Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carondelet Physician Services Inc

Organization Family Medicine Physician · NPI 1811293582

Carondelet Physician Services Inc is a Family Medicine Physician in Oak Grove, Missouri. Licensed in Missouri. Registered with an NPI since 2011.

Licensed in
MO
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1900 S Broadway
Oak Grove, MO 64075-9020
Phone: (816) 690-6566
Fax: (816) 625-8276
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 34421 (MO)

Record details

NPI number1811293582
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCarondelet Health
Authorized official Steven Cleary — Vp/Cfo · (816) 943-2819
Other names Oak Grove Medical Clinic
NPI enumeratedJanuary 28, 2011
Last updated in NPPESMay 4, 2011
Mailing address801 Nw Saint Mary Dr, Suite 230, Blue Springs, MO 64014-2524

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