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 1629898184

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

In the registry since
2024
Specialties on file
4
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

1010 W US Highway 24
Independence, MO 64050-2337
Phone: (816) 608-3411
Fax: (816) 608-2921
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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
Non-Pharmacy Dispensing Site Taxonomy 332900000X

Record details

NPI number1629898184
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 - Us-24
NPI enumeratedOctober 10, 2024
Last updated in NPPESJanuary 24, 2025
Certification dateJanuary 24, 2025
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

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