NPIMap

Organization Active NPI

Physicians Medical Clinic, LLC

  • Family Medicine Physician
  • Joplin, MO
National Provider Identifier
1114242914
Registry record updated May 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
110186 Issued in MO
Legal business name
PHYSICIANS MEDICAL CLINIC, LLC
Practice address
2700 McClelland Blvd
BLDG. B Ste. 216
Joplin, MO 64804-1623
Phone
(417) 627-9600
Fax
(417) 627-9632
NPI assigned
Apr 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2010

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

Authorized official

Name
Ms. Becky Ross
Title
Office Manager
Phone
(417) 627-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 110186 MO Primary

Addresses

Primary practice location

2700 McClelland Blvd
BLDG. B Ste. 216
Joplin, MO 64804-1623

Mailing address

2700 McClelland Blvd
BLDG. B Ste. 216
Joplin, MO 64804-1623
Phone (417) 627-9600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1114242914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 MCCLELLAND BLVD",
            "address_2": "BLDG. B STE. 216",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041623",
            "telephone_number": "417-627-9600",
            "fax_number": "417-627-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 MCCLELLAND BLVD",
            "address_2": "BLDG. B STE. 216",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041623",
            "telephone_number": "417-627-9600",
            "fax_number": "417-627-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "417-627-9600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "110186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.