Organization Active NPI

Osteopathic Medical Arts, LLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Kirksville, MO
National Provider Identifier
1083643100
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
OSTEOPATHIC MEDICAL ARTS, LLC
Practice address
27176 St Hwy 6 E
Kirksville, MO 63501
Phone
(660) 627-1812
Fax
(660) 627-4799
NPI assigned
Jul 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jerry L Haman, D.O
Title
Boss
Phone
(660) 627-1812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X Primary

Addresses

Primary practice location

27176 St Hwy 6 E
Kirksville, MO 63501

Mailing address

PO Box 661
Kirksville, MO 63501-0661
Phone (660) 627-1812

Other names 1

  • Osteopathic Medical Associates, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

27176 State Highway 6
Kirksville, MO 63501
Phone (660) 627-1812

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083643100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635010661",
            "telephone_number": "660-627-1812",
            "fax_number": "660-627-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27176 ST HWY 6 E",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "63501",
            "telephone_number": "660-627-1812",
            "fax_number": "660-627-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTEOPATHIC MEDICAL ARTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMAN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BOSS",
        "authorized_official_telephone_number": "660-627-1812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osteopathic Medical Associates, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 22, 2020; 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.