Organization Active NPI

Phoenix Urology of St. Joseph, Inc.

  • Specialist
  • Saint Joseph, MO
National Provider Identifier
1679674048
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PHOENIX UROLOGY OF ST. JOSEPH, INC.
Practice address
901 Heartland Rd
Suite 1800
Saint Joseph, MO 64506-6200
Phone
(816) 232-8877
Fax
(816) 232-0307
NPI assigned
Sep 26, 2006
Last updated
Feb 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Dr. Krikor O. Partamian, M.D.NPI 1497856819
Title
President
Phone
(816) 232-8877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

901 Heartland Rd
Suite 1800
Saint Joseph, MO 64506-6200

Mailing address

901 Heartland Rd
Suite 1800
Saint Joseph, MO 64506-6200
Phone (816) 232-8877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, NE3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20050924000143 MO Part B Supplier - Clinic/Group Practice 0840224291 Receives reassigned benefits from 5 practitioners
Practice locations: Bethany, MO; Chillicothe, MO; Liberty, MO; Maryville, MO; Saint Joseph, MO
O20060428000597 KS Part B Supplier - Clinic/Group Practice 0840224291 Receives reassigned benefits from 4 practitioners
Practice locations: Atchison, KS; Hiawatha, KS; Kansas City, KS; Leavenworth, KS
O20250825001753 NE Part B Supplier - Clinic/Group Practice 0840224291 Receives reassigned benefits from 1 practitioner
Practice locations: Falls City, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0670414Phoenix Urology of St Joseph, Inc901 Heartland Rd Ste 1800, Saint Joseph, MO 64506ComplianceMar 7, 2027

National Provider Directory

National Provider Directory

Locations

2525 Miller St
Bethany, MO 64424
Phone (660) 625-7443

901 Heartland Rd
#2S
Saint Joseph, MO 64506

901 Heartland Rd
Ste 1800
Saint Joseph, MO 64506
Phone (816) 232-8877

Interoperability endpoints

  • Direct secure messaging: bradleymoore@phoenixuro.medalliesdirect.net
  • Direct secure messaging: coreykrenz@phoenixuro.medalliesdirect.net
  • Direct secure messaging: marklierz@phoenixuro.medalliesdirect.net
  • Direct secure messaging: michaelaberger@phoenixuro.medalliesdirect.net
  • Direct secure messaging: phillipmann@phoenixuro.medalliesdirect.net

Practitioners & affiliated clinicians

Practitioners 7

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1679674048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 HEARTLAND RD",
            "address_2": "SUITE 1800",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645066200",
            "telephone_number": "816-232-8877",
            "fax_number": "816-232-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 HEARTLAND RD",
            "address_2": "SUITE 1800",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645066200",
            "telephone_number": "816-232-8877",
            "fax_number": "816-232-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX UROLOGY OF ST. JOSEPH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "PARTAMIAN",
        "authorized_official_first_name": "KRIKOR",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-232-8877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.