Organization Active NPI

Saint Luke'S East Hospital

  • Renal Nutrition Registered Dietitian
  • Lee'S Summit, MO
National Provider Identifier
1487714879
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
Legal business name
SAINT LUKE'S EAST HOSPITAL
Practice address
100 N.E. Saint Luke'S Blvd
Lee'S Summit, MO 64086
Phone
(816) 347-5000
NPI assigned
Dec 8, 2006
Organization subpart
Yes
Parent organization
SAINT LUKE'S EAST HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

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

Authorized official

Name
Dr. George Pagels, M.D.
Title
Cfo
Phone
(816) 347-5000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Renal Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1005X Primary

Addresses

Primary practice location

100 N.E. Saint Luke'S Blvd
Lee'S Summit, MO 64086

Mailing address

100 N.E. Saint Luke'S Blvd
Lee'S Summit, MO 64086
Phone (816) 347-5000

Other identifiers 1

IdentifierTypeStateIssuer
X280000OtherMOPTAN

Other names 1

  • Saint Luke's East-Lee's Summit Doing business as

National Provider Directory

National Provider Directory
Part of
Saint Lukes East Hospital

Locations

100 NE Saint Lukes Blvd
Lees Summit, MO 64086
Phone (816) 347-5097

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1487714879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N.E. SAINT LUKE'S BLVD",
            "city": "LEE'S SUMMIT",
            "state": "MO",
            "postal_code": "64086",
            "telephone_number": "816-347-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N.E. SAINT LUKE'S BLVD",
            "city": "LEE'S SUMMIT",
            "state": "MO",
            "postal_code": "64086",
            "telephone_number": "816-347-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT LUKE'S EAST HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT LUKE'S EAST HOSPITAL",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "PAGELS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "816-347-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "X280000",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Luke's East-Lee's Summit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lee'S Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.