IndividualActive
Carl Fillingame, PA
NPI 1265971733 · Surgical Physician Assistant · Independence, MO
Provider details
- NPI number
- 1265971733
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
19550 E 39th St S Ste 230
Independence, MO 64057-2309
Phone: (816) 795-6630
Fax: (816) 795-6898
Approximate (ZIP-level) locationGet directions
Mailing address
19550 E 39th St S Ste 230
Independence, MO 64057-2309
Registry dates
- Enumerated
- 2017-02-16
- Last updated
- 2022-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.