Healthcare Provider Details

I. General information

NPI: 1871562389
Provider Name (Legal Business Name): PETER J GENARIS III MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6675 HOLMES RD SUITE 300
KANSAS CITY MO
64131-1150
US

IV. Provider business mailing address

6675 HOLMES RD SUITE 300
KANSAS CITY MO
64131-1150
US

V. Phone/Fax

Practice location:
  • Phone: 816-333-5005
  • Fax: 816-333-6351
Mailing address:
  • Phone: 816-333-5005
  • Fax: 816-333-6351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2009014176
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number02002025A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: