Liberty Cardiovascular Specialists

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

LIBERTY CARDIOVASCULAR SPECIALISTS

Practice address

2521 Glenn Hendren Dr
Suite 306
Liberty, MO 64068-3388

Phone

(816) 407-5430

Fax

(816) 407-5435

NPI assigned

Jul 7, 2009

Organization subpart

Yes

Parent organization

NEW LIBERTY HOSPITAL DISTRICT OF CLAY COUNTY MISSOURIAs reported in NPPES

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

Authorized official

Name

Mr. Joseph W Crossett

Title

Administrator

Phone

(816) 781-7200

Specialties & licenses 2

Addresses

Part of

New Liberty Hospital Di

Locations

Practitioners 4

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

• Katlyn C Bates, APRN

  • Family Nurse Practitioner
  • Liberty, MO
  • NPI 1972254423

  Single Specialty

  NPD (past)
• Joseph H. Bodet, MD

  • Cardiovascular Disease Physician
  • Liberty, MO
  • NPI 1588611669

  Cardiovascular Disease

  NPD (past)
• Marcy L Evans, PA

  • Physician Assistant
  • Wamego, KS
  • NPI 1942581368
  NPD (past)
• Lance Krueger, PA-C

  • Surgical Physician Assistant
  • Salina, KS
  • NPI 1003869249

  Thoracic Surgery (Cardiothoracic Vascular Surgery)

  NPD (past)

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1013146448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 GLENN HENDREN DR",
            "address_2": "SUITE 306",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683388",
            "telephone_number": "816-407-5430",
            "fax_number": "816-407-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 GLENN HENDREN DR",
            "address_2": "SUITE 306",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683388",
            "telephone_number": "816-407-5430",
            "fax_number": "816-407-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY CARDIOVASCULAR SPECIALISTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW LIBERTY HOSPITAL DISTRICT OF CLAY COUNTY MISSOURI",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "CROSSETT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-781-7200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aomni Lashaun Lewis
• LHLC Operations, LLC
• LHW Op LLC
• Liberty 53 School District
• Liberty Ambulatory Surgery Center LP
• Liberty Cataract Center LLC
• Liberty Chiropractic Center LLC
• Liberty Emergency Physicians, Inc.
• Liberty Home Care LLC
• Liberty Hospital Emergency Medicine Physicians, LLC

• All providers in Liberty, MO
• Cardiovascular Disease Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.