Family Medical Center of Carthage, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FAMILY MEDICAL CENTER OF CARTHAGE, LLC

Practice address

1632 Missouri Ave
Carthage, MO 64836-3059

Phone

(417) 773-6154

NPI assigned

Feb 22, 2010

Last updated

Feb 22, 2010By 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

Mr. Michael Tucker

Title

Owner

Phone

(417) 773-6154

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1114249836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10887",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658080887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 MISSOURI AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648363059",
            "telephone_number": "417-773-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CENTER OF CARTHAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-773-6154",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jannette Eldred, LCSW
• Lacy Nicole Epperson, PHARMD
• Robert Theodore Estes, M.S.
• Euclid House
• Katey Fallis, PLPC
• Farleys, Inc. (Sunnyhills Resdiential Care Facility)
• Jill Lynn Feurt, CNM FNP
• Lance Eugene Ford, DC
• Ruben Garrido-Trujillo Jr.
• Asefa K Gebre, PSYCH CAQ DMSC,PA-C

• Internal Medicine Physician in Carthage, MO
• Providers in Carthage, MO by specialty
• Internal Medicine Physician in Missouri

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