Midwest Medical Associates, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MIDWEST MEDICAL ASSOCIATES, INC

Doing business as

Clayton Primary Care

Practice address

3009 N Ballas Rd
Suite 300a
Saint Louis, MO 63131-2322

Phone

(314) 872-9900

Fax

(314) 872-3939

NPI assigned

Mar 2, 2006

Last updated

Nov 20, 2008By 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

Mr. J Collins Corder, MDNPI 1184698987

Title

Owner

Phone

(314) 872-9900

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Clayton Primary Care Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Midwest Medical Associates, Inc.

  dba Southwest Medical Center

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1417941584

  Member Of

  NPD member

Practitioners 1

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.

• J Collins Corder, MD

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1184698987
  Authorized official Same address or phone

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1033186663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 N BALLAS RD",
            "address_2": "SUITE 300A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312322",
            "telephone_number": "314-872-9900",
            "fax_number": "314-872-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 N BALLAS RD",
            "address_2": "SUITE 300A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312322",
            "telephone_number": "314-872-9900",
            "fax_number": "314-872-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MEDICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "CORDER",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "COLLINS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-872-9900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "508139508",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clayton Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Midwest Medical Associates Inc
• Midwest Medical Associates Inc. (Southwest Medical Center - Radiology)
• Midwest Medical Associates, Inc (Advanced Imaging Center)
• Midwest Medical Associates, Inc (Southwest Medical Center - Eye Center)
• Midwest Medical Associates, Inc. (Southwest Medical Center)
• Midwest Medical Practitioners LLC
• Midwest Mobile Dentistry LLC

• Internal Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.