NEW LIBERTY HOSPITAL CORPORATION (NPI# 1215288733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215288733 |
| Entity Type | Organization |
| Organization Name | NEW LIBERTY HOSPITAL CORPORATION |
| Other Organization Name | LIBERTY CARDIOTHORACIC SURGEONS |
| Practice Address |
2521 Glenn Hendren Dr Suite 308 Liberty MO 64068-3388 |
| Mailing Address |
Po Box 219672 Kansas City MO 64121-9672 |
| Practice Telephone | 8164075490 |
| Mailing Telephone | 8164075490 |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2018-10-24 |
| Authorized Official Name | MR. DAVID H FEESS (PRESIDENT & CEO) |
| Authorized Official Telephone | 8167817200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Liberty Cardiothoracic Surgeons | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184962474 | New Liberty Hospital Corporation | Family Medicine | 15415 92 Hwy, Kearney, MO 64060-8002 | 2013-01-22 |
| 1326386749 | New Liberty Hospital Corporation | Family Medicine | 199 S Mccleary Rd, Suite 100, Excelsior Springs, MO 64024 | 2013-01-18 |
| 1225505456 | New Liberty Hospital Corporation | Otolaryngology | 2521 Glenn Hendren Dr Ste 104, Liberty, MO 64068-3388 | 2018-10-25 |
| 1205188570 | New Liberty Hospital Corporation | Neurological Surgery | 2525 Glenn Hendren Dr, Liberty, MO 64068-9625 | 2012-10-10 |
| 1023360690 | New Liberty Hospital Corporation | Internal Medicine | 2609 Glenn Hendren Dr, Liberty, MO 64068-3313 | 2012-10-08 |
| 1750633327 | New Liberty Hospital Corporation | Internal Medicine | 2521 Glenn Hendren Dr, Suite 306, Liberty, MO 64068-3388 | 2012-10-08 |
| 1669734661 | New Liberty Hospital Corporation | Family Medicine | 305 S Platte Clay Way, Kearney, MO 64060-8214 | 2012-06-14 |
| Street Address |
2521 GLENN HENDREN DR SUITE 308 |
| City | LIBERTY |
| State | MO |
| Zip Code | 64068-3388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740283753 | Thomas F Jones | Specialist | 2521 Glenn Hendren Dr, Ste 408, Liberty, MO 64068-3388 | 2005-05-23 |
| 1548719750 | Sarah Love | Nurse Practitioner | 2521 Glenn Hendren Dr, Suite 306, Liberty, MO 64068-3388 | 2016-09-28 |
| 1750838421 | Crowntown General Surgery, PC | Surgery | 2521 Glenn Hendren Dr, Suite 410, Liberty, MO 64068-3388 | 2016-09-09 |
| 1740609460 | Katie Brewer | Audiologist | 2521 Glenn Hendren Dr, Suite 104, Liberty, MO 64068-3388 | 2014-04-09 |
| 1750633327 | New Liberty Hospital Corporation | Internal Medicine | 2521 Glenn Hendren Dr, Suite 306, Liberty, MO 64068-3388 | 2012-10-08 |
| 1023369212 | Abigail Boethin | Physician Assistant | 2521 Glenn Hendren Dr, Ste 306, Liberty, MO 64068-3388 | 2012-09-27 |
| 1013146448 | Liberty Cardiovascular Specialists | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2521 Glenn Hendren Dr, Suite 306, Liberty, MO 64068-3388 | 2009-07-07 |
| 1093940157 | Kirstie Schneider Van Ry | Surgery | 2521 Glenn Hendren Dr, Ste 108, Liberty, MO 64068-3388 | 2009-05-19 |
| 1457597205 | Carlene Marie Breen | Nurse Practitioner | 2521 Glenn Hendren Dr, Ste 306, Liberty, MO 64068-3388 | 2008-12-29 |
| 1740444611 | Sheryl Ann Nespory | Registered Nurse | 2521 Glenn Hendren Dr, Suite 410, Liberty, MO 64068-3388 | 2008-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
| 1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
| 1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
| 1023438371 | Sarah E Ehlers | Social Worker | 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 | 2014-04-24 |
| 1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
| 1639593965 | Klein Dental Group LLC | Clinic/Center | 12 Westwoods Dr, Liberty, MO 64068 | 2014-02-06 |
| 1124457239 | Sarah Ehlers, Lcsw LLC | Social Worker | 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 | 2013-11-08 |
| 1134561558 | Holly Hemphill | Marriage & Family Therapist | 117 N. Water Street, Liberty, MO 64068 | 2013-07-26 |
| 1093157133 | Tina Wilma Sanborn | Marriage & Family Therapist | 1170 W. Kansas St., Liberty, MO 64068 | 2013-07-17 |
| 1609215441 | Timothy Adam Lynch | Marriage & Family Therapist | 1170 West Kansas Ave., Liberty, MO 64068 | 2013-06-14 |
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| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013146448 | Liberty Cardiovascular Specialists | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2521 Glenn Hendren Dr, Suite 306, Liberty, MO 64068-3388 | 2009-07-07 |
| 1689634313 | Michael Ford Gibson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2521 Glenn Hendren Dr, Suite 308, Liberty, MO 64068-3388 | 2006-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891034484 | John Phillip Connors | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1733 Kenmont Rd, Saint Louis, MO 63124-1021 | 2013-02-03 |
| 1699074336 | Joseph John Platz | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1035 Belleville Aveune, Suite 500, St. Louis, MO 63117 | 2011-03-21 |
| 1114243995 | Graham Robertson Young Pollock | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4320 Wornall Rd Ste 50-ii, Kansas City, MO 64111-5941 | 2010-04-19 |
| 1639305055 | George C Kaiser | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 Joy Ave, Webster Groves, MO 63119-2502 | 2009-06-01 |
| 1043460710 | Justin Van Meeteren | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2330 E Meyer Blvd Ste 505, Kansas City, MO 64132-1152 | 2008-09-30 |
| 1508024753 | Tracy Elmer Strevey Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1509 Woodgate Dr, Frontenac, MO 63131-4724 | 2008-05-23 |
| 1275712010 | Donovan Mitchell Stinnett | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1701 W 26th St, Suite B, Joplin, MO 64804-1513 | 2007-10-29 |
| 1720277197 | Heart and Vascular Care | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 412 Highway 71, Suite J, Pineville, MO 64856-9310 | 2007-10-22 |
| 1801008396 | Peter Fonseca Md, PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10004 Kennerly, Suite 345a, St. Louis, MO 63128 | 2007-05-04 |
| 1669531182 | James N. Pinckley | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1900 S. National, Suite 3400, Springfield, MO 65804 | 2006-12-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.