Organization Active NPI

Missouri Metabolic Health

  • Obesity Medicine (Family Medicine) Physician
  • Liberty, MO
National Provider Identifier
1598597239
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X
Legal business name
MISSOURI METABOLIC HEALTH
Practice address
1201 Landmark Ave Ste 5
Liberty, MO 64068-3738
Phone
(574) 312-0492
NPI assigned
Aug 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Dr. Lindsay Ogle, MDNPI 1346703923
Title
Physician, Founder
Phone
(574) 312-0492

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QB0002X Primary

Addresses

Primary practice location

1201 Landmark Ave Ste 5
Liberty, MO 64068-3738

Mailing address

5850 Macklind Ave # 1200
Saint Louis, MO 63109-3569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250102001228 MO Part B Supplier - Clinic/Group Practice 5597292508 Receives reassigned benefits from 2 practitioners
Practice locations: Liberty, MO

National Provider Directory

National Provider Directory

Locations

1201 Landmark Ave
Ste 5
Liberty, MO 64068
Phone (574) 312-0492

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1598597239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 MACKLIND AVE # 1200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631093569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 LANDMARK AVE STE 5",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683738",
            "telephone_number": "574-312-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI METABOLIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "OGLE",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "PHYSICIAN, FOUNDER",
        "authorized_official_telephone_number": "574-312-0492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.