NPIMap

Organization Active NPI

Saint Lukes Hospital of Trenton

  • Family Medicine Physician
  • Trenton, MO
National Provider Identifier
1275852519
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7760000B Issued in MO
Legal business name
SAINT LUKES HOSPITAL OF TRENTON
Doing business as
WRIGHT MEMORIAL PHYSICIANS' GROUP
Practice address
189 Iowa Blvd
Trenton, MO 64683-8346
Phone
(660) 358-5750
Fax
(660) 358-5740
NPI assigned
May 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Mr. Les Reed, CFO
Title
Cfo
Phone
(660) 358-5702

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MD111376 MO
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 2007018105 MO
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 7760000B MO Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MD105852 MO
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X MD111376 MO
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 2009026346 MO
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

189 Iowa Blvd
Trenton, MO 64683-8346

Mailing address

189 Iowa Blvd
Trenton, MO 64683-8346
Phone (660) 358-5750

Other identifiers 4

IdentifierTypeStateIssuer
1235334624OtherMONPI
1912930975OtherMONPI
1720236193OtherMONPI
1174557672OtherMONPI

Other names 1

  • WRIGHT MEMORIAL PHYSICIANS' GROUP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wright Memorial Hosp Crna7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1275852519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 IOWA BLVD",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646838346",
            "telephone_number": "660-358-5750",
            "fax_number": "660-358-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 IOWA BLVD",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646838346",
            "telephone_number": "660-358-5750",
            "fax_number": "660-358-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT LUKES HOSPITAL OF TRENTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "LES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "660-358-5702",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "MD111376",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2007018105",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "7760000B",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "MD105852",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MO",
            "license": "MD111376",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "MO",
            "license": "2009026346",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235334624",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1912930975",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720236193",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174557672",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WRIGHT MEMORIAL PHYSICIANS' GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.