19401 E 39th St S Independence, MO 64057-2308 (816) 490-4277
Enumerated
Jun 6, 2011
Record last updated
May 30, 2025
License states listed
AZ, CA, CO, CT, GA, MA, MO, NC, NY, PA, TX, WA
Medicare (CMS)
Enrollment
Medicare-enrolled in AL, AR, AZ, CA, CO, FL, GA, IL, IN, KS, KY, LA, MA, MD, MO, MS, MT, NC, NE, NV, NY, OH, OK, OR, PA, RI, TN, TX, UT, VA, WA, WI Advanced Heart Failure and Transplant Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.