LIBERTY MEDICINE SPECIALISTS INC. NPI 1194762930

NPI Information

  • NPI: 1194762930
  • Provider Name: LIBERTY MEDICINE SPECIALISTS, INC.
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • Address: 550 RUSH CREEK PKWY
    STE B
    LIBERTY, MO
    ZIP 64068
  • Phone: (816) 781-8100

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NPI Details

LIBERTY MEDICINE SPECIALISTS, INC. is an endocrinology and diabetes and metabolism internal medicine in Liberty, MO. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. LIBERTY MEDICINE SPECIALISTS, INC. NPI is 1194762930. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

550 RUSH CREEK PKWY
STE B
LIBERTY, MO
ZIP 64068-604
Phone: (816) 781-8100
Fax: (816) 781-3374

The provider's authorized official is Donna G Welch .
The authorized official title is Manager and has the following contact phone number (816) 781-8100.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 4/13/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineR6J63MISSOURINo
2207R00000XInternal Medicine110760MISSOURINo
3207R00000XInternal MedicineR8A47MISSOURINo
4207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism109247MISSOURINo
5207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismR4935MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
106797011OTHERMISSOURIBCBS GROUP NUMBER
24400000MEDICARE ID-TYPE UNSPECIFIEDMISSOURIGROUP NUMBER
3502511207MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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