Mercy Carthage Anesthesia

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MERCY CARTHAGE ANESTHESIA

Practice address

3125 Dr Russell Smith Way
Carthage, MO 64836-7402

Phone

(417) 358-8121

NPI assigned

Jun 20, 2018

Organization subpart

Yes

Parent organization

MERCY HOSPITAL CARTHAGEAs reported in NPPES

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

Authorized official

Name

Scott Watson

Title

Administrator

Phone

(417) 359-2653

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1003300286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 DR RUSSELL SMITH WAY",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648367402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 DR RUSSELL SMITH WAY",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648367402",
            "telephone_number": "417-358-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CARTHAGE ANESTHESIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HOSPITAL CARTHAGE",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "417-359-2653"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McPherson Medical & Diagnostic, LLC
• McPherson Medical & Diagnostic, LLC
• Medstaff PC
• Medstaff PC
• Annette Noel Mense, PA
• Mercy Clinic Joplin LLC
• Mercy Hospital Carthage
• Mercy Hospital Carthage
• Mercy Hospital Carthage
• Mercy Hospital Carthage

• All providers in Carthage, MO
• Anesthesiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.