Midamericare Limited Liability Company

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2007006349 Issued in MO

Legal business name

MIDAMERICARE LIMITED LIABILITY COMPANY

Practice address

6301 E 125TH St
Grandview, MO 64030-1884

Phone

(816) 516-7114

NPI assigned

Mar 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Craig A Erisman, PSYD

Title

President

Phone

(816) 516-7114

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily S Worthington, D.O.

  • Family Medicine Physician
  • Lenexa, KS
  • NPI 1841432150
  NPD (past)

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1922322676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 SW 13TH ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 E 125TH ST",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640301884",
            "telephone_number": "816-516-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDAMERICARE LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "ERISMAN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-516-7114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2007006349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael James Mercurio, DO
• David L Merello, DDS, PC
• Virginia P Messmore, MD
• Metrocare Staffing, LLC
• Nancy Michael, M.ED.
• Emily Miller, RN, IBCLC
• Lori K Miller, PT
• Taylor Mize, PHARMD
• Mobile Health Global for Women
• Monique Renee Wigs and Etc

• Psychologist in Grandview, MO
• Providers in Grandview, MO by specialty
• Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.