Essent Heealthcare of Missouri Inc.

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

460-05 Issued in MO

Legal business name

ESSENT HEEALTHCARE OF MISSOURI INC.

Practice address

500 Medical Dr
Wentzville, MO 63385-3421

Phone

(636) 327-1000

NPI assigned

Jun 1, 2005

Organization subpart

No

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

Authorized official

Name

Steven L Wylie

Title

VP Financial Operations

Phone

(636) 327-1010

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366444531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MEDICAL DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853421",
            "telephone_number": "636-327-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MEDICAL DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853421",
            "telephone_number": "636-327-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENT HEEALTHCARE OF MISSOURI INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WYLIE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP FINANCIAL OPERATIONS",
        "authorized_official_telephone_number": "636-327-1010"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MO",
            "license": "460-05",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Shaynae Elms
• Emergency Medical Care LLC
• John E Emmons, DO
• Christina Eschenbrener
• Tamra L Esker, FNP
• Alison Nicole Evans, M.S. CCC-SLP
• Candice Justine Exely, DC, CCSP, LAT
• Family 1St Services LLC
• Jarod Bruce Farnham, LPC
• Jelya Ingrid Fatawu, PMHMP-BC

• General Acute Care Hospital in Wentzville, MO
• Providers in Wentzville, MO by specialty
• General Acute Care Hospital in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.