Panax Healthcare, Inc

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

Legal business name

PANAX HEALTHCARE, INC

Doing business as

HISCO Infusion
Vatco

Practice address

17102 S Scott Rd
Pleasant Hill, MO 64080-8018

Phone

(816) 588-1669

NPI assigned

Jul 10, 2023

Last updated

Jul 10, 2023By 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

Ryanrn Stewart Walker, RN

Title

President

Phone

(816) 588-1669

Specialties & licenses 1

Addresses

Other names 2

• HISCO Infusion Doing business as
• VATCO Doing business as

Practitioners 2

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.

• Ryan Stewart Walker, RN

  • Infusion Therapy Registered Nurse
  • Pleasant Hill, MO
  • NPI 1457039349
  NPD
• Carolyn Walker, MSN, LPC, RN-BC

  • Registered Nurse
  • Lakewood, CO
  • NPI 1225637572
  NPD

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1104504000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 BIELENBERG DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252620",
            "telephone_number": "816-588-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17102 S SCOTT RD",
            "city": "PLEASANT HILL",
            "state": "MO",
            "postal_code": "640808018",
            "telephone_number": "816-588-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANAX HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "RYANRN",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-588-1669",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HISCO Infusion",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VATCO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Staci L Moore, MS CCC SLP
• Stephanie Ann Moskopp, LPC
• Dawn Christian Myers, LCMFT
• Dung Kim Nguyen, PHARM.D
• Northport Health Services of Missouri, LLC (Pleasant Hill Health & Rehabilitation Center)
• Dinesh J Patel, M.D.
• Seth G Pingleton, PT
• Corey S Piva, D.C
• Pleasant Hill Ambulance District
• Pleasant Hill Chiropractic

• Infusion Therapy Registered Nurse in Pleasant Hill, MO
• Providers in Pleasant Hill, MO by specialty
• Infusion Therapy Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.