NPIMap

Organization Active NPI

Liberty Hospital Physician Clinics

  • Family Medicine Physician
  • Liberty, MO
National Provider Identifier
1629212709
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LIBERTY HOSPITAL PHYSICIAN CLINICS
Practice address
2609 Glenn Hendren Drive
Liberty, MO 64068-4209
Phone
(816) 781-7730
Fax
(816) 415-1886
NPI assigned
Apr 21, 2009
Last updated
Jul 2, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
NEW LIBERTY HOSPITAL DISTRICT OF CLAY COUNTY MISSOURIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Authorized official

Name
Mr. David H Feess
Title
Administrator
Phone
(816) 781-7200

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 110739 MO
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

2609 Glenn Hendren Drive
Liberty, MO 64068-4209

Mailing address

2609 Glenn Hendren Drive
Liberty, MO 64068-4209
Phone (816) 781-7730

Other identifiers 1

IdentifierTypeStateIssuer
DO9959OtherMEDICARE RAILROAD

National Provider Directory

National Provider Directory
Part of
New Liberty Hospital Di

Locations

122 S Stewart Rd
Liberty, MO 64068
Phone (816) 781-7730

122 S Stewart Rd
Liberty, MO 64068
Phone (816) 781-7730

Practitioners & affiliated clinicians

Practitioners 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1629212709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 GLENN HENDREN DRIVE",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640684209",
            "telephone_number": "816-781-7730",
            "fax_number": "816-415-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 GLENN HENDREN DRIVE",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640684209",
            "telephone_number": "816-781-7730",
            "fax_number": "816-415-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY HOSPITAL PHYSICIAN CLINICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW LIBERTY HOSPITAL DISTRICT OF CLAY COUNTY MISSOURI",
        "enumeration_date": "2009-04-21",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "FEESS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-781-7200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "110739",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DO9959",
            "state": null
        }
    ],
    "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 Jul 2, 2012; 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.