Provider Demographics
NPI:1386614949
Name:FLEMING, JAMES (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:FLEMING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:705B SE MELODY LN STE 202
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-4380
Mailing Address - Country:US
Mailing Address - Phone:816-213-1885
Mailing Address - Fax:816-437-9554
Practice Address - Street 1:3216 GILLHAM PLZ STE 210
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64109-1742
Practice Address - Country:US
Practice Address - Phone:816-213-1885
Practice Address - Fax:816-437-9554
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO20010228242084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO208330910Medicaid
MO32648048OtherBLUE CROSS BLUE SHIELD
MO32648048OtherBLUE CROSS BLUE SHIELD
E35123Medicare UPIN