NPIMap

Organization Active NPI

Skaggs Community Health Center

Doing business as Tri-Lakes Urology

  • Urology Physician
  • Branson, MO
National Provider Identifier
1982635868
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
5248 Issued in MO
Legal business name
SKAGGS COMMUNITY HEALTH CENTER
Doing business as
Tri-Lakes Urology
Practice address
545 Branson Landing Blvd
Suite 307
Branson, MO 65616
Phone
(417) 335-7736
Fax
(417) 334-3038
NPI assigned
Jul 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bob Phillips
Title
Ceo
Phone
(417) 335-7270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 5248 MO Primary

Addresses

Primary practice location

545 Branson Landing Blvd
Suite 307
Branson, MO 65616

Mailing address

545 Branson Landing Blvd
Suite 307
Branson, MO 65616
Phone (417) 335-7736

Other names 1

  • Tri-Lakes Urology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Branson Family Medicine28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982635868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 BRANSON LANDING BLVD",
            "address_2": "SUITE 307",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "65616",
            "telephone_number": "417-335-7736",
            "fax_number": "417-334-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 BRANSON LANDING BLVD",
            "address_2": "SUITE 307",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "65616",
            "telephone_number": "417-335-7736",
            "fax_number": "417-334-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAGGS COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-335-7270"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "5248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-Lakes Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Branson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.