ST. MARY'S MEDICAL CENTER (NPI# 1558356709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558356709 |
| Entity Type | Organization |
| Organization Name | ST. MARY'S MEDICAL CENTER |
| Practice Address |
201 Nw R D Mize Rd Blue Springs MO 64014-2518 |
| Practice Telephone | 8169432819 |
| Practice Fax Number | 8169432544 |
| Mailing Telephone | 8169432819 |
| Mailing Fax Number | 8169432544 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2011-10-21 |
| Authorized Official Name | MR. STEVE CLEARY (REGIONAL DIRECTORY, PT BUSINESS SVC) |
| Authorized Official Telephone | 8169432819 |
| Is Organization Subpart | Y |
| Parent Organization Name | CARONDELET |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283X00000X | Rehabilitation Hospital | 40311 | MO | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144507708 | St. Mary's Medical Center | Home Health | 1001 Kenwood Avenue, Duluth, MN 55811-2370 | 2011-11-10 |
| 1043245921 | St. Mary's Medical Center | Home Health | 516 E 4th St, Duluth, MN 55805-1936 | 2006-07-11 |
| 1598112351 | St. Mary's Medical Center | Psychiatric Unit | 450 Stanyan St, San Francisco, CA 94117-1019 | 2016-05-20 |
| 1982088902 | St. Mary's Medical Center | General Acute Care Hospital | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2015-07-20 |
| 1235278763 | St. Mary's Medical Center | Psychiatric Hospital | 450 Stanyan St, Mcauley Adolescent Day Treatment 3n, San Francisco, CA 94117-1079 | 2007-02-05 |
| 1013933936 | St. Mary's Medical Center | Clinic/Center | 407 E 3rd St, Duluth, MN 55805-1950 | 2006-07-14 |
| 1225089634 | St. Mary's Medical Center | Hospice Care, Community Based | 407 E 3rd St, Duluth, MN 55805-1950 | 2006-05-12 |
| 1487656054 | St. Mary's Medical Center | General Acute Care Hospital | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2518 | 2005-08-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST. MARY'S MEDICAL CENTER, INC. | 2900 First Ave, Huntington, WV 25702-1241 |
| Street Address |
201 NW R D MIZE RD |
| City | BLUE SPRINGS |
| State | MO |
| Zip Code | 64014-2518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831197680 | Olga Alex Chernyak | Nurse Anesthetist, Certified Registered | 201 Nw R D Mize Rd, St. Mary's Medical Center/anesthesia Services of Blue S, Blue Springs, MO 64014-2513 | 2005-07-13 |
| 1053933150 | Corey Pagnotta | Surgery | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2020-05-12 |
| 1104446376 | Benjamin Joel Koerner | Student in an Organized Health Care Education/Training Program | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2020-04-17 |
| 1336789973 | Elizabeth Jonelle Martin | Physical Therapist | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2020-01-12 |
| 1780157172 | Spine Pain and Rehab Associates LLC | Physical Medicine & Rehabilitation | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2019-01-08 |
| 1306315692 | Jackson Emergency Physicians LLC | Emergency Medicine | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2018-11-16 |
| 1952896748 | Sally Emma Smith | Surgery | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2018-06-25 |
| 1851812945 | Luke Clippard | Surgery | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2017-06-29 |
| 1982125076 | Troy Tyler | Surgery | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2017-06-29 |
| 1255860029 | Michael Andrew Roth | Anesthesiologist Assistant | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2017-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756319 | Ltaj Properties LLC | Physical Therapist | 514 Nw State 7 Hwy, Suite A, Blue Springs, MO 64014 | 2020-10-05 |
| 1790397198 | Miranda Bramble | Pharmacist | 1701 Nw Highway 7, Blue Springs, MO 64014 | 2020-08-18 |
| 1659915098 | Cheif Smiles LLC | Dentist | 620 E. Us Highway 40, Blue Springs, MO 64014 | 2019-10-29 |
| 1629637764 | Beau Devereux Butzirus | Dentist | 1125 South Mo-7, Blue Springs, MO 64014 | 2019-06-12 |
| 1245725605 | Brian Geraghty | Orthopaedic Surgery | 201 Nw R D Mize Road, Blue Springs, MO 64014 | 2018-06-28 |
| 1588101224 | Andy Anderson | Prevention Professional | 2705 Nw 3rd Ter, Blue Springs, MO 64014 | 2017-01-19 |
| 1801250469 | Louis Spear | Dentist | 1215 A Nw 7 Highway, Blue Springs, MO 64014 | 2016-04-11 |
| 1083027411 | Alex Sharifian Dds Blue Springs Dentistry PC | Dentist | 1205 Ne Coronado Drive, Blue Springs, MO 64014 | 2014-06-03 |
| 1730512336 | Valerie Fombon | Pharmacist | 625 W 40 Hwy, Blue Springs, MO 64014 | 2013-08-19 |
| 1356692750 | Central Jackson County Fire Protection District | Ambulance | 805 Ne Jefferson St, Blue Springs, MO 64014 | 2012-09-25 |
| Find all providers in zip 64014 | ||||
| Taxonomy Code | 283X00000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
| Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649764457 | Landmark Rehabilitation Hospital of Cape Girardeau, LLC | Rehabilitation Hospital | 3255 Independence St Ste 101, Cape Girardeau, MO 63701-4914 | 2018-06-15 |
| 1356770143 | Eugene Evra, Md LLC | Rehabilitation Hospital | 156 N Bemiston Ave, Clayton, MO 63105-3811 | 2013-11-02 |
| 1871928473 | Mercy Rehabilitation Hospital Springfield LLC | Rehabilitation Hospital | 5904 S. Southwood Road, Springfield, MO 65804 | 2013-09-13 |
| 1699074328 | Claire Marie Deprimo | Rehabilitation Hospital | 6432 Mardel Ave, Saint Louis, MO 63109-1356 | 2011-03-21 |
| 1609195569 | Nathan Isaac Graff | Rehabilitation Hospital | 751 S Broadway Ave, Springfield, MO 65806-2863 | 2010-05-18 |
| 1811048614 | Mercy Rehabilitation Hospital - St Louis, LLC | Rehabilitation Hospital | 14561 North Outer Forty Road, Chesterfield, MO 63017-5703 | 2007-01-16 |
| 1770557431 | The Rehabilitation Institute of St. Louis, LLC | Rehabilitation Hospital | 4455 Duncan Ave, Saint Louis, MO 63110-1111 | 2006-02-16 |
| 1649244583 | Rusk Rehabilitation Center LLC | Rehabilitation Hospital | 315 Business Loop 70 W, Columbia, MO 65203-3248 | 2006-02-15 |
| 1497281489 | Landmark Rehabilitation Hospital of Columbia, LLC | Rehabilitation Hospital | 604 Old Highway 63 N, Columbia, MO 65201-6308 | 2017-05-11 |
| 1972039519 | Landmark Rehabilitation Hospital of Joplin, LLC | Rehabilitation Hospital | 2040 W 32nd St, Joplin, MO 64804-3512 | 2017-05-02 |
| Find all providers with the same taxonomy | ||||
| City | BLUE SPRINGS |
| Zip Code | 64014 |
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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.