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

Jackson Drive Emergency Physicians LLC

Organization Emergency Medicine Physician · NPI 1053732248

Jackson Drive Emergency Physicians LLC is an Emergency Medicine Physician in Independence, Missouri. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19600 E 39th St S
Independence, MO 64057-2301
Phone: (816) 698-7000
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1053732248
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathy Kondas — Officer · (973) 251-1132
NPI enumeratedDecember 15, 2013
Last updated in NPPESDecember 21, 2020
Certification dateDecember 21, 2020
Mailing address13737 Noel Rd, Ste 1600, Dallas, TX 75240-1331

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