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

Independence Surgical Clinic, Inc

Organization Surgery Physician · NPI 1144348012

Independence Surgical Clinic, Inc is a Surgery Physician in Independence, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19550 E 39th St S Ste 325
Independence, MO 64057-2310
Phone: (816) 373-4646
Fax: (816) 373-7831
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 105155 (MO)

Record details

NPI number1144348012
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mindi Beahm — President · (816) 373-4646
NPI enumeratedMarch 27, 2007
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing address19550 East 39th Street S, Suite 325, Independence, MO 64057-2310

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