Active NPI
Midwest Urology Center, PC
- Urology Physician
- Joplin, MO
National Provider Identifier
1962834390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roger H Schoenfeld, DO
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA4695001 | Other | MEDICARE PROVIDER PTAN | |
| MA4695 | Other | MEDICARE GROUP PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Joplin, MO
- NPI 1528083003
-
- Nurse Practitioner
- Carthage, MO
- NPI 1255403911
-
- Nurse Practitioner
- Holts Summit, MO
- NPI 1265866917
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.