Organization Active NPI

Midwest Wound Care,LLC

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Independence, MO
National Provider Identifier
1467726935
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
Legal business name
MIDWEST WOUND CARE,LLC
Practice address
19401 E US Highway 40
Suite 200
Independence, MO 64055-5451
Phone
(816) 350-0515
NPI assigned
Mar 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Dr. Douglas M. Kelling, D.O.
Title
Physician
Phone
(816) 350-0515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PE0005X Primary

Addresses

Primary practice location

19401 E US Highway 40
Suite 200
Independence, MO 64055-5451

Mailing address

19401 E US Highway 40
Suite 200
Independence, MO 64055-5451
Phone (816) 350-0515

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1467726935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19401 E US HIGHWAY 40",
            "address_2": "SUITE 200",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555451",
            "telephone_number": "816-350-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19401 E US HIGHWAY 40",
            "address_2": "SUITE 200",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555451",
            "telephone_number": "816-350-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST WOUND CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "KELLING",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "816-350-0515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "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 Mar 1, 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.