Philip Greg Ordway

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

PHILIP GREG ORDWAY

Practice address

105 Galewood Dr
Branson, MO 65616-7289

Phone

(417) 336-8831

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Greg Ordway

Title

Director

Phone

(417) 336-8831

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WW Country Home ISL Doing business as

Tax ID family

New Hope Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Philip Ordway

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Branson, MO
  • NPI 1700084506
  NPD tax ID

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1639219967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 GALEWOOD DR",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167289",
            "telephone_number": "417-336-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GALEWOOD DR",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167289",
            "telephone_number": "417-336-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP GREG ORDWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "ORDWAY",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "417-336-8831"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "858635006",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WW Country Home ISL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Lee Pearson, D.C.
• Zachary Lee Pembrook, PHARMD
• Jeramy N Pense, PHARM. D
• Lindsay Michele Peterson, NP
• Kristina Pfennig, MS CCC-SLP
• Philip Ordway
• Phoenix Home Care, Inc.
• Samantha Pichardo
• Alicia Pierce
• Taylor N Pierre, LPC

• All providers in Branson, MO
• Child Intellectual and/or Developmental Disabilities Respite Care in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.