Organization Active NPI

Patient Advocate Radiology, PC

  • Diagnostic Radiology Physician
  • Kirksville, MO
National Provider Identifier
1013209030
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
114865 Issued in MO
Legal business name
PATIENT ADVOCATE RADIOLOGY, PC
Doing business as
New Concepts Open MRI, LLC
Practice address
612 Rosewood Dr
Kirksville, MO 63501-2477
Phone
(660) 665-8008
Fax
(660) 665-4534
NPI assigned
May 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Authorized official

Name
Dr. James Hughes Adams, D.O.
Title
Owner/Physician
Phone
(660) 665-8008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 114865 MO Primary

Addresses

Primary practice location

612 Rosewood Dr
Kirksville, MO 63501-2477

Mailing address

612 Rosewood Dr
Kirksville, MO 63501-2477
Phone (660) 665-8008

Other identifiers 1

IdentifierTypeStateIssuer
243774528MedicaidMO

Other names 1

  • New Concepts Open MRI, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

612 Rosewood Dr
Kirksville, MO 63501
Phone (660) 665-4522

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1013209030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 ROSEWOOD DR",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012477",
            "telephone_number": "660-665-8008",
            "fax_number": "660-665-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 ROSEWOOD DR",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012477",
            "telephone_number": "660-665-8008",
            "fax_number": "660-665-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT ADVOCATE RADIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "HUGHES",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "660-665-8008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "114865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243774528",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Concepts Open MRI, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirksville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.