Healthcare Provider Details

I. General information

NPI: 1508034828
Provider Name (Legal Business Name): JAMES F PIONTEK INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2008
Last Update Date: 04/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 GLENN HENDREN DR
LIBERTY MO
64068-9625
US

IV. Provider business mailing address

PO BOX 804408
KANSAS CITY MO
64180-0001
US

V. Phone/Fax

Practice location:
  • Phone: 816-792-7037
  • Fax:
Mailing address:
  • Phone: 816-461-8288
  • Fax: 816-461-6586

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES FRANCIS PIONTEK
Title or Position: PRESIDENT
Credential: MD
Phone: 816-781-4824