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 provides Surgery Physician 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?
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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