NPIMap

Organization Active NPI

Murphy Watson Burr Eye Center Inc

  • Ophthalmology Physician
  • Saint Joseph, MO
National Provider Identifier
1679520621
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MURPHY WATSON BURR EYE CENTER INC
Practice address
5202 Faraon St
Saint Joseph, MO 64506-3809
Phone
(816) 233-2020
Fax
(816) 279-4662
NPI assigned
May 27, 2006
Last updated
Jul 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Authorized official

Name
Mrs. Kandice Ray
Title
Billing Manger
Phone
(816) 233-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MO Primary

Addresses

Primary practice location

5202 Faraon St
Saint Joseph, MO 64506-3809

Mailing address

5202 Faraon St
Saint Joseph, MO 64506-3809
Phone (816) 233-2020

Other identifiers 1

IdentifierTypeStateIssuer
502343510MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040402001010 MO Part B Supplier - Clinic/Group Practice 5597757096 Receives reassigned benefits from 9 practitioners
Practice locations: Chillicothe, MO; Saint Joseph, MO; Maryville, MO; Cameron, MO

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

5202 Faraon St
Ste C
Saint Joseph, MO 64506

1210 Oklahoma Ave
Trenton, MO 64683
Phone (660) 359-2204

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1679520621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063809",
            "telephone_number": "816-233-2020",
            "fax_number": "816-279-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063809",
            "telephone_number": "816-233-2020",
            "fax_number": "816-279-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURPHY WATSON BURR EYE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "KANDICE",
        "authorized_official_title_or_position": "BILLING MANGER",
        "authorized_official_telephone_number": "816-233-2020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502343510",
            "state": "MO"
        }
    ],
    "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 Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.