Independence Surgical Clinic, Inc. in Independence - Surgery
Independence Surgical Clinic, Inc. - NPI 1144348012
Independence Surgical Clinic, Inc. is a Surgery in Independence, Missouri. Independence Surgical Clinic, Inc. practices all healthcare services and medical treatments related to Surgery. The NPI Number for Independence Surgical Clinic, Inc. is 1144348012. The last update date is 2007-08-30.
Independence Surgical Clinic, Inc.'s current location address is 19550 East 39th Street S, Independence, Missouri. You can contact this provider via phone number 8163734646 and fax number 8163737831. The mailing address for Independence Surgical Clinic, Inc. is 19550 East 39th Street S, Independence, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Independence Surgical Clinic, Inc. |
|---|---|
| Address | 19550 East 39th Street S, Independence, Missouri |
| Phone Number | 8163734646 |
| Fax Number | 8163737831 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Spehar E Pascal |
| Credentials | M.D. |
| Telephone Number | 8163734646 |
NPI Number Detail
| NPI Number | 1144348012 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2007-08-30 |
Provider Mailing Address Detail
| Address | 19550 East 39th Street S |
|---|---|
| City | Independence |
| State | Missouri (MO) |
| Post Code | 640572310 |
| Phone Number | 8163734646 |
| Fax Number | 8163737831 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 105155 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 486013 | MO | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Independence Surgical Clinic, Inc. by the Centers for Medicare & Medicaid Services?
The Independence Surgical Clinic, Inc. has been assigned the NPI (National Provider Identifier) 1144348012. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Independence Surgical Clinic, Inc.'s facilities are geographically located?
The facilities of Independence Surgical Clinic, Inc. are physically situated at the following location: 19550 East 39Th Street S, Independence, MO, 640572310.
What is the area of specialization for Independence Surgical Clinic, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Independence Surgical Clinic, Inc. is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.
On what date was the 1144348012 assigned to Independence Surgical Clinic, Inc.?
The Independence Surgical Clinic, Inc. was issued its 1144348012 on 2007-03-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Independence Surgical Clinic, Inc. most recently updated or revised?
The details related to Independence Surgical Clinic, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2007-08-30.