Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Emergency Medicine Services of Mo, LLC

Organization Emergency Medicine Physician · NPI 1023715182

Emergency Medicine Services of Mo, LLC provides Emergency Medicine Physician services in Independence, Missouri. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

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

Record details

NPI number1023715182
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vyvyan Derouen — President · (615) 376-5076
NPI enumeratedFebruary 9, 2023
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025
Mailing address2000 Health Park Dr, Brentwood, TN 37027-4692

Other providers in Independence