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

Geriatric Primary Care PA

Organization Family Medicine Physician · NPI 1073082350

Geriatric Primary Care PA is a Family Medicine Physician in Raymore, Missouri. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1500 W Foxwood Dr Ste B
Raymore, MO 64083-9372
Phone: (850) 377-0925
Fax: (888) 779-3217
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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

Record details

NPI number1073082350
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Battist — Officer · (850) 377-0925
NPI enumeratedNovember 16, 2018
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025
Mailing address12120 State Line Rd, Pmb 296, Leawood, KS 66209-1254

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