Healthcare Provider Details
I. General information
NPI: 1780422758
Provider Name (Legal Business Name): MERITAS HEALTH CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/16/2024
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2750 CLAY EDWARDS DR STE 312
NORTH KANSAS CITY MO
64116-3256
US
IV. Provider business mailing address
9411 N OAK TRFY STE LL1
KANSAS CITY MO
64155-2262
US
V. Phone/Fax
- Phone: 816-691-1185
- Fax: 816-346-7085
- Phone: 816-691-1655
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VF0040X |
| Taxonomy | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOHNNA
SCHINDLBECK
Title or Position: CREDENTIALING COORDINATOR
Credential:
Phone: 816-691-1655