Town Square Emergency Associates PLLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

TOWN SQUARE EMERGENCY ASSOCIATES PLLC

Practice address

1600 N 2ND St
Clinton, MO 64735-1192

Phone

(817) 451-4208

Fax

(817) 563-3699

NPI assigned

Nov 14, 2018

Last updated

Jan 27, 2023By 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 Grimes

Title

Cfo

Phone

(615) 551-6611

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1093284549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24432",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761241432",
            "telephone_number": "817-451-4208",
            "fax_number": "817-563-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N 2ND ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647351192",
            "telephone_number": "817-451-4208",
            "fax_number": "817-563-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN SQUARE EMERGENCY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-14",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-551-6611"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanna Michelle Thomas, DPT
• Craig Aaron Thompson, PT
• Deanna G Thompson, FNP-C
• Cassidy Rena Tichenor, RDH
• Natalie Tipper, RBT
• Bradley Mark Townsend, M.D.
• Amy S Tracy, PTA
• Kristine Tracy
• Michelle Tremain, FNP-C, PMHNP-BC
• Turn Around Ranch Therapeutic Riding Center

• Emergency Medicine Physician in Clinton, MO
• Providers in Clinton, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.