COREY MICHAEL WHITESIDES P.A.-C NPI 1689019614

NPI Information

  • NPI: 1689019614
  • Provider Name: COREY MICHAEL WHITESIDES, P.A.-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2790 CLAY EDWARDS DR
    STE 600
    KANSAS CITY, MO
    ZIP 64116
  • Phone: (816) 561-3003

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NPI Details

Corey Michael Whitesides, P.A.-C is a medical physician assistant in Kansas City, MO. Corey Michael Whitesides, P.A.-C NPI is 1689019614. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2790 CLAY EDWARDS DR
STE 600
KANSAS CITY, MO
ZIP 64116-276
Phone: (816) 561-3003
Fax: (816) 889-1584

The NPI 1689019614 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 5/3/2013 and was last updated on 5/3/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical2013013231MISSOURINo
2363AM0700XPhysician AssistantMedical2013013231MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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