Active NPI
Maple Crest Open MRI
- Magnetic Resonance Imaging Radiologic Technologist
- Liberty, MO
National Provider Identifier
1861570020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging Radiologic Technologist
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott Luther Rossow, DO
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34425017 | Other | MO | BLUE CROSS BLUE SHIELD |
| P00152744 | Other | MO | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Diagnostic Radiology Physician
- Atchison, KS
- NPI 1679571061
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.