Organization Active NPI

Medical Arts Centers Inc

  • Family Medicine Physician
  • Excelsior SPGS, MO
National Provider Identifier
1114084738
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDICAL ARTS CENTERS INC
Practice address
950 N Jesse James Rd
Excelsior SPGS, MO 64024
Phone
(816) 630-6071
Fax
(816) 630-4465
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Authorized official

Name
Mrs. Kathyn A Cockrum
Title
Administrator
Phone
(810) 630-6071

Specialties & licenses 1

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

Addresses

Primary practice location

950 N Jesse James Rd
Excelsior SPGS, MO 64024

Mailing address

950 N Jesse James Rd
Excelsior SPGS, MO 64024
Phone (816) 630-6071

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1114084738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N JESSE JAMES RD",
            "city": "EXCELSIOR SPGS",
            "state": "MO",
            "postal_code": "64024",
            "telephone_number": "816-630-6071",
            "fax_number": "816-630-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N JESSE JAMES RD",
            "city": "EXCELSIOR SPGS",
            "state": "MO",
            "postal_code": "64024",
            "telephone_number": "816-630-6071",
            "fax_number": "816-630-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ARTS CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "COCKRUM",
        "authorized_official_first_name": "KATHYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "810-630-6071",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.