ST. MARY'S MEDICAL CENTER (NPI# 1982088902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982088902 |
| Entity Type | Organization |
| Organization Name | ST. MARY'S MEDICAL CENTER |
| Practice Address |
201 Nw R D Mize Rd Blue Springs MO 64014-2513 |
| Practice Telephone | 8166555426 |
| Practice Fax Number | 8166555408 |
| Mailing Telephone | 8166555426 |
| Mailing Fax Number | 8166555408 |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |
| Authorized Official Name | MELODY JOHNSON-GARRETT (RESIDENT COORDINTOR) |
| Authorized Official Telephone | 8166555426 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 2015020395 | 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 |
| 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 |
| 1558356709 | St. Mary's Medical Center | Rehabilitation Hospital | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2518 | 2005-09-14 |
| 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 | 64014-2513 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912303579 | Prime Healthcare Services Blue Springs, LLC | General Acute Care Hospital | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2014-11-10 |
| 1871914663 | Saska Natalie Marshall | General Acute Care Hospital | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2013-12-20 |
| 1487656054 | St. Mary's Medical Center | General Acute Care Hospital | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2518 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295274256 | St. Lukes Health System | General Acute Care Hospital | 8101 N Lawndale Ave, Unit 2a, Kansas City, MO 64119-7808 | 2017-02-22 |
| 1093265159 | Missouri Delta Medical Center | General Acute Care Hospital | 2856 Vista Ridge Pl, Jackson, MO 63755-8105 | 2016-10-12 |
| 1285082040 | Jessica Teschner | General Acute Care Hospital | 3201 Ballard Mill Dr, Columbia, MO 65203-1875 | 2016-06-01 |
| 1912368002 | Emily Daniels | General Acute Care Hospital | 1737 Redbird Cv, Saint Louis, MO 63144-1610 | 2016-03-16 |
| 1225415417 | Parkland Veterinary Services, Inc. | General Acute Care Hospital | 615 E Karsch Blvd, Farmington, MO 63640-1225 | 2015-04-27 |
| 1841698164 | Mercy Clinic East Community | General Acute Care Hospital | 1021 Darwick Ct, Saint Louis, MO 63132-2909 | 2014-12-18 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1730528662 | Barnes Jewish Hospital | General Acute Care Hospital | 4512 Cleveland Ave, Apt 12, Saint Louis, MO 63110-3318 | 2013-06-25 |
| 1366796757 | Barnes Jewish Hospital | General Acute Care Hospital | 2180 Splendor Dr, Florissant, MO 63031-2640 | 2012-11-06 |
| 1952651341 | Faisal Alasmari | General Acute Care Hospital | 13928 Reflection Drive, Reflection Cove Apartments, Apt#235, Ballwin, MO 63021 | 2012-09-13 |
| 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.