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 1538712724

Centerwell Senior Primary Care (Mo) PC is a Family Medicine Physician in Grandview, Missouri. Registered with an NPI since 2019.

In the registry since
2019
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

1513 Main St
Grandview, MO 64030-2515
Phone: (816) 731-1890
Fax: (833) 996-1159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1538712724
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 -Grandview; Partners In Primary Care-Grandview; Partners In Primary Care Nc Pc
NPI enumeratedJuly 17, 2019
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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