Organization Active NPI

Charles E MC Grath D.O. P.C.

Doing business as Noland Family Care

  • Family Medicine Physician
  • Independence, MO
National Provider Identifier
1053455675
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34431 Issued in MO
Legal business name
CHARLES E MC GRATH D.O. P.C.
Doing business as
Noland Family Care
Practice address
514 S Noland Rd
Suite 130
Independence, MO 64050-3969
Phone
(816) 254-1781
Fax
(816) 254-2182
NPI assigned
Feb 16, 2007
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Dr. Charles McGrath, D.O.
Title
Owner
Phone
(816) 254-1781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 34431 MO Primary

Addresses

Primary practice location

514 S Noland Rd
Suite 130
Independence, MO 64050-3969

Mailing address

514 S Noland Rd
Suite 130
Independence, MO 64050-3969
Phone (816) 254-1781

Other names 1

  • Noland Family Care Doing business as

National Provider Directory

National Provider Directory

Locations

514 S Noland Rd
Ste 130
Independence, MO 64050
Phone (816) 205-4046

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1053455675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S NOLAND RD",
            "address_2": "SUITE 130",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640503969",
            "telephone_number": "816-254-1781",
            "fax_number": "816-254-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S NOLAND RD",
            "address_2": "SUITE 130",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640503969",
            "telephone_number": "816-254-1781",
            "fax_number": "816-254-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E MC GRATH D.O. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "MCGRATH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-254-1781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "34431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Noland Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.