Organization Active NPI

Maple Crest Open MRI

  • Magnetic Resonance Imaging Radiologic Technologist
  • Liberty, MO
National Provider Identifier
1861570020
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
Legal business name
MAPLE CREST OPEN MRI
Practice address
840 W Kansas Avenue
Ste a
Liberty, MO 64068-2033
Phone
(816) 587-1818
Fax
(816) 505-5004
NPI assigned
Nov 2, 2006
Last updated
Aug 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Authorized official

Name
Dr. Scott Luther Rossow, DONPI 1679571061
Title
Owner/Physician
Phone
(417) 339-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging Radiologic Technologist 2471M1202X NU Primary

Addresses

Primary practice location

840 W Kansas Avenue
Ste a
Liberty, MO 64068-2033

Mailing address

840 W Kansas St
Suite a
Liberty, MO 64068-2033
Phone (816) 781-9797

Other identifiers 2

IdentifierTypeStateIssuer
34425017OtherMOBLUE CROSS BLUE SHIELD
P00152744OtherMORAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

840 W Kansas St
Apt A
Liberty, MO 64068
Phone (816) 781-9797

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1861570020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 W KANSAS ST",
            "address_2": "SUITE A",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640682033",
            "telephone_number": "816-781-9797",
            "fax_number": "816-781-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 W KANSAS AVENUE",
            "address_2": "STE A",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640682033",
            "telephone_number": "816-587-1818",
            "fax_number": "816-505-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE CREST OPEN MRI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "ROSSOW",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "LUTHER",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "417-339-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "34425017",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00152744",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.