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  7. NPI Record 1760767529

VISITING PROVIDERS, LLC
Complete NPI Record 1760767529
Physician Assistant - Medical in Lees Summit, MO

NPI Status: Active since October 12, 2011

Contact Information

4963 NE GOODVIEW CIR
SUITE C
LEES SUMMIT, MO
ZIP 64064
Phone: (816) 809-6850

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider First Line Business Mailing Address
  6. Provider Second Line Business Mailing Address
  7. Provider Business Mailing Address City Name
  8. Provider Business Mailing Address State Name
  9. Provider Business Mailing Address Postal Code
  10. Provider Business Mailing Address Country Code If outside U S
  11. Provider Business Mailing Address Telephone Number
  12. Provider First Line Business Practice Location Address
  13. Provider Second Line Business Practice Location Address
  14. Provider Business Practice Location Address City Name
  15. Provider Business Practice Location Address State Name
  16. Provider Business Practice Location Address Postal Code
  17. Provider Business Practice Location Address Country Code If outside U S
  18. Provider Business Practice Location Address Telephone Number
  19. Provider Enumeration Date
  20. Last Update Date
  21. Authorized Official Last Name
  22. Authorized Official First Name
  23. Authorized Official Middle Name
  24. Authorized Official Title or Position
  25. Authorized Official Telephone Number
  26. Healthcare Provider Taxonomy Code 1
  27. Provider License Number State Code 1
  28. Healthcare Provider Primary Taxonomy Switch 1
  29. Healthcare Provider Taxonomy Code 2
  30. Provider License Number State Code 2
  31. Healthcare Provider Primary Taxonomy Switch 2
  32. Is Organization Subpart
  33. Authorized Official Name Prefix Text
  34. Healthcare Provider Taxonomy Group 1
  35. Healthcare Provider Taxonomy Group 2

Complete NPI Dataset

This page represents the complete record for NPI 1760767529. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1760767529
The name of the organization provider. If the provider is an organization, this is the legal business name.
Entity Type Code: 2
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN: UNAVAIL
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Mailing Address: 4963 NE GOODVIEW CIR
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Second Line Business Mailing Address: SUITE C
The second line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider second line location address’’.
Provider Business Mailing Address City Name: LEES SUMMIT
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: MO
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 640641998
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 8168096850
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider First Line Business Practice Location Address: 4963 NE GOODVIEW CIR
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location Address: SUITE C
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: LEES SUMMIT
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: MO
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 640641998
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Provider Business Practice Location Address Country Code If outside U S : US
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Practice Location Address Telephone Number: 8168096850
The last name of the provider. If the provider is an individual, this is the legal name.
Provider Enumeration Date: 10/12/2011
The first name of the provider, if the provider is an individual.
Last Update Date: 10/12/2011
The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
Authorized Official Last Name: MALIK
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Authorized Official First Name: MOHAMMAD
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Authorized Official Middle Name: ABID
The second line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider second line location address’’.
Authorized Official Title or Position: OWNER
The title or position of the authorized official.
Authorized Official Telephone Number: 8168096850
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 363L00000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number State Code 1: MO
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1: N
Healthcare Provider Taxonomy Code 2: 363AM0700X
Provider License Number State Code 2: MO
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 2: Y
Is Organization Subpart: N
Authorized Official Name Prefix Text: MR.
Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP
The telephone number associated with the location address of the provider being identified.
Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP