New Liberty Medical & Hospital Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NEW LIBERTY MEDICAL & HOSPITAL CORPORATION

Doing business as

Plattsburg Medical Clinic

Practice address

400 W Clay Ave
Plattsburg, MO 64477-1424

Phone

(816) 539-2117

Fax

(816) 539-3301

NPI assigned

Sep 27, 2005

Last updated

Mar 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David H Feess

Title

Managing Employee

Phone

(816) 415-3460

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Plattsburg Medical Clinic Doing business as

Member of 1

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

• New Liberty Hospital Corporation

  dba The Liberty Clinic

  • Family Medicine Physician
  • Liberty, MO
  • NPI 1023360690

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1740276567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W CLAY AVE",
            "city": "PLATTSBURG",
            "state": "MO",
            "postal_code": "644771424",
            "telephone_number": "816-539-2117",
            "fax_number": "816-539-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W CLAY AVE",
            "city": "PLATTSBURG",
            "state": "MO",
            "postal_code": "644771424",
            "telephone_number": "816-539-2117",
            "fax_number": "816-539-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIBERTY MEDICAL & HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "FEESS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "816-415-3460"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500392006",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plattsburg Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Plattsburg Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• N & R of Plattsburg, LLC (Clinton Care & Rehab Center)
• New Liberty Hospital Coporation (The Plattsburg Clinic)
• New Liberty Hospital Corporation (The Plattsburg Clinic)
• New Liberty Hospital Corporation (Plattsburg Clinic)
• New Liberty Medical & Hospital Corp
• Nick's Health Care Center LLC
• Nick's SNF Opco LLC (Nick's Health Care Center)
• Orta Physical Therapy, Inc.
• Victor Robert Orta, P.T.
• Louis Loyd Proctor, RPH

• Family Medicine Physician in Plattsburg, MO
• Providers in Plattsburg, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.