NPIMap

Organization Active NPI

Macon County Samaritan Hospital

  • Hospitalist Physician
  • Macon, MO
National Provider Identifier
1437419199
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
MACON COUNTY SAMARITAN HOSPITAL
Practice address
1205 N Missouri St
Macon, MO 63552-2095
Phone
(660) 385-8700
Fax
(660) 385-8701
NPI assigned
May 29, 2012
Last updated
May 29, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
MACON COUNTY SAMARITAN HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Susan J Spencer, CPA
Title
Cfo
Phone
(660) 385-8716

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU
Obstetrics & Gynecology Physician 207V00000X NU
Diagnostic Radiology Physician 2085R0202X NU
Surgery Physician 208600000X NU
Hospitalist Physician 208M00000X NU Primary
Pain Medicine Physician 208VP0000X NU

Addresses

Primary practice location

1205 N Missouri St
Macon, MO 63552-2095

Mailing address

1205 N Missouri St
Macon, MO 63552-2095
Phone (660) 385-8700

National Provider Directory

National Provider Directory
Tax ID family
Macon County Hospital4 organizations share this tax ID, including this one
Part of
Macon County Hospital

Other organizations with this tax ID 3

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

Locations

1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1437419199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N MISSOURI ST",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635522095",
            "telephone_number": "660-385-8700",
            "fax_number": "660-385-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N MISSOURI ST",
            "city": "MACON",
            "state": "MO",
            "postal_code": "635522095",
            "telephone_number": "660-385-8700",
            "fax_number": "660-385-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACON COUNTY SAMARITAN HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MACON COUNTY SAMARITAN HOSPITAL",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "660-385-8716",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.