MEDICARE: WOODS CHAPEL MEDICAL GROUP PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	32382	MO

General Provider Information

NPI Number	:	1558495812
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOODS CHAPEL MEDICAL GROUP PC

Provider Business Mailing Address
First Line	:	1523 SW 7 HWY
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64015
Country	:	US
Telephone Number	:	816-229-5600
Fax Number	:	816-229-0181

Provider Business Practice Location Address
First Line	:	1523 SW 7 HWY
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64015
Country	:	US
Telephone Number	:	816-229-5600
Fax Number	:	816-229-0181

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. WILLIAM E WHITLEY
Credential	:	D.O.
Telephone Number	:	816-229-5600

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	08/22/2020

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