Organization Active NPI

Midwest Digestive Health Center, LLC

  • Certified Registered Nurse Anesthetist
  • Lees Summit, MO
National Provider Identifier
1801122361
Registry record updated Oct 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2009

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)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Midwest Digest HLTH Ctr LLC3 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.