Yuri Tsirulnikov DO Mha LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

2008010728 Issued in MO

Legal business name

YURI TSIRULNIKOV DO MHA LLC

Practice address

2525 Glenn Hendren Dr
Liberty, MO 64068-9625

Phone

(816) 781-7200

NPI assigned

Jun 20, 2008

Organization subpart

No

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

Authorized official

Name

Yuri Tsirulnikov, DO

Title

Owner

Phone

(319) 541-5940

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1073774188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5624 W 134TH TER APT 1435",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662094056",
            "telephone_number": "319-541-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 GLENN HENDREN DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640689625",
            "telephone_number": "816-781-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YURI TSIRULNIKOV DO MHA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "TSIRULNIKOV",
        "authorized_official_first_name": "YURI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-541-5940",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MO",
            "license": "2008010728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO LICENSE",
            "identifier": "2008010728",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsi York, LPC
• Lara Young
• Michael Kevin Young, DPT
• Sara Young, LCSW
• Russell Yount, RPH
• Philip Yust, CRNA
• Abby Zarn
• Deanna Kraus Zeilmann, PSY.D.
• Micaela Francesca Zeller, MA, BCBA
• Zen Health Mo LLC

• Pain Medicine (Anesthesiology) Physician in Liberty, MO
• Providers in Liberty, MO by specialty
• Pain Medicine (Anesthesiology) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.