West Central Missouri Orthopaedic Surgical Serivces P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WEST CENTRAL MISSOURI ORTHOPAEDIC SURGICAL SERIVCES P.C.

Practice address

2301 S Ingram Ave
Sedalia, MO 65301-8121

Phone

(660) 826-5890

NPI assigned

Aug 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Douglas W Kiburz, MD

Title

Physician

Phone

(660) 826-5890

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Orthopaedic Surgeons Other name

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1124034889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 S INGRAM AVE",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653018121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S INGRAM AVE",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653018121",
            "telephone_number": "660-826-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CENTRAL MISSOURI ORTHOPAEDIC SURGICAL SERIVCES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "KIBURZ",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "660-826-5890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "509999207",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopaedic Surgeons",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Conrad Walley
• Tanja Walton
• Mary B Watkins, SPEECH
• Trendon Thomas Jennings Watson, PHARMD
• West Central Missouri Diagnostic
• Warren Eugene Weston, MD
• Murray V. Whitehead, D.D.S.
• Brittni Lynn Wilken
• John N Willadsen, LPC
• Brittney Williams

• All providers in Sedalia, MO
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.