Organization Active NPI

Urology Midwest LC

  • Urology Physician
  • Sedalia, MO
National Provider Identifier
1275751380
Registry record updated May 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
R6D16 Issued in MO
Legal business name
UROLOGY MIDWEST LC
Practice address
1715 S Lafayette Ave
Sedalia, MO 65301-7541
Phone
(660) 826-7077
Fax
(660) 826-4202
NPI assigned
Apr 23, 2007
Last updated
May 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2015

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

Authorized official

Name
Dr. Robert Stephen Foster, M.D.NPI 1659403764
Title
Owner
Phone
(660) 826-7077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X R6D16 MO Primary

Addresses

Primary practice location

1715 S Lafayette Ave
Sedalia, MO 65301-7541

Mailing address

1715 S Lafayette Ave
Sedalia, MO 65301-7541
Phone (660) 826-7077

Other identifiers 2

IdentifierTypeStateIssuer
21098026OtherMOBLUE SHIELD
507785707MedicaidMO

National Provider Directory

National Provider Directory

Locations

1715 S Lafayette Ave
Sedalia, MO 65301
Phone (660) 826-1482

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431216000000",
    "number": "1275751380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 S LAFAYETTE AVE",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653017541",
            "telephone_number": "660-826-7077",
            "fax_number": "660-826-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 S LAFAYETTE AVE",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653017541",
            "telephone_number": "660-826-7077",
            "fax_number": "660-826-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY MIDWEST LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2015-05-10",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-826-7077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "R6D16",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "21098026",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507785707",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedalia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2015; 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.