NPIMap

Organization Active NPI

Saint Lukes Northland Hospital Corporation

  • Physical Medicine & Rehabilitation Physician
  • Trenton, MO
National Provider Identifier
1619169802
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SAINT LUKES NORTHLAND HOSPITAL CORPORATION
Practice address
701 E 1St St
Trenton, MO 64683-2402
Phone
(660) 359-6331
NPI assigned
Aug 13, 2007
Organization subpart
Yes
Parent organization
SAINT LUKES NORTHLAND HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
N. Gary Wages
Title
President and Ceo
Phone
(816) 880-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

701 E 1St St
Trenton, MO 64683-2402

Mailing address

PO Box 930945
Kansas City, MO 64193-0945
Phone (816) 229-8100

National Provider Directory

National Provider Directory
Tax ID family
Saint Luke'S North Hospital9 organizations share this tax ID, including this one
Part of
Saint Luke'S North Hospital

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

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": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1619169802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 930945",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641930945",
            "telephone_number": "816-229-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 1ST ST",
            "city": "TRENTON",
            "state": "MO",
            "postal_code": "646832402",
            "telephone_number": "660-359-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT LUKES NORTHLAND HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT LUKES NORTHLAND HOSPITAL CORPORATION",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "WAGES",
        "authorized_official_first_name": "N.",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "816-880-6500"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.