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

Independence Medical Group PC

Organization Specialist · NPI 1255545737

Independence Medical Group PC provides Specialist services 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?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17601 E US Highway 40 Ste S
Independence, MO 64055-5434
Phone: (816) 373-0655
Fax: (816) 478-6374
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 103646 (MO)

Record details

NPI number1255545737
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Andrews — Physician President · (816) 373-0655
NPI enumeratedMay 10, 2007
Last updated in NPPESAugust 22, 2020
Mailing address17601 E Us Highway 40, Suite S, Independence, MO 64055-5434

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