Provider Demographics
NPI:1871674598
Name:CARDIOVASCULAR CONLTANTS, PC
Entity Type:Organization
Organization Name:CARDIOVASCULAR CONLTANTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-931-1883
Mailing Address - Street 1:4330 WORNALL RD
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-3217
Mailing Address - Country:US
Mailing Address - Phone:816-931-1883
Mailing Address - Fax:816-756-3645
Practice Address - Street 1:12330 METCALF AVE
Practice Address - Street 2:SUITE 280
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-1324
Practice Address - Country:US
Practice Address - Phone:913-491-1000
Practice Address - Fax:816-756-3645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2007-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO00264010OtherBCBS KC GROUP #
KS016778OtherBCBS KS GRP #
KS016778OtherBCBS KS GRP #
KS016778Medicare ID - Type UnspecifiedKS MEDICARE GRO #
MO0900000AMedicare ID - Type UnspecifiedMO MEDICARE GRP #
MOE680000AMedicare ID - Type UnspecifiedMO/RURAL MEDICARE GRP #