Provider Demographics
NPI:1215198023
Name:JAMES K. MCENTIRE, D.O., P.C.
Entity type:Organization
Organization Name:JAMES K. MCENTIRE, D.O., P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRECTARY OF CORPORATION
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:MCENTIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-347-0064
Mailing Address - Street 1:241 NW MCNARY CT
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-4011
Mailing Address - Country:US
Mailing Address - Phone:816-347-0064
Mailing Address - Fax:816-347-0593
Practice Address - Street 1:241 NW MCNARY CT
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-4011
Practice Address - Country:US
Practice Address - Phone:816-347-0064
Practice Address - Fax:816-347-0593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO700856OtherMERCY CAREPLUS, SHERRI QUICK, RN, CPNP
MO205839806Medicaid
MO29963014OtherBLUE CROSS BLUE SHIELD OF KANSAS CITY
KSA0529165OtherUNICARE, DR. MCENTIRE
KS100380340CMedicaid
MO248124828Medicaid
MO33338OtherHEALTHCARE USA
MO420629800Medicaid
KS100419760CMedicaid
KSA0429720OtherUNICARE, DR. GRAHAM
MO61581OtherHEALTHCARE USA, SHERRI QUICK, RN, CPNP
MO890896OtherMERCY CAREPLUS, DR. MCENTIRE
MO39784OtherHEALTHCARE USA , DR. GRAHAM
MO890907OtherMERCY CAREPLUS, DR. GRAHAM