Northwest Missouri Physical Medicine and Rehabilitation, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

NORTHWEST MISSOURI PHYSICAL MEDICINE AND REHABILITATION, LLC

Practice address

105 Far West Dr
Suite 201
Saint Joseph, MO 64506-3500

Phone

(816) 271-8182

Fax

(816) 271-8183

NPI assigned

Dec 27, 2006

Last updated

Jan 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mary Jo Middleton, M.D.NPI 1467553941

Title

Owner

Phone

(816) 617-2652

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Jo Middleton, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Kansas City, MO
  • NPI 1467553941
  NPD (past) Authorized official
• Matthew Minseok Keum, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Willoughby, OH
  • NPI 1073508297
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1548325772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FAR WEST DR",
            "address_2": "SUITE 201",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063500",
            "telephone_number": "816-271-8182",
            "fax_number": "816-271-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FAR WEST DR",
            "address_2": "SUITE 201",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063500",
            "telephone_number": "816-271-8182",
            "fax_number": "816-271-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MISSOURI PHYSICAL MEDICINE AND REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-617-2652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Health Services, Inc. (NW Family Dental)
• Northwest Health Services, Inc. (Downtown Health Center)
• Northwest Missouri Children's Advocacy Center
• Northwest Missouri Oral & Maxillofacial Surgeons
• Northwest Missouri Pathologists, M.D., P.C.
• Robin Kellogg Norton
• Novamed Surgery Center of St. Joseph, LLC
• Mary Novinger, R.N.
• Matthew Robert Noyce, DDS, MS
• Brandon James Nunes, PHARM.D.

• Physical Medicine & Rehabilitation Physician in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Physical Medicine & Rehabilitation Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.