Noble Health Audrain Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

NOBLE HEALTH AUDRAIN INC

Practice address

2100 W Main St
Sedalia, MO 65301-2351

Phone

(660) 826-5750

Fax

(660) 829-0213

NPI assigned

Jul 12, 2022

Organization subpart

Yes

Parent organization

NOBLE HEALTH AUDRAIN INCAs reported in NPPES

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

Authorized official

Name

Amy L Obrien

Title

Ceo

Phone

(573) 582-5000

Specialties & licenses 1

Addresses

Other names 1

• Sedalia Specialty Clinic Doing business as

Part of

Audrain Comm Cancer Center

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Noble Health Audrain Inc

  • General Acute Care Hospital
  • Mexico, MO
  • NPI 1891386504
  NPPES parent name

Practitioners 3

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

• Tyler Lee Sanders, PA-C

  • Physician Assistant
  • Mexico, MO
  • NPI 1033784111
  NPD
• Lindsay Ann Tyrer, PA-C

  • Physician Assistant
  • Columbia, MO
  • NPI 1508485244
  NPD
• Jack Wenkel, PA

  • Physician Assistant
  • Ashland, MO
  • NPI 1891946877
  NPD

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1043944499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E MONROE ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652919",
            "telephone_number": "573-582-5000",
            "fax_number": "573-582-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W MAIN ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012351",
            "telephone_number": "660-826-5750",
            "fax_number": "660-829-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE HEALTH AUDRAIN INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOBLE HEALTH AUDRAIN INC",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-582-5000"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sedalia Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamin B Nelson, O.D.
• Deanna Lynn Nelson, O.D.
• Chelsea Newell
• Cheridan Newton, M.S.
• Shannon Nigh
• Nohaud N Azan DDS PC
• Meredith Kathryn Norfleet, MD
• North America Transport LLC
• David W Oberkrom, M.D.
• Shiva Oliaei, DDS

• All providers in Sedalia, MO
• Orthopaedic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.