Provider Demographics
NPI:1558531426
Name:WESTOWNE SURGICAL SERVICES INC
Entity Type:Organization
Organization Name:WESTOWNE SURGICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:W
Authorized Official - Last Name:BEGGS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-781-3515
Mailing Address - Street 1:2521 GLENN HENDREN DR
Mailing Address - Street 2:STE 108
Mailing Address - City:LIBERTY
Mailing Address - State:MO
Mailing Address - Zip Code:64068
Mailing Address - Country:US
Mailing Address - Phone:816-781-3515
Mailing Address - Fax:816-781-3517
Practice Address - Street 1:2521 GLENN HENDREN DR
Practice Address - Street 2:STE 108
Practice Address - City:LIBERTY
Practice Address - State:MO
Practice Address - Zip Code:64068
Practice Address - Country:US
Practice Address - Phone:816-781-3515
Practice Address - Fax:816-781-3517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-07
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR4F32208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1227145Medicare PIN