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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
4885 | MO | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | RAILROAD MEDICARE | P01685370 | 01 |
MO | 1912381005 | 05 |
Street Address |
2529 GLENN HENDREN DR SUITE G40 |
City | LIBERTY |
State | MO |
Zip Code | 64068-9606 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 64068 |
Taxonomy Code | 261QX0203X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Oncology, Radiation |
Definition to come... |
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 |
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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.