Novamed Surgery Center of St. Joseph, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

119-2 Issued in MO

Legal business name

NOVAMED SURGERY CENTER OF ST. JOSEPH, LLC

Practice address

3201 Ashland Ave
Saint Joseph, MO 64506-1504

Phone

(816) 279-0079

Fax

(816) 364-1100

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Scott Macomber

Title

Evp of the Manager

Phone

(312) 664-4100

Specialties & licenses 1

Addresses

Tax ID family

Novamed Surgery Center of St Joseph LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Surgery Center of St. Joseph, LLC

  • Ambulatory Surgical Clinic/Center
  • Saint Joseph, MO
  • NPI 1104857523
  NPD tax ID

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992706295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E HIGGINS RD",
            "address_2": "SUITE 240",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600185621",
            "telephone_number": "847-296-5700",
            "fax_number": "847-296-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 ASHLAND AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645061504",
            "telephone_number": "816-279-0079",
            "fax_number": "816-364-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVAMED SURGERY CENTER OF ST. JOSEPH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACOMBER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "EVP OF THE MANAGER",
        "authorized_official_telephone_number": "312-664-4100"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": "119-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Missouri Children'S Advocacy Center
• Northwest Missouri Oral & Maxillofacial Surgeons
• Northwest Missouri Pathologists, M.D., P.C.
• Northwest Missouri Physical Medicine and Rehabilitation, LLC
• Robin Kellogg Norton
• Mary Novinger, R.N.
• Matthew Robert Noyce, DDS, MS
• Brandon James Nunes, PHARM.D.
• Julian Jesus Nunez, MD
• O'Bryan Eyecare, P.C.

• Ambulatory Surgical Clinic/Center in Saint Joseph, MO
• Providers in Saint Joseph, 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 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.