Mount Everest Medical

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

R6D61 Issued in VA

Legal business name

MOUNT EVEREST MEDICAL

Practice address

4010 Washington St
Suite 310
Kansas City, MO 64111-2609

Phone

(816) 895-3799

Fax

(816) 817-6338

NPI assigned

Sep 29, 2016

Organization subpart

No

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

Authorized official

Name

Loanna L Halcomb

Title

Practice Administrator

Phone

(816) 716-3059

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1619426863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 WASHINGTON ST",
            "address_2": "SUITE 310",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112609",
            "telephone_number": "816-895-3799",
            "fax_number": "816-817-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 WASHINGTON ST",
            "address_2": "SUITE 310",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641112609",
            "telephone_number": "816-895-3799",
            "fax_number": "816-817-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT EVEREST MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "HALCOMB",
        "authorized_official_first_name": "LOANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "816-716-3059"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "VA",
            "license": "R6D61",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Motta, M.ED, PLPC
• Shaylen Motter, DC
• Susan Marie Mou, M.D.
• Robert Jake Moulton
• Natalie Moultrie, PLPC
• James Jamaal Mourning, LMSW
• Hisham Mousa, M.D.
• Marsha Gay Mouser, RN
• Tatiana Movchan, MD
• Moving Mama

• Pain Medicine Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Pain Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.