Summit Gastroenterology LLC
Summit Gastroenterology LLC is a healthcare organization registered as Gastroenterology Physician in Lees Summit, MO, holding Type 2 (organization) NPI 1821013509 since 2006. The authorized official on file is Amy Waller, Office Manager Nurse Practitioner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1821013509 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Summit Gastroenterology LLC |
| Practice address | 20 NE SAINT LUKES BLVD, SUITE #330, Lees Summit, MO, 64086 |
| Phone | 8165543838 |
| Fax | 8165541634 |
| Enumeration date | 2006-07-13 |
| Last updated in NPPES | 2008-05-07 |
Authorized official
| Name | Amy Waller |
|---|---|
| Title | Office Manager Nurse Practitioner |
| Phone | 8165543838 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207RG0100X | Gastroenterology Physician | Primary | — | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 507580405 | Medicaid | MO | — |
Copy-ready billing details
Provider: Summit Gastroenterology LLC NPI: 1821013509 Taxonomy: 207RG0100X (Gastroenterology Physician) Address: 20 NE SAINT LUKES BLVD, SUITE #330, Lees Summit, MO, 64086
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1881677938 | Frank Totta | Individual | Gastroenterology Physician | Lees Summit, MO |
| 1770568925 | Lisa Amsterdam | Individual | Obstetrics & Gynecology Physician | Lees Summit, MO |
| 1053362681 | Matthew Cianciolo | Individual | Family Medicine Physician | Lees Summit, MO |
| 1164477170 | Cathanie Halberstadt | Individual | Obstetrics & Gynecology Physician | Lees Summit, MO |
| 1346295375 | Mara Galvin | Individual | Obstetrics & Gynecology Physician | Lees Summit, MO |
| 1972542314 | Mary Buss | Individual | Hospitalist Physician | Lees Summit, MO |
| 1316986516 | Eugene Vandenboom | Individual | Obstetrics & Gynecology Physician | Lees Summit, MO |
| 1255370920 | Larry Spradlin | Individual | Gynecology Physician | Lees Summit, MO |
Verify this record
Cross-check NPI 1821013509 against the authoritative CMS record: view Summit Gastroenterology 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
How current is this record?
Where is Summit Gastroenterology LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-05-07.