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

Centerwell Senior Primary Care Mo PC

Organization Family Medicine Physician · NPI 1366922635

Centerwell Senior Primary Care Mo PC is a Family Medicine Physician in Kansas City, Missouri. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5420 E Bannister Rd
Kansas City, MO 64137
Phone: (816) 946-6930
Fax: (855) 392-7990
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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 number1366922635
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-Bannister Rd; Centerwell Senior Primary Care-Raytown; Partners In Primary Care - Raytown; Partners In Primary Care Mo Pc; Partners In Primary Care Mo Pc; Partners In Primary Care Nc Pc
NPI enumeratedAugust 16, 2018
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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