Wildflower Riverhouse LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WILDFLOWER RIVERHOUSE LLC

Practice address

1415 Olive St
Saint Joseph, MO 64503-2443

Phone

(816) 273-5070

Fax

(816) 273-5070

NPI assigned

Jun 5, 2023

Organization subpart

Yes

Parent organization

WILDFLOWER RIVERHOUSE LLCAs reported in NPPES

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

Authorized official

Name

Patrick E Gaume

Title

Owner

Phone

(816) 248-2144

Specialties & licenses 2

Addresses

Other names 1

• Thomas III Doing business as

Part of

Wildflower Riverhouse LLC

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1487348389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 FREDERICK AVE # 106",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063020",
            "telephone_number": "816-248-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 OLIVE ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645032443",
            "telephone_number": "816-273-5070",
            "fax_number": "816-273-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWER RIVERHOUSE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILDFLOWER RIVERHOUSE LLC",
        "enumeration_date": "2023-06-05",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "GAUME",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-248-2144"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas III",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thomas III",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Wiebe
• Sarah Renee Wiederholt, MD
• Stacey Marie Wiedmer, PLPC
• Kathryn A Wilcox, OTR/L
• Tricia R. Wilcox, M.S ED CCC-SLP
• Jeri Jean Wilds
• Kristine M Wilfong, CRNA
• Megan Renee Wilkinson, AU.D.
• Amanda Dawn Williams, DO
• Billie J Williams

• Internal Medicine Physician in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.