CREEKWOOD FAMILY CARE – NPI #1417919283
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CREEKWOOD FAMILY CARE is a provider located in GLADSTONE, MO. NPPES has assigned the NPI number 1417919283 to CREEKWOOD FAMILY CARE on April 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CREEKWOOD FAMILY CARE” is a dba name, the actual legal business name for this organization is JAYHAWK PRIMARY CARE INC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 8 years ago on Jun 13, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CREEKWOOD FAMILY CARE below.

NPI Profile for
JAYHAWK PRIMARY CARE INC

NPI Number
1417919283
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JAYHAWK PRIMARY CARE INC
Doing Business As (dba): CREEKWOOD FAMILY CARE
Primary location
6420 N PROSPECT AVE
GLADSTONE, MO 64119-1530
Phone: (913) 945-9700 Fax: (913) 945-9707
Mailing address
2330 SHAWNEE MISSION PKWY
MEDICAL ADMINISTRATIVE SERVICES OF KU MED. STE. 312
WESTWOOD, KS 66205-2005
Phone: (913) 945-5614 Fax:
Organization Subpart
Yes - CREEKWOOD FAMILY CARE is subpart of another organization.
Authorized Official
CARRIE JORDAN
CHIEF PRACTICE EXECUTIVE
Phone: (913) 945-5592
Updated
Identifiers

Identifiers for CREEKWOOD FAMILY CARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS GROUP NUMBRMO10663011
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.