Active NPI
Midwest Wound Care,LLC
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Independence, MO
National Provider Identifier
1467726935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 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 DirectoryNPI 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.