| NPI | 1063411031 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-07-20 |
| Last Updated | 2007-07-09 |
| Mailing Address | 2750 Clay Edwards Dr, Suite 312 North Kansas City, MO 64116-3237 United States Phone: (816) 453-4000 | Fax: (816) 842-1425 📍 View Map |
| Primary Practice Address | 2750 Clay Edwards Dr, Suite 312 North Kansas City, MO 64116-3237 United States Phone: (816) 453-4000 | Fax: (816) 842-1425 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MO | 209793710 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 2086S0127X – Surgery, Trauma Surgery | MO | 102242 |
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About NPI 1063411031
Jon S Gengler MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063411031. The primary specialty listed is Surgery, Trauma Surgery. The provider is located in North Kansas City, MO. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-07-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063411031?
NPI 1063411031 belongs to Jon S Gengler MD, a Surgery, Trauma Surgery in North Kansas City, MO. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063411031 active?
The current status of NPI 1063411031 in the NPPES registry is Active. The record was last updated on 2007-07-09.
What specialty is NPI 1063411031?
NPI 1063411031 is classified under the taxonomy Surgery, Trauma Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063411031?
You can verify NPI 1063411031 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063411031?
The primary practice address on file for NPI 1063411031 is 2750 Clay Edwards Dr, North Kansas City, MO 64116-3237. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063411031 issued?
NPI 1063411031 was first issued (enumerated) on 2005-07-20. The NPPES record was last updated on 2007-07-09.
Practice Location Map
Jon S Gengler is located at 2750 Clay Edwards Dr, North Kansas City, MO. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Jon S Gengler. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1063411031. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Surgery, Trauma Surgery | 102242 | MO |