MEDICARE: DR. CHAD W SHARKY D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	2011040566	MO

General Provider Information

NPI Number	:	1134445612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHAD W SHARKY D.O.

Provider Business Mailing Address
First Line	:	801 NW SAINT MARY DR STE 210
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014-2539
Country	:	US
Telephone Number	:	816-200-1533
Fax Number	:	816-900-0083

Provider Business Practice Location Address
First Line	:	801 NW SAINT MARY DR STE 210
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014-2539
Country	:	US
Telephone Number	:	816-200-1533
Fax Number	:	816-900-0083

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2010
Last Update Date	:	04/14/2026

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Directions to “ DR. CHAD W SHARKY D.O.” Practice Location

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