Organization Active NPI

Midwest Urology Center, PC

  • Urology Physician
  • Joplin, MO
National Provider Identifier
1962834390
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
MIDWEST UROLOGY CENTER, PC
Practice address
1905 W 32ND St Ste 302
Joplin, MO 64804-1512
Phone
(417) 781-7220
Fax
(417) 781-5512
NPI assigned
Aug 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Authorized official

Name
Roger H Schoenfeld, DONPI 1528083003
Title
Physician
Phone
(417) 781-7220

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
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

1905 W 32ND St Ste 302
Joplin, MO 64804-1512

Mailing address

PO Box 2220
Joplin, MO 64803-2220
Phone (417) 781-7220

Other identifiers 2

IdentifierTypeStateIssuer
MA4695001OtherMEDICARE PROVIDER PTAN
MA4695OtherMEDICARE GROUP PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131106000656 MO Part B Supplier - Clinic/Group Practice 7517192123 Receives reassigned benefits from 1 practitioner
Practice locations: Joplin, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1962834390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2220",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648032220",
            "telephone_number": "417-781-7220",
            "fax_number": "417-781-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W 32ND ST STE 302",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041512",
            "telephone_number": "417-781-7220",
            "fax_number": "417-781-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST UROLOGY CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "SCHOENFELD",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "417-781-7220",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER PTAN",
            "identifier": "MA4695001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "MA4695",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.