STATE LINE MEDICAL GROUP LLC
NPI 1679529853
Internal Medicine in Kansas City, MO

Active since May 26, 2006
7611 STATE LINE RD, SUITE 103, KANSAS CITY, MO 64114(816) 333-9886 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About State Line Medical Group Llc NPPES

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

STATE LINE MEDICAL GROUP LLC (NPI 1679529853) is a healthcare organization registered as an internal medicine in Kansas City, Missouri and active in the NPI registry since May 2006. The organization lists Ken Washington, Vp, as its authorized official.

NPPES Registry Identity

NPI1679529853
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSTATE LINE MEDICAL GROUP LLC
Location Address7611 STATE LINE RD, SUITE 103Kansas City, MO 64114-6801
Mailing Address7611 State Line Rd, Suite 103Kansas City, MO 64114-6801 · (816) 333-9886
Organization SubpartNo
Authorized OfficialKen WashingtonVp · (816) 333-9886
Enumeration DateMay 26, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1679529853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
7611 STATE LINE RD, Kansas City, MO 64114

Other Identifiers 1

Other29398029MO · Bcbs Of Kc

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

Other Providers at the Same Location NPPES 16

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

Dentist (General Practice)
7611 STATE LINE RD, SUITE 145
KANSAS CITY, MO 64114
Psychologist
7611 STATE LINE RD, STE. 226
KANSAS CITY, MO 64114
Marriage & Family Therapist
7611 STATE LINE RD, STE. 142
KANSAS CITY, MO 64114
Counselor (Professional)
7611 STATE LINE RD, SUITE 226
KANSAS CITY, MO 64114
Counselor (Mental Health)
7611 STATE LINE RD
KANSAS CITY, MO 64114
Urology
7611 STATE LINE RD, STE240
KANSAS CITY, MO 64114
Community/Behavioral Health
7611 STATE LINE RD, SUITE 112
KANSAS CITY, MO 64114
Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)
7611 STATE LINE RD, SUITE 301
KANSAS CITY, MO 64114

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 State Line Medical Group LLC's NPI number?

The NPI number for State Line Medical Group LLC is 1679529853. It was assigned to this organization in the NPPES registry on May 26, 2006.

Where is State Line Medical Group LLC located?

State Line Medical Group LLC is located at 7611 State Line Rd Suite 103, Kansas City, MO 64114. The listed phone number is (816) 333-9886.

What is State Line Medical Group LLC'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 State Line Medical Group LLC 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 5 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.