Western Missouri Medical Center
Organization Active NPI Pulmonary Disease Physician · Warrensburg, MO
NPI 1649548835 · NPPES record last updated May 7, 2021
Key facts
- NPI
- 1649548835
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 221-48 (MO)
- Legal business name
- WESTERN MISSOURI MEDICAL CENTER
- Practice address
- 407 Burkarth Rd Ste 302
Warrensburg, MO 64093 - Phone
- (660) 262-7401
- Fax
- (660) 262-7423
- NPI assigned
- Dec 2, 2011
- Organization subpart
- No
Authorized official
- Name
- Michael Dean Ohmart
- Title
- Cfo
- Phone
- (660) 262-7307
Other NPIs on the same Medicare enrollment 18
Corporate family (same tax ID) 10
Practitioners 3
-
Molly Ad Jones, FNP
-
Megan L Stutheit, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040616000777 | MO | Part B Supplier - Clinic/Group Practice | 7416931506 |
Receives reassigned benefits from 138 practitioners 23 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Warrensburg, MO |
National Provider Directory
- Tax ID family
- Johnson County Mem Hosp
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician |
207RP1001X | 221-48 | MO | Yes |
Addresses
Primary practice location
407 Burkarth Rd Ste 302
Warrensburg, MO 64093
Mailing address
407 Burkarth Rd Ste 302
Warrensburg, MO 64093-3101
Phone (660) 262-7401
Other names
- Western Missouri Specialty Services - Pulmonology & Critical Care
Other providers in Warrensburg, MO
- Western Missouri Medical Center
- Western Missouri Medical Center
- Western Missouri Medical Center
- Western Missouri Medical Center
- Western Missouri Medical Center
- Western Missouri Medical Center
- Western Missouri Medical Center
- Western Missouri Medical Center
- Western Missouri Medical Center
- Western Missouri Medical Center
All providers in Warrensburg, MO · Pulmonary Disease Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.