D/B/a Western Missouri Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

221-44

Legal business name

D/B/A WESTERN MISSOURI PEDIATRICS

Practice address

415D Burkarth Rd
Warrensburg, MO 64093-3101

Phone

(660) 747-3141

Fax

(660) 747-7292

NPI assigned

Jul 10, 2008

Organization subpart

Yes

Parent organization

WESTERN MISSOURI MEDICAL CENTERAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Craig J. Marks

Title

President / Ceo

Phone

(660) 747-2500

Specialties & licenses 1

Addresses

Part of

Johnson County Mem Hosp

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/be23e9e1-90d2-4a37-b049-059a92ffad6d/

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victor Manuel Lovell, MD

  • Pediatric Adolescent Medicine Physician
  • Warrensburg, MO
  • NPI 1700965662
  NPD (past)
• Nedra Diann Twillie, MD

  • Pediatric Adolescent Medicine Physician
  • Warrensburg, MO
  • NPI 1811076763
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1003070830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415D BURKARTH RD",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933101",
            "telephone_number": "660-747-3141",
            "fax_number": "660-747-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415D BURKARTH RD",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933101",
            "telephone_number": "660-747-3141",
            "fax_number": "660-747-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D/B/A WESTERN MISSOURI PEDIATRICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN MISSOURI MEDICAL CENTER",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "660-747-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": "221-44",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Louise Creighton, CD-L, PD
• Molly Cuffe, ATC
• Julie M Curtis
• Mark D Curtis, O.D.
• Debbie Lynn D'Amico, O.D.
• Brenda Joanne Dahlhoff, MS, LPC, NCC
• Charles John Dahlstrom, PH.D..
• Michelle L Dahlstrom, MS
• Stacy Dale
• Allison Gail Dalton

• Pediatrics Physician in Warrensburg, MO
• Providers in Warrensburg, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.