Jackson Drive Emergency Physicians LLC
Jackson Drive Emergency Physicians LLC is a healthcare organization registered as Emergency Medicine Physician in Independence, MO, holding Type 2 (organization) NPI 1053732248 since 2013. The authorized official on file is Kathy Kondas, Officer.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053732248 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jackson Drive Emergency Physicians LLC |
| Practice address | 19600 E 39TH ST S, Independence, MO, 64057 |
| Phone | 8166987000 |
| Enumeration date | 2013-12-15 |
| Last updated in NPPES | 2020-12-21 |
Authorized official
| Name | Kathy Kondas |
|---|---|
| Title | Officer |
| Phone | 9732511132 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | Secondary | — | — |
| 363L00000X | Nurse Practitioner | Secondary | — | — |
| 207P00000X | Emergency Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: Jackson Drive Emergency Physicians LLC NPI: 1053732248 Taxonomy: 207P00000X (Emergency Medicine Physician) Address: 19600 E 39TH ST S, Independence, MO, 64057
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1619963527 | Robert Borsheski | Individual | Anesthesiology Physician | Independence, MO |
| 1275515314 | Stephen Ellis | Individual | Anesthesiology Physician | Independence, MO |
| 1043297252 | Rick Downey | Individual | Certified Registered Nurse Anesthetist | Independence, MO |
| 1861454035 | Yu Li | Individual | Anatomic Pathology & Clinical Pathology Physician | Independence, MO |
| 1457314361 | Nikoloz Chitaia | Individual | Endocrinology, Diabetes & Metabolism Physician | Independence, MO |
| 1962467472 | Tyson Trpkosh | Individual | Certified Registered Nurse Anesthetist | Independence, MO |
| 1063466951 | Christian Jackson | Individual | Certified Registered Nurse Anesthetist | Independence, MO |
| 1003853060 | Centerpoint Medical Center of Independence LLC | Organization | Skilled Nursing Facility | Independence, MO |
Verify this record
Cross-check NPI 1053732248 against the authoritative CMS record: view Jackson Drive Emergency Physicians LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Jackson Drive Emergency Physicians LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-12-21.