Organization Active NPI

Murphy Watson Burr Surgery Center Inc

  • Ophthalmologic Surgery Clinic/Center
  • Saint Joseph, MO
National Provider Identifier
1295782316
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
77-18 Issued in MO
Legal business name
MURPHY WATSON BURR SURGERY CENTER INC
Practice address
5202 Faraon St
Saint Joseph, MO 64506-3840
Phone
(816) 233-2020
Fax
(816) 279-4662
NPI assigned
May 27, 2006
Last updated
Mar 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Authorized official

Name
Jeni Crouse
Title
Practice Administrator
Phone
(816) 233-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X 77-18 MO Primary

Addresses

Primary practice location

5202 Faraon St
Saint Joseph, MO 64506-3840

Mailing address

5202 Faraon St
Saint Joseph, MO 64506-3840
Phone (816) 233-2020

Other identifiers 1

IdentifierTypeStateIssuer
508629102MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060118000513 MO Part B Supplier - Ambulatory Surgical Center 8527082494 Practice locations: Saint Joseph, MO

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Murphy Watson Burr Surgery Center IncCCN 26C0001043
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0916603Murphy Watson Surgery Center5202 Faraon, Saint Joseph, MO 64506Certificate of waiverJun 25, 2028

National Provider Directory

National Provider Directory

Locations

5202 Faraon St
Ste B
Saint Joseph, MO 64506

Practitioners & affiliated clinicians

Practitioners 3

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": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1295782316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063840",
            "telephone_number": "816-233-2020",
            "fax_number": "816-279-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063840",
            "telephone_number": "816-233-2020",
            "fax_number": "816-279-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURPHY WATSON BURR SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "CROUSE",
        "authorized_official_first_name": "JENI",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "816-233-2020"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "MO",
            "license": "77-18",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "508629102",
            "state": "MO"
        }
    ],
    "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 Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.