Healthcare Provider Details

I. General information

NPI: 1346446622
Provider Name (Legal Business Name): TOMOKO RIE SAMPSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2007
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 BROADWAY BLVD STE 520
KANSAS CITY MO
64111-3342
US

IV. Provider business mailing address

901 E 104TH ST # MS 400S
KANSAS CITY MO
64131-4517
US

V. Phone/Fax

Practice location:
  • Phone: 816-960-7600
  • Fax:
Mailing address:
  • Phone: 816-960-7600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number2022010402
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: