=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386614949
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JAMES FLEMING MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/25/2006
-----------------------------------------------------
Last Update Date | 06/09/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3216 GILLHAM PLZ STE 210
-----------------------------------------------------
City | KANSAS CITY
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 64109-1742
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 816-213-1885
-----------------------------------------------------
Fax | 816-437-9554
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 705B SE MELODY LN STE 202
-----------------------------------------------------
City | LEES SUMMIT
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 64063-4380
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 816-213-1885
-----------------------------------------------------
Fax | 816-437-9554
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number | 2001022824
-----------------------------------------------------
License Number State | MO
-----------------------------------------------------