NPIMap

Organization Active NPI

Western Missouri Medical Center

Doing business as St. Luke's Cancer Institute at WMMC

  • Medical Oncology Physician
  • Warrensburg, MO
National Provider Identifier
1720409113
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
Legal business name
WESTERN MISSOURI MEDICAL CENTER
Doing business as
St. Luke's Cancer Institute at WMMC
Practice address
403 Burkarth Rd
Warrensburg, MO 64093-3101
Phone
(660) 747-2500
Fax
(660) 747-8455
NPI assigned
Jan 2, 2014
Last updated
Apr 8, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTERN MISSOURI MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Authorized official

Name
Terri A Bradley
Title
VP Financial Services / Cfo
Phone
(660) 262-7307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RX0202X Primary

Addresses

Primary practice location

403 Burkarth Rd
Warrensburg, MO 64093-3101

Mailing address

403 Burkarth Rd
Warrensburg, MO 64093-3101
Phone (660) 747-2500

Other names 1

  • St. Luke's Cancer Institute at WMMC Doing business as

National Provider Directory

National Provider Directory
Part of
Johnson County Mem Hosp

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1720409113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 BURKARTH RD",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933101",
            "telephone_number": "660-747-2500",
            "fax_number": "660-747-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 BURKARTH RD",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933101",
            "telephone_number": "660-747-2500",
            "fax_number": "660-747-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MISSOURI MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN MISSOURI MEDICAL CENTER",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP FINANCIAL SERVICES / CFO",
        "authorized_official_telephone_number": "660-262-7307"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Luke's Cancer Institute at WMMC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warrensburg, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.