Novamed Surgery Center of Warrensburg LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

194-0 Issued in MO

Legal business name

NOVAMED SURGERY CENTER OF WARRENSBURG LLC

Practice address

506 Burkarth Rd
Suite B
Warrensburg, MO 64093-3104

Phone

(660) 747-1888

Fax

(660) 747-1223

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer Boyd Baldock

Title

Officer and Authorized Official

Phone

(615) 234-5954

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Eye Surgery Center of Warrensburg Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Listed as

Eye Surgery Center of WarrensburgCCN 26C0001044

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Clifton D Cokingtin, M.D.

  • Ophthalmology Physician
  • Overland Park, KS
  • NPI 1427054758
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1962580266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 BURKARTH RD",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933104",
            "telephone_number": "660-747-1888",
            "fax_number": "660-747-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 BURKARTH RD",
            "address_2": "SUITE B",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933104",
            "telephone_number": "660-747-1888",
            "fax_number": "660-747-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVAMED SURGERY CENTER OF WARRENSBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": "194-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00387087",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "508849205",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Surgery Center of Warrensburg",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Surgery Center of Warrensburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joy J Nelson, CRNA
• Evan Neuls, MD
• Deborah Newport, RN
• Ellen C Niles, OT
• Katherine Kitt Norris, PLPC
• Lincoln Randall Nowlin, DPM
• John M O'Rourke, MA
• Ryan William Ochsner, DDS
• Carol Jean Olas, RN
• Marcus Bradly Olson

• Ambulatory Surgical Clinic/Center in Warrensburg, MO
• Providers in Warrensburg, MO by specialty
• Ambulatory Surgical Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.