Active NPI
Midwest Digestive Health Center, LLC
- Certified Registered Nurse Anesthetist
- Lees Summit, MO
National Provider Identifier
1801122361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- MIDWEST DIGESTIVE HEALTH CENTER, LLC
- Doing business as
- Anesthesia Services of Midwest PSC
- Practice address
- 3601 NE Ralph Powell Rd
Lees Summit, MO 64064-2357 - Phone
- (816) 525-4440
- Fax
- (816) 246-9887
- NPI assigned
- Oct 19, 2009
- Organization subpart
- Yes
- Parent organization
- MIDWEST DIGESTIVE HEALTH CENTER, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William G Southwick
- Title
- Pres Ceo
- Phone
- (615) 329-9212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
3601 NE Ralph Powell Rd
Lees Summit, MO 64064-2357
Mailing address
3601 NE Ralph Powell Rd
Lees Summit, MO 64064-2357
Phone (816) 525-4440
Other names 1
- Anesthesia Services of Midwest PSC
National Provider Directory
National Provider Directory- Tax ID family
- Midwest Digest HLTH Ctr LLC
- Part of
- Midwest Digest HLTH Ctr LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Lees Summit, MO
- NPI 1558487009
-
- Certified Registered Nurse Anesthetist
- Lees Summit, MO
- NPI 1821324260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255910400000",
"number": "1801122361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 NE RALPH POWELL RD",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640642357",
"telephone_number": "816-525-4440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 NE RALPH POWELL RD",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640642357",
"telephone_number": "816-525-4440",
"fax_number": "816-246-9887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST DIGESTIVE HEALTH CENTER, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MIDWEST DIGESTIVE HEALTH CENTER, LLC",
"enumeration_date": "2009-10-19",
"last_updated": "2009-10-19",
"status": "A",
"authorized_official_last_name": "SOUTHWICK",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRES CEO",
"authorized_official_telephone_number": "615-329-9212",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Anesthesia Services of Midwest PSC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.