Cambridge Medical, LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

CAMBRIDGE MEDICAL, LLC

Practice address

900 S Highway Dr Ste 305
Fenton, MO 63026-2042

Phone

(800) 333-1980

Fax

(636) 326-9735

NPI assigned

Nov 17, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Jon Hendricks

Title

President

Phone

(800) 333-1980

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1154576247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S HIGHWAY DR STE 305",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262042",
            "telephone_number": "800-333-1980",
            "fax_number": "636-326-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S HIGHWAY DR STE 305",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262042",
            "telephone_number": "800-333-1980",
            "fax_number": "636-326-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-333-1980",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Marie Byrd
• Christopher Joseph Calandro, D.C.
• Molly Ann Calandro, LMT
• Tanner George Calvert, PHARMD
• Cambridge Medical for Men LLC
• Adriana M Canas-Polesel, MD
• Mirranda Cardinali
• Tiffany Carey, COTA/L
• William Carpenter, DC
• Nicholas Paul Carper, M.D., M.P.H.

• All providers in Fenton, MO
• Urology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.