Healthcare Provider Details

I. General information

NPI: 1891787230
Provider Name (Legal Business Name): SHARON M HEIMES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHARON M UHRICH MD

II. Dates (important events)

Enumeration Date: 08/22/2005
Last Update Date: 07/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4620 J C NICHOLS PKWY SUITE 405
KANSAS CITY MO
64112-1617
US

IV. Provider business mailing address

PO BOX 504407
SAINT LOUIS MO
63150-0001
US

V. Phone/Fax

Practice location:
  • Phone: 816-932-7940
  • Fax: 816-932-7957
Mailing address:
  • Phone: 816-932-7940
  • Fax: 816-932-7957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number5N18
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: