NPIMap

Organization Active NPI

Core Medical Center, LLC

  • Physical Medicine & Rehabilitation Physician
  • Blue Springs, MO
National Provider Identifier
1558733766
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
CORE MEDICAL CENTER, LLC
Practice address
1131 W Main St
Blue Springs, MO 64015-3611
Phone
(816) 229-1941
Fax
(816) 229-7085
NPI assigned
Oct 27, 2015
Last updated
Dec 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

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

Authorized official

Name
Dr. Aston Michael Goldsworthy, DC, MSN, FNP-BCNPI 1316275365
Title
Owner
Phone
(816) 229-1941

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NU
Chiropractor 111N00000X MO
Family Medicine Physician 207Q00000X NU
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

1131 W Main St
Blue Springs, MO 64015-3611

Mailing address

1131 W Main St
Blue Springs, MO 64015-3611
Phone (913) 742-0177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160310002343 MO Part B Supplier - Clinic/Group Practice 0648576041 Receives reassigned benefits from 15 practitioners
Practice locations: Blue Springs, MO
O20170421001971 MO DME Supplier - Nurse Practitioner 0648576041 Practice locations: Blue Springs, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1558733766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 W MAIN ST",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153611",
            "telephone_number": "913-742-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 W MAIN ST",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153611",
            "telephone_number": "816-229-1941",
            "fax_number": "816-229-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "GOLDSWORTHY",
        "authorized_official_first_name": "ASTON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-229-1941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, MSN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.