SAINT LUKES RADIATION THERAPY-LIBERTY LLC


Address: 2529 Glenn Hendren Dr, Suite G40, Liberty, MO 64068-9606
Phone: 8162515630

SAINT LUKES RADIATION THERAPY-LIBERTY LLC (NPI# 1912381005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912381005
Entity Type Organization
Organization Name SAINT LUKES RADIATION THERAPY-LIBERTY LLC
Practice Address 2529 Glenn Hendren Dr
Suite G40
Liberty
MO 64068-9606
Mailing Address 901 E 104th St
Suite 900
Kansas City
MO 64013-3497
Practice Telephone 8162515630
Mailing Telephone 8169322337
Enumeration Date 2015-07-17
Last Update Date 2016-08-30
Authorized Official Name AMY M NACHTIGAL (CFO)
Authorized Official Telephone 8169322000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QX0203X Clinic/Center
Specialization: Oncology, Radiation
4885 MO Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MO RAILROAD MEDICARE P01685370 01
MO 1912381005 05

Office Location

Street Address 2529 GLENN HENDREN DR
SUITE G40
City LIBERTY
State MO
Zip Code 64068-9606

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285633560 Daniel A Triplett Specialist 2529 Glenn Hendren Dr, Suite 200, Liberty, MO 64068-9625 2005-07-19
1275926198 St. Luke's Hospital of Kansas City Clinic/Center 2529 Glenn Hendren Dr, Suite G30, Liberty, MO 64068-9607 2015-03-17
1265849335 Karin Gerberding Nurse Practitioner 2529 Glenn Hendren Dr, 200, Liberty, MO 64068-9607 2014-07-21
1124225123 Suzanne Marie Eggers Obstetrics & Gynecology 2529 Glenn Hendren Dr, Suite 200, Liberty, MO 64068-9607 2007-07-02
1346270212 Urology Specialists P.C. Specialist 2529 Glenn Hendren Dr, Suite 202, Liberty, MO 64068-9625 2006-07-04
1255368759 Timothy James Billharz Obstetrics & Gynecology 2529 Glenn Hendren Dr, Ste 200, Liberty, MO 64068-9607 2006-06-28
1487616058 Scott C Cozad Radiology 2529 Glenn Hendren Dr, Suite G40, Liberty, MO 64068-9625 2006-04-06
1164484986 Liberty Radiation Oncology Center Radiology 2529 Glenn Hendren Dr, Suite G40, Liberty, MO 64068-9625 2006-04-05
1366427783 Northland Obstetrics & Gynecology, Inc. Specialist 2529 Glenn Hendren Dr, Suite 200, Liberty, MO 64068-9625 2005-12-08
1093714370 Ward W Ohlhausen Specialist 2529 Glenn Hendren Dr, Suite 200, Liberty, MO 64068-9625 2005-07-19
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Providers in the same zip code

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 Information

Taxonomy Code 261QX0203X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Oncology, Radiation

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336228949 Cancer Institute of Cape Girardeau, LLC Clinic/Center 14 Doctors Park, Suite B, Cape Girardeau, MO 63703-4928 2006-11-03
1710359989 Northpoint Radiation Center Gp, LLC Clinic/Center 450 N New Ballas Rd Ste 70w, Saint Louis, MO 63141-6833 2015-10-27
1023425329 St. Anthony's Physician Organization Clinic/Center 10010 Kennerly Rd, Attn: Cancer Care Center, Saint Louis, MO 63128-2106 2014-07-18
1639508146 Ssm Regional Health Services Clinic/Center 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 2013-11-05
1154376465 Ssm St. Joseph Health Center Clinic/Center 1475 Kisker Rd, Suite 190, Saint Charles, MO 63304-8781 2006-05-24

Competitor

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City LIBERTY
Zip Code 64068

Improve Information

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Dataset Information

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.

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