Western Missouri Medical Center

Key facts

NPI

1992552707

Entity type

Organization (NPI type 2)

Primary specialty

Sports Medicine (Family Medicine) Physician 207QS0010X

Legal business name

WESTERN MISSOURI MEDICAL CENTER

Practice address

407 E Russell Ave BLDG C
Warrensburg, MO 64093-1242

Phone

(660) 747-5114

Fax

(660) 747-5684

NPI assigned

May 1, 2024

Organization subpart

No

Authorized official

Name

Michael Dean Ohmart

Title

Cfo

Phone

(660) 262-7307

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Western Missouri Medical Center Rural Health Clinic/Center · Warrensburg, MO · NPI 1285088666
  Same enrollment O20160816002750

Practitioners 1

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

• Dylan P Schumacher, MD Sports Medicine (Family Medicine) Physician · Warrensburg, MO · NPI 1053931923
  NPD SPORTS MEDICINE

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MO

Medicare enrollment records

National Provider Directory

Specialties & licenses

Addresses

Other names

• Central Family & Sports Medicine Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 1, 2024.

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1992552707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E RUSSELL AVE BLDG C",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931242",
            "telephone_number": "660-747-5114",
            "fax_number": "660-747-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E RUSSELL AVE BLDG C",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931242",
            "telephone_number": "660-747-5114",
            "fax_number": "660-747-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MISSOURI MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "OHMART",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "660-262-7307"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Family & Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warrensburg, MO

• Western Missouri Medical Center
• Western Missouri Medical Center
• Western Missouri Medical Center
• Western Missouri Medical Center
• Western Missouri Medical Center
• Western Missouri Medical Center Outpatient Pharmacy
• Jenna Bryanne Weyrauch, MHS, CCC-SLP
• Clara Catherine White, D.O.
• Kasey White, NPI
• James Rothwell Whiteman,II, D.D.S.

All providers in Warrensburg, MO · Sports Medicine (Family Medicine) Physician in Missouri