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General NPI Number Information
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NPI Number | 1922517200
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Entity Type | Organization
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Legal Business Name | SUMMIT FAMILY CARE, LLC
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Dates
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Enumeration Date | 09/29/2017
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 4031 NE LAKEWOOD WAY STE 100
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City | LEES SUMMIT
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State | MO
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Zip | 64064-1703
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Country | US
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Telephone | 816-944-3761
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Fax | 816-272-2823
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Provider Business Mailing Address
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Address Line | 4031 NE LAKEWOOD WAY STE 100
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City | LEES SUMMIT
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State | MO
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Zip | 64064-1703
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Country | US
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Telephone | 816-944-3761
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Fax | 816-272-2823
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Authorized Official
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Title or Position | MANAGING PHYSICIAN AND CEO
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Name | DR. CRAIG STEVEN OSTRANDER
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Credential | DO, MBA
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Telephone | 816-944-3761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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