Southern Missouri Family Medicine, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

R5G97 Issued in MO

Legal business name

SOUTHERN MISSOURI FAMILY MEDICINE, LLC

Practice address

1625 Gibson St
West Plains, MO 65775-1873

Phone

(417) 256-3717

Fax

(417) 256-3738

NPI assigned

Jul 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. James E Thompson, M.D.

Title

Owner

Phone

(417) 256-3717

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher D Cochran, MD

  • Internal Medicine Physician
  • Mammoth Spring, AR
  • NPI 1649359076
  NPD

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1154584308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 N KENTUCKY AVE",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657751822",
            "telephone_number": "417-256-3717",
            "fax_number": "417-256-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 GIBSON ST",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657751873",
            "telephone_number": "417-256-3717",
            "fax_number": "417-256-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MISSOURI FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-256-3717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": "R5G97",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202379046",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela S Solomon, FNP
• Daniel Martin Soper, D.D.S.
• South Howell County Ambulance District
• Southern Missouri Ear, Nose & Throat, PC
• Southern Missouri Eye, LLC
• Southern Missouri Hearing Specialists, LLC
• Southern Missouri Orthopaedics and Sports Medicine Clinic
• Southview Health Care, LLC.
• Justin Sparks
• Theresa Speake, PT

• Primary Care Clinic/Center in West Plains, MO
• Providers in West Plains, MO by specialty
• Primary Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.