Daniel R Mrosak MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

DANIEL R MROSAK MD PC

Practice address

904 Wollard Blvd
Richmond, MO 64085-2229

Phone

(816) 470-8952

NPI assigned

Mar 7, 2007

Last updated

Jan 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel R Mrosak, GENERAL SURGERYNPI 1427026475

Title

President

Phone

(660) 259-4383

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Richard Mrosak, MD

  • Surgery Physician
  • Richmond, MO
  • NPI 1427026475
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1043340094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932079",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641930001",
            "telephone_number": "816-470-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 WOLLARD BLVD",
            "city": "RICHMOND",
            "state": "MO",
            "postal_code": "640852229",
            "telephone_number": "816-470-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL R MROSAK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "MROSAK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "660-259-4383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "GENERAL SURGERY"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY HEALTH PARTNERS",
            "identifier": "000301100",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH PLAN",
            "identifier": "10001342100",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Collins
• Community Living Options
• Derek Compton, PHARMD
• Jessica Conant, FNP-C
• Amanda Marie Connor, LMSW
• Jeanne M De Motte, M.D.
• Discount Drug Inc (C & C Discount Drug)
• Zoe Dobson, PHARMD
• Tommy R Dotson, DO
• Dreams, LLC

• Surgery Physician in Richmond, MO
• Providers in Richmond, MO by specialty
• Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.