OrganizationActive
Lake Regional Health System
NPI 1053581454 · Emergency Medical Services (Emergency Medicine) Physician · Osage Beach, MO
Provider details
- NPI number
- 1053581454
- Entity type
- Organization
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kevin Mcroberts, Ceo(573) 348-8756
- License
- 291-30 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
54 Hospital Dr
Osage Beach, MO 65065-3050
Phone: (573) 348-8000
Fax: (573) 348-8069
Street-level locationGet directions
Mailing address
Po Box 801661
Kansas City, MO 64180-3050
Registry dates
- Enumerated
- 2008-03-03
- Last updated
- 2023-10-12
- Certified
- 2023-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.