healthcare organization registered as a family medicine in Gladstone, Missouri and active in the NPI registry since April 2006. The organization lists Carrie Jordan, Chief Practice Executive, as its authorized official.

NPPES Registry Identity

NPI1417919283

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameJAYHAWK PRIMARY CARE INC

Location Address6420 N PROSPECT AVEGladstone, MO 64119

Mailing Address2330 Shawnee Mission Pkwy, Medical Administrative Services Of Ku Med. Ste. 312Westwood, KS 66205-2005 · (913) 945-5614

Phone(913) 945-9700

Fax(913) 945-9707

Organization SubpartYes

Authorized OfficialCarrie JordanChief Practice Executive · (913) 945-5592

Enumeration DateApril 5, 2006

Last NPPES UpdateJune 13, 2018

✔ NPI 1417919283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6420 N PROSPECT AVE, Gladstone, MO 64119

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Other Names 1

Doing Business AsCreekwood Family Care

Other Identifiers 1

Other10663011MO · Bcbs Group Numbr

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 12

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

ROBERT E. DATTILIO DO

Family Medicine