Moberly Medical Clinics Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

MOBERLY MEDICAL CLINICS INC

Doing business as

Moberly Diagnostics

Practice address

1509 Union Ave
Moberly, MO 65270-9407

Phone

(660) 263-8986

NPI assigned

Apr 29, 2014

Last updated

Jul 2, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James P Wright

Title

Sr. Director

Phone

(615) 465-7587

Specialties & licenses 1

Addresses

Other names 1

• Moberly Diagnostics Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Moberly Medical Clinics Inc

  • Multi-Specialty Clinic/Center
  • Moberly, MO
  • NPI 1336135607

  8426031592

  Same PAC ID

Tax ID family

Moberly Diagnostics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Moberly Medical Clinics Inc

  • Family Medicine Physician
  • Shelbina, MO
  • NPI 1124238555
  NPD tax ID

Locations

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David P. Brummett, M.D.

  • Diagnostic Radiology Physician
  • Columbia, MO
  • NPI 1720075823
  NPD
• Joshua David Delozier, DNAP

  • Certified Registered Nurse Anesthetist
  • Moberly, MO
  • NPI 1598320558
  NPD
• Daniel R Gilbert, DO

  • Surgery Physician
  • Moberly, MO
  • NPI 1316018815
  NPD
• Daniel S Hoyt, MD

  • Urology Physician
  • Moberly, MO
  • NPI 1366403800
  NPD
• Emily Carol Land, PA

  • Physician Assistant
  • Moberly, MO
  • NPI 1972258366
  NPD
• Prasanna Manjini Sengodan

  • Interventional Cardiology Physician
  • Moberly, MO
  • NPI 1538561006
  NPD
• Craig E McCoy, D.O.

  • Obstetrics & Gynecology Physician
  • Moberly, MO
  • NPI 1053312017
  NPD
• Muskinni Olanrewaju Salau, M.D.

  • Psychiatry Physician
  • Columbia, MO
  • NPI 1215167895
  NPD
• Dana Valencia, M.D.

  • Cardiovascular Disease Physician
  • Moberly, MO
  • NPI 1902868185
  NPD
• John N Vani, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Moberly, MO
  • NPI 1083727077
  NPD
• Saeed Arefanian, MD

  • Surgery Physician
  • Chicago, IL
  • NPI 1821441643
  NPD
• Thomas Milligan, DO

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1306825534
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1003226010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 UNION AVE",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652709407",
            "telephone_number": "660-263-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 UNION AVE",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652709407",
            "telephone_number": "660-263-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBERLY MEDICAL CLINICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SR. DIRECTOR",
        "authorized_official_telephone_number": "615-465-7587"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moberly Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Moberly Hospital Company LLC (Moberly Regional Medical Center)
• Moberly Hospital Company LLC (Moberly Rural Health Clinic)
• Moberly Hospital Company LLC
• Moberly Hospital Company LLC (Moberly Regional Medical Center)
• Moberly Hospital Company LLC (Moberly Regional Medical Center)
• Moberly Medical Clinics Inc
• Moberly Physicians Corp
• Moberly Professional Arts Pharmacy Inc. (Buntin Pharmacy)
• Moberly Public Schools
• Moberly Radiology & Imaging I, LLC

• Radiology Clinic/Center in Moberly, MO
• Providers in Moberly, MO by specialty
• Radiology Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.