Active NPI
Liberty Orthopedic Associates, P.C.
- Orthopaedic Surgery Physician
- Liberty, MO
National Provider Identifier
1922280148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- LIBERTY ORTHOPEDIC ASSOCIATES, P.C.
- Practice address
- 2521 Glenn Hendren Dr
Suite 204
Liberty, MO 64068-3388 - Phone
- (816) 781-6066
- Fax
- (816) 792-5130
- NPI assigned
- Nov 29, 2007
- Last updated
- Nov 29, 2007
- 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
- Miss Sharol K Carlson
- Title
- Administrator
- Phone
- (816) 781-6066
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NU | Primary |
Addresses
Primary practice location
2521 Glenn Hendren Dr
Suite 204
Liberty, MO 64068-3388
Mailing address
2521 Glenn Hendren Dr
Suite 204
Liberty, MO 64068-3388
Phone (816) 781-6066
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196294400000",
"number": "1922280148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2521 GLENN HENDREN DR",
"address_2": "SUITE 204",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640683388",
"telephone_number": "816-781-6066",
"fax_number": "816-792-5130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2521 GLENN HENDREN DR",
"address_2": "SUITE 204",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640683388",
"telephone_number": "816-781-6066",
"fax_number": "816-792-5130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY ORTHOPEDIC ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-29",
"last_updated": "2007-11-29",
"status": "A",
"authorized_official_last_name": "CARLSON",
"authorized_official_first_name": "SHAROL",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "816-781-6066",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liberty, MO
- Liberty Medical Center PC
- Liberty Medical Center, PC
- Liberty Medicine Specialists, Inc.
- Liberty Neurology, LLC
- Liberty Orthopedic Associates, P.C. (Liberty Orthopedics)
- Liberty Park Chiropractic, LLC
- Liberty Park Dental
- Liberty Psychological Services, L.L.C.
- Liberty Radiation Oncology Center
- Liberty Speech Language Therapy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.