Provider Demographics
NPI:1134169527
Name:THE SURGICAL GROUP OF KANSAS CITY P.C.
Entity type:Organization
Organization Name:THE SURGICAL GROUP OF KANSAS CITY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:M
Authorized Official - Last Name:RICHMEIER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RN, CMPE
Authorized Official - Phone:816-333-9500
Mailing Address - Street 1:373 W 101ST TER
Mailing Address - Street 2:SUITE 210
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-4408
Mailing Address - Country:US
Mailing Address - Phone:816-333-9500
Mailing Address - Fax:816-363-3700
Practice Address - Street 1:373 W 101ST TER
Practice Address - Street 2:SUITE 210
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-4408
Practice Address - Country:US
Practice Address - Phone:816-333-9500
Practice Address - Fax:816-363-3700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
K950000Medicare ID - Type Unspecified
KSK950000AMedicare PIN