Osage Beach Cardiology LTD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

R3N07 Issued in MO

Legal business name

OSAGE BEACH CARDIOLOGY LTD

Practice address

162 Crescent BLF
Camdenton, MO 65020-3828

Phone

(573) 480-4186

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Timothy Joseph McDermott, M.D.

Title

President

Phone

(573) 480-4497

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benny Earl Thomas, D.O.

  • Pain Medicine Physician
  • Waynesville, MO
  • NPI 1316960115
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522627200000",
    "number": "1770693277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1087",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650651087",
            "telephone_number": "573-480-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 CRESCENT BLF",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650203828",
            "telephone_number": "573-480-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSAGE BEACH CARDIOLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2018-04-02",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-480-4497",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "R3N07",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari Leuwerke Neill, MD
• Noble Drug, Inc. (Noble Drug of Camdenton)
• Oconnell Counseling LLC
• Derenda Ofori, LPC
• Necole Layer Olmstead, M. A.
• Otis Optometry, LLC
• Michael H Otradovec, DDS
• Brendan Scott Owsley, PTA
• Lisa J Palen, PLPC
• Collette Palmer, LPC

• Cardiovascular Disease Physician in Camdenton, MO
• Providers in Camdenton, MO by specialty
• Cardiovascular Disease Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.