LAKE REGIONAL HEALTH SYSTEM
NPI 1053581454
Emergency Medicine - Emergency Medical Services in Osage Beach, MO
NPI Status: Active since March 03, 2008
Contact Information
54 HOSPITAL DR
OSAGE BEACH, MO
ZIP 65065
Phone: (573) 348-8000
Fax: (573) 348-8069
- Organization
- Emergency Medicine
- Emergency Medical Services
- Accepts Insurance
About LAKE REGIONAL HEALTH SYSTEM
This page provides the complete NPI Profile along with additional information for Lake Regional Health System, a provider established in Osage Beach, Missouri operating as a Emergency Medicine, focusing in emergency medical services . The healthcare provider is registered in the NPI registry with number 1053581454 assigned on March 2008. The practitioner's primary taxonomy code is 207PE0004X with license number 291-30 (MO). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Kevin Mcroberts (Ceo)
- NPI
- 1053581454
- Provider Name
- LAKE REGIONAL HEALTH SYSTEM
- Entity Type
- Organization
- Location Address
- 54 HOSPITAL DR OSAGE BEACH, MO 65065
- Location Phone
- (573) 348-8000
- Location Fax
- (573) 348-8069
- Mailing Address
- PO BOX 801661 KANSAS CITY, MO 64180
- Mailing Phone
- (573) 348-8000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-03-2008
- Last Update Date
- 10-12-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine Emergency Medical Services
- Taxonomy Code
- 207PE0004X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 291-30
- License State
- MO
- Taxonomy Description
- An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | 291-30 (MO) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 9200 (+ Incentives) - EPO
- Anthem Catastrophic Pathway 9200 (+ Incentives) - EPO
- Anthem Gold Pathway 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Heart Healthy Silver Pathway 2900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Silver Pathway 7250 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 540671609 | MEDICAID (05) | MO |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 5 | 3 | 5 | 8 | 1 | 4 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 10 | 3 | 10 | 8 | 2 | 4 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 0 + 3 + 1 + 0 + 8 + 2 + 4 + 1 + 0 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1053581454 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1730184151 | TIMOTHY D. LISCHWE M.D. Individual | Optometrist (Corneal and Contact Management) | 54 HOSPITAL DR OSAGE BEACH, MO 65065 (573) 348-8002 |
| 1528067527 | DR. GEORGE ANTHONY KOCH DO Individual | Hospitalist | 54 HOSPITAL DR OSAGE BEACH, MO 65065 (573) 302-2287 |
| 1811979859 | DR. CHARLES SCOTT NORRIS M.D. Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 54 HOSPITAL DR SUITE 225 OSAGE BEACH, MO 65065 (573) 302-2762 |
| 1164408183 | FREDERICK M SMELTZER M.D. Individual | Radiology (Diagnostic Radiology) | 54 HOSPITAL DR OSAGE BEACH, MO 65065 (573) 348-8000 |
| 1598741514 | MICHAEL J VIERRA M.D. Individual | Radiology (Diagnostic Radiology) | 54 HOSPITAL DR OSAGE BEACH, MO 65065 (573) 348-8000 |
| 1720064512 | JOHN B DYMOND M.D. Individual | Radiology (Diagnostic Radiology) | 54 HOSPITAL DR OSAGE BEACH, MO 65065 (573) 348-8000 |
| 1205800117 | DR. ALAN WILLIAM MEAD MD Individual | Anesthesiology | 54 HOSPITAL DR OSAGE BEACH, MO 65065 (573) 302-1661 |
| 1447229489 | MS. JANET M UDELHOFEN APRN Individual | Nurse Practitioner (Adult Health) | 54 HOSPITAL DR SUITE 204 OSAGE BEACH, MO 65065 (573) 348-8045 |
| 1992754147 | BARON SCOTT ADKINS D.O. Individual | Radiology (Diagnostic Radiology) | 54 HOSPITAL DR OSAGE BEACH, MO 65065 (573) 348-8000 |
| 1902856966 | CHANDLER BOWSER CRNA Individual | Nurse Anesthetist, Certified Registered | 54 HOSPITAL DR OSAGE BEACH, MO 65065 (573) 302-1661 |
| 1780634527 | RICK L WADE CRNA Individual | Nurse Anesthetist, Certified Registered | 54 HOSPITAL DR OSAGE BEACH, MO 65065 (573) 302-1661 |
| 1891745642 | STEVEN B BOUCK CRNA Individual | Nurse Anesthetist, Certified Registered | 54 HOSPITAL DR OSAGE BEACH, MO 65065 (573) 302-1661 |
| 1295787760 | PAUL JOSEPH IMPERATO CRNA Individual | Nurse Anesthetist, Certified Registered | 54 HOSPITAL DR OSAGE BEACH, MO 65065 (573) 302-1661 |
| 1639122286 | FRED SMELTZER MD & ASSOCIATES INC Organization | Radiology (Diagnostic Radiology) | 54 HOSPITAL DR OSAGE BEACH, MO 65065 (573) 348-8353 |
| 1538115894 | TRAVIS G SCOTT M.D. Individual | Radiology (Diagnostic Radiology) | 54 HOSPITAL DR OSAGE BEACH, MO 65065 (573) 348-8312 |
| 1265471494 | TIMOTHY S. SINDLINGER MD Individual | Emergency Medicine | 54 HOSPITAL DR OSAGE BEACH, MO 65065 (573) 348-8100 |
| 1528081288 | MS. TARA KAY RANDLE MSRDLDCDE Individual | Dietitian, Registered | 54 HOSPITAL DR OSAGE BEACH, MO 65065 (573) 302-2736 |
| 1194737346 | JOHN C PATTON DO Individual | Surgery | 54 HOSPITAL DR STE 205 OSAGE BEACH, MO 65065 (573) 302-2299 |
| 1083723944 | DR. WILLIAM MICHAEL DUFF MD Individual | Preventive Medicine (Undersea and Hyperbaric Medicine) | 54 HOSPITAL DR OSAGE BEACH, MO 65065 (573) 302-2990 |
| 1861585424 | DR. ROBERT D KING M.D. Individual | Emergency Medicine (Emergency Medical Services) | 54 HOSPITAL DR OSAGE BEACH, MO 65065 (573) 348-8000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053581454, enumerated in the NPI registry as an "organization" on March 03, 2008
The provider is located at 54 Hospital Dr Osage Beach, Mo 65065 and the phone number is (573) 348-8000
This medical organization specializes in Emergency Medicine with taxonomy code 207PE0004X with a focus in Emergency Medical Services
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on March 03, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.