Organization Active NPI

Robert Lackamp, MD, PC

  • Diagnostic Radiology Physician
  • Saint Joseph, MO
National Provider Identifier
1144599143
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R6792 Issued in MO
Legal business name
ROBERT LACKAMP, MD, PC
Practice address
606 N Leonard Rd
Saint Joseph, MO 64506-4025
Phone
(816) 262-7456
NPI assigned
Dec 20, 2011
Last updated
Dec 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Robert J. Lackamp, MD
Title
President
Phone
(816) 262-7456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X R6792 MO Primary

Addresses

Primary practice location

606 N Leonard Rd
Saint Joseph, MO 64506-4025

Mailing address

606 N Leonard Rd
Saint Joseph, MO 64506-4025
Phone (816) 262-7456

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1144599143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 N LEONARD RD",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645064025",
            "telephone_number": "816-262-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N LEONARD RD",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645064025",
            "telephone_number": "816-262-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT LACKAMP, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "LACKAMP",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-262-7456",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "R6792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.