New Liberty Hospital Corporation
Organization Active NPI Internal Medicine Physician · Liberty, MO
NPI 1205188570 · NPPES record last updated Sep 2, 2016
Key facts
- NPI
- 1205188570
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- NEW LIBERTY HOSPITAL CORPORATION
- Practice address
- 2525 Glenn Hendren Dr
Liberty, MO 64068-9625 - Phone
- (816) 781-7200
- NPI assigned
- Oct 10, 2012
- Organization subpart
- No
Authorized official
- Name
- David H Feess
- Title
- President, Ceo
- Phone
- (816) 781-7200
Other NPIs on the same Medicare enrollment 13
Member organizations 8
Practitioners 61
-
Raghavendra B. Adiga, M.D.
-
Adam Cole Ashby, NP
-
Taryn Alyssa Beshore, FNP-C
-
Stephanie Biddulph, APRN
-
Imran Q Cheema, M.D.
-
Alex Ferrell, MSN, APRN, ACNP
-
Jerilyn Freeman, AGNP-C
-
Jasmine George, NP
-
Santosh George, M.D.
-
Jordan Haskins, D.O.
-
Duong Thuy Ho, FNP-C
-
Adil Imam, MD
-
Sunita Muranjan, MD
-
Jordan Myhre, M.D.
-
Hajra Nadeem, MD
-
Joshua Joe Niemann, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120918000321 | MO | Part B Supplier - Clinic/Group Practice | 9931166618 |
Receives reassigned benefits from 161 practitioners 14 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Liberty, MO; Richmond, MO; Plattsburg, MO; Bethany, MO; Excelsior Springs, MO; Kansas City, MO; Kearney, MO |
National Provider Directory
Locations
2525 Glenn Hendren Dr
Ste G80
Liberty, MO 64068
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes | ||
| Neurological Surgery Physician |
207T00000X |
Addresses
Primary practice location
2525 Glenn Hendren Dr
Liberty, MO 64068-9625
Mailing address
PO Box 219672
Kansas City, MO 64121-9672
Phone (816) 781-7200
Other names
- Liberty Hospital Physicians
Other providers in Liberty, MO
- New Liberty Hospital Coporation
- New Liberty Hospital Coporation
- New Liberty Hospital Coporation
- New Liberty Hospital Coporation
- New Liberty Hospital Corporation
- New Liberty Hospital Corporation
- New Liberty Hospital Corporation
- New Liberty Hospital Corporation
- New Liberty Hospital Corporation
- New Liberty Hospital Corporation
All providers in Liberty, MO · Internal Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.