Active NPI
Northland Obstetrics & Gynecology, Inc.
- Specialist
- Liberty, MO
National Provider Identifier
1366427783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- NORTHLAND OBSTETRICS & GYNECOLOGY, INC.
- Practice address
- 2529 Glenn Hendren Dr
Suite 200
Liberty, MO 64068-9625 - Phone
- (816) 781-7820
- NPI assigned
- Dec 8, 2005
- 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
- Amy Spencer, MHA
- Title
- Administrator
- Phone
- (816) 781-7820
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2529 Glenn Hendren Dr
Suite 200
Liberty, MO 64068-9625
Mailing address
2529 Glenn Hendren Dr Ste 200
Liberty, MO 64068-9606
Phone (816) 781-7820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040929000943 | MO | Part B Supplier - Clinic/Group Practice | 7012986730 |
Receives reassigned benefits from 10 practitioners Practice locations: Liberty, MO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0443070 | Northland Obstetrics & Gynecology Inc | Provider-performed microscopy | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
2529 Glenn Hendren Dr
Ste 200
Liberty, MO 64068
Phone (816) 781-7820
2529 Glenn Hendren Dr
#20
Liberty, MO 64068
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Women's Health Nurse Practitioner
- Liberty, MO
- NPI 1134459589
MO
-
- Obstetrics & Gynecology Physician
- Kansas City, MO
- NPI 1881810513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706227200000",
"number": "1366427783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2529 GLENN HENDREN DR STE 200",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640689606",
"telephone_number": "816-781-7820",
"fax_number": "816-415-9488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2529 GLENN HENDREN DR",
"address_2": "SUITE 200",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640689625",
"telephone_number": "816-781-7820"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHLAND OBSTETRICS & GYNECOLOGY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-08",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A",
"authorized_official_last_name": "SPENCER",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "816-781-7820",
"authorized_official_credential": "MHA"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.