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 1629785613

Centerwell Senior Primary Care Mo PC is a Family Medicine Physician in Independence, Missouri. Registered with an NPI since 2022.

In the registry since
2022
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

300 N Osage St Ste 200
Independence, MO 64050-2705
Phone: (816) 623-6503
Fax: (888) 494-2184
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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 number1629785613
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- Truman Road; Centerwell Senior Primary Care-Truman
NPI enumeratedOctober 31, 2022
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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