Active NPI
Midwest Neuroscience PC
- Specialist
- Independence, MO
National Provider Identifier
1255522009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- R7396
- Legal business name
- MIDWEST NEUROSCIENCE PC
- Practice address
- 17020 E 40 Hwy
Suite 8
Independence, MO 64055-5365 - Phone
- (816) 373-3213
- Fax
- (816) 373-6209
- NPI assigned
- Aug 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles D Donohoe, M.D.
- Title
- Physician
- Phone
- (816) 373-3213
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | R7396 | MO | Primary |
Addresses
Primary practice location
17020 E 40 Hwy
Suite 8
Independence, MO 64055-5365
Mailing address
17020 E 40 Hwy
Suite 8
Independence, MO 64055-5365
Phone (816) 373-3213
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R7396 | Other | MO | LICENSE NUMBNER |
| 209250703 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
17221 E 23rd St S
Ste 311
Independence, MO 64057
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Kansas City, MO
- NPI 1033195540
-
- Family Nurse Practitioner
- Blue Springs, MO
- NPI 1366415333
-
- Physician Assistant
- Whiteman Air Force Base, MO
- NPI 1528052750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307059200000",
"number": "1255522009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17020 E 40 HWY",
"address_2": "SUITE 8",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640555365",
"telephone_number": "816-373-3213",
"fax_number": "816-373-6209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17020 E 40 HWY",
"address_2": "SUITE 8",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640555365",
"telephone_number": "816-373-3213",
"fax_number": "816-373-6209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST NEUROSCIENCE PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-07",
"last_updated": "2011-06-03",
"status": "A",
"authorized_official_last_name": "DONOHOE",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "816-373-3213",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MO",
"license": "R7396",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBNER",
"identifier": "R7396",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209250703",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
- Midwest Doctors Group, LLC
- Midwest Foster Care and Adoption Association
- Midwest Infectious Disease Specialists LLC
- Midwest Joint and Health LLC
- Midwest Neuroscience
- Midwest Open MRI Inc
- Midwest Plastic Surgery and Laser Center, LLC
- Midwest Sleep Remedies LLC
- Midwest Urology & Radiation Oncology, Inc, PC.
- Midwest Wound Care,LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.