Active NPI
Robert Edward Fast, MD
- Obstetrics & Gynecology Physician
- Saint Joseph, MO
National Provider Identifier
1669497202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 04-16292
- Practice address
- 901 Heartland Rd
Suite 2800
Saint Joseph, MO 64506-6200 - Phone
- (816) 271-1213
- Fax
- (816) 271-6423
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 04-16292 | KS | Primary |
Addresses
Primary practice location
901 Heartland Rd
Suite 2800
Saint Joseph, MO 64506-6200
Mailing address
17793 Country Club Rd
Atchison, KS 66002
Phone (816) 262-5917
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10001243601 | Other | COMMUNITY HEALTH PLAN | |
| 18257025 | Other | MO | BLUE CROSS BLUE SHIELD |
| 210633 | Other | HEALTHLINK | |
| 463839 | Other | MO | CHILDRENS MERCY FAMILY HEALTH |
| P00036159 | Other | RAILROAD MEDICARE | |
| 203288204 | Medicaid | MO | |
| 44054528964506V016 | Other | TRICARE/CHAMPUS | |
| 602270 | Other | FIRSTGUARD | |
| 4571202 | Other | AETNA | |
| 100132140B | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-16292 | KS | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1669497202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17793 COUNTRY CLUB RD",
"city": "ATCHISON",
"state": "KS",
"postal_code": "66002",
"telephone_number": "816-262-5917",
"fax_number": "816-271-6423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 HEARTLAND RD",
"address_2": "SUITE 2800",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645066200",
"telephone_number": "816-271-1213",
"fax_number": "816-271-6423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAST",
"first_name": "ROBERT",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KS",
"license": "04-16292",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY HEALTH PLAN",
"identifier": "10001243601",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "18257025",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "210633",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDRENS MERCY FAMILY HEALTH",
"identifier": "463839",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00036159",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203288204",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/CHAMPUS",
"identifier": "44054528964506V016",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTGUARD",
"identifier": "602270",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4571202",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100132140B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.