Healthcare Provider Details

I. General information

NPI: 1336188242
Provider Name (Legal Business Name): ORTHOPEDIC HEALTH OF KANSAS CITY P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 DIAMOND PARKWAY SUITE #100
NORTH KANSAS CITY MO
64116
US

IV. Provider business mailing address

1950 DIAMOND PARKWAY STE 100
NORTH KANSAS CITY MO
64116
US

V. Phone/Fax

Practice location:
  • Phone: 816-561-3003
  • Fax: 816-889-1584
Mailing address:
  • Phone: 816-561-3003
  • Fax: 816-889-1584

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER L WISE
Title or Position: DOCTOR
Credential:
Phone: 816-303-2400