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 1518787076

Centerwell Senior Primary Care (Mo) PC provides Family Medicine Physician services in Kansas City, 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

4400 E 39th St
Kansas City, MO 64128-2818
Phone: (816) 791-7177
Fax: (816) 791-7190
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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 number1518787076
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 - Seven Oaks
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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