CENTERWELL SENIOR PRIMARY CARE (MO) PC
NPI 1649793001
Internal Medicine in Independence, MO

Q: What is Centerwell Senior Primary Care (mo) PC's specialty?

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

Active since July 18, 2017CLIA 26D2136197 · Waiver

19401 E 39TH ST S, INDEPENDENCE, MO 64057(816) 490-4277(855) 446-7160 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 19, 2024, May 14, 2024, Oct 20, 2022 and 7 more (10 updates tracked since 2017).

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About Centerwell Senior Primary Care (mo) Pc NPPES

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

CENTERWELL SENIOR PRIMARY CARE (MO) PC (NPI 1649793001), doing business as Centerwell Senior Primary Care- Independence, is a healthcare organization registered as an internal medicine in Independence, Missouri and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through September 4, 2027 and lists Angie Martinez, Senior Credentialing Professional, as its authorized official.

NPPES Registry Identity

NPI1649793001

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCENTERWELL SENIOR PRIMARY CARE (MO) PC

Location Address19401 E 39TH ST SIndependence, MO 64057-2308

Mailing Address6101 Blue Lagoon Dr Ste 200Miami, FL 33126-3168 · (305) 500-2000

Phone(816) 490-4277

Fax(855) 446-7160

Organization SubpartYes

Authorized OfficialAngie MartinezSenior Credentialing Professional · (407) 447-7120

Enumeration DateJuly 18, 2017

Last NPPES UpdateJanuary 24, 202510 updates tracked since enumeration

NPPES CertifiedJanuary 24, 2025

✔ NPI 1649793001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

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

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X

19401 E 39TH ST S, Independence, MO 64057

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Other Names 2

Doing Business AsCenterwell Senior Primary Care- Independence

Former Legal Business NamePartners In Primary Care Mo Pc

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

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 Waiver 26D2136197

Centerwell Senior Primary Care (mo), PC - Independence · Independence, MO

Active · expires Sep 4, 2027

CLIA Number26D2136197

Laboratory TypePhysician Office

Certificate Effective DateSeptember 5, 2025

Certificate Expiration DateSeptember 4, 2027

Laboratory DirectorJulie Nguyen

Laboratory Phone(816) 490-4277

Laboratory LocationCenterwell Senior Primary Care (mo), PC - Independence19401 East 39 Street, Independence, MO 64057

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

DR. PEI-CHUN MCGREGOR M.D.

Internal Medicine (Cardiovascular Disease)