Electrodiagnostic & Rehab Medicine

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

License

2003013938 Issued in MO

Legal business name

ELECTRODIAGNOSTIC & REHAB MEDICINE

Practice address

3107 Frederick Ave
Suite C
Saint Joseph, MO 64506-2956

Phone

(816) 233-9888

Fax

(816) 233-0414

NPI assigned

Nov 19, 2014

Organization subpart

No

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

Authorized official

Name

Amy L Belville, D.O.NPI 1578594800

Title

President/Secretary

Phone

(816) 233-9888

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Amy Belville, DO

  • Electrodiagnostic Medicine Physician
  • Saint Joseph, MO
  • NPI 1578594800
  NPD (past) Authorized official

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1164829149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 FREDERICK AVE",
            "address_2": "SUITE C",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062956",
            "telephone_number": "816-233-9888",
            "fax_number": "816-233-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 FREDERICK AVE",
            "address_2": "SUITE C",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062956",
            "telephone_number": "816-233-9888",
            "fax_number": "816-233-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTRODIAGNOSTIC & REHAB MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "BELVILLE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "816-233-9888",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": "MO",
            "license": "2003013938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trey Eggleston
• John B Eiman, CRNA
• Shelby Elise Ek, PHARM.D.
• Elaine Greer Rnnpc Women'S Health
• Keelyn Elder
• Elevate 360 Physical Therapy LLC
• Marlene D. Elliott
• Elmore Family Dentistry
• Benjamin Elmore, DMD
• Shannon Alan Engel, DPM

• Electrodiagnostic Medicine Physician in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Electrodiagnostic Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.