Organization Active NPI

Midwest Heart & Vascular

  • Internal Medicine Physician
  • Sedalia, MO
National Provider Identifier
1649297698
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MIDWEST HEART & VASCULAR
Practice address
4400 S Limit Ave
Suite B
Sedalia, MO 65301-0505
Phone
(660) 829-3400
Fax
(660) 829-3433
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Henry C. Marquez, M.D.
Title
Owner
Phone
(660) 829-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4400 S Limit Ave
Suite B
Sedalia, MO 65301-0505

Mailing address

4400 S Limit Ave
Suite B
Sedalia, MO 65301-0505
Phone (660) 829-3400

Other identifiers 2

IdentifierTypeStateIssuer
505430702MedicaidMO
1649297698OtherMONPI GROUP

Other names 1

  • Henry C. Marquez Other name

National Provider Directory

National Provider Directory

Locations

4400 S Limit Ave
Ste B
Sedalia, MO 65301
Phone (660) 827-1771

Practitioners & affiliated clinicians

Practitioners 1

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": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1649297698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 S LIMIT AVE",
            "address_2": "SUITE B",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653010505",
            "telephone_number": "660-829-3400",
            "fax_number": "660-829-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 S LIMIT AVE",
            "address_2": "SUITE B",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653010505",
            "telephone_number": "660-829-3400",
            "fax_number": "660-829-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HEART & VASCULAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-829-3400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505430702",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1649297698",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry C. Marquez",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sedalia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.