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

Centerwell Senior Primary Care (Mo) PC

Organization Family Medicine Physician · NPI 1154148435

Centerwell Senior Primary Care (Mo) PC is a Family Medicine Physician in Gladstone, Missouri. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

7209 N Prospect Ave
Gladstone, MO 64119-5351
Phone: (816) 429-1396
Fax: (816) 256-4168
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1154148435
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCenterwell Senior Primary Care (Mo) PC
Authorized official Angie Martinez — Senior Credentialing Professional · (407) 447-7120
Other names Centerwell Senior Primary Care- Gladstone; Centerwell Senior Primary Care- Gladstone
NPI enumeratedSeptember 26, 2024
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 6, 2025
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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