Organization Active NPI

Midamerica Plastic Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Independence, MO
National Provider Identifier
1306098116
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
85-4 Issued in MO
Legal business name
MIDAMERICA PLASTIC SURGERY CENTER
Practice address
4820 S Arrowhead Dr
Independence, MO 64055-6980
Phone
(816) 795-5262
Fax
(816) 795-8979
NPI assigned
Oct 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2008

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

Authorized official

Name
Dr. Jerome P Lamb, M.D.
Title
President
Phone
(816) 795-5262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 85-4 MO Primary

Addresses

Primary practice location

4820 S Arrowhead Dr
Independence, MO 64055-6980

Mailing address

4820 S Arrowhead Dr
Independence, MO 64055-6980
Phone (816) 795-5262

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1306098116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 S ARROWHEAD DR",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556980",
            "telephone_number": "816-795-5262",
            "fax_number": "816-795-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 S ARROWHEAD DR",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556980",
            "telephone_number": "816-795-5262",
            "fax_number": "816-795-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDAMERICA PLASTIC SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-13",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "LAMB",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-795-5262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": "85-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; 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.