Individual provider Active NPI

Truman Mark Vasko, MD

  • Surgery Physician
  • Bethany, MO
National Provider Identifier
1679636385
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2004016727 Issued in MO
Practice address
2600 Miller St
Bethany, MO 64424-2701
Phone
(660) 425-2211
Fax
(660) 425-2366
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2004016727 MO Primary

Addresses

Primary practice location

2600 Miller St
Bethany, MO 64424-2701

Mailing address

2600 Miller St
Bethany, MO 64424-2701
Phone (660) 425-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2004016727MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison County Community Hospital District CurrentSince Oct 17, 2016 Accepting new patients
Harrison County Community Hospital District Family Medicine PastSince Oct 17, 2016 Accepting new patients

Locations

2600 Miller St
#428
Bethany, MO 64424
Phone (660) 425-2211

2600 Miller St
Bethany, MO 64424
Phone (660) 425-2211

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1679636385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 MILLER ST",
            "city": "BETHANY",
            "state": "MO",
            "postal_code": "644242701",
            "telephone_number": "660-425-2211",
            "fax_number": "660-425-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 MILLER ST",
            "city": "BETHANY",
            "state": "MO",
            "postal_code": "644242701",
            "telephone_number": "660-425-2211",
            "fax_number": "660-425-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASKO",
        "first_name": "TRUMAN",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2004016727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany, MO

Sources for this page

Verify at the official NPI Registry.