Cedar Hill Primary Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CEDAR HILL PRIMARY CARE LLC

Practice address

6420 The Cedars CT
Cedar Hill, MO 63016-2206

Phone

(636) 274-2700

Fax

(636) 274-4660

NPI assigned

Nov 3, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Adams

Title

SVP Regional Operations, Tenet

Phone

(469) 893-2563

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1205112331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 THE CEDARS CT",
            "city": "CEDAR HILL",
            "state": "MO",
            "postal_code": "630162206",
            "telephone_number": "636-274-2700",
            "fax_number": "636-274-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 THE CEDARS CT",
            "city": "CEDAR HILL",
            "state": "MO",
            "postal_code": "630162206",
            "telephone_number": "636-274-2700",
            "fax_number": "636-274-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR HILL PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "SVP REGIONAL OPERATIONS, TENET",
        "authorized_official_telephone_number": "469-893-2563",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Brown, MD
• Douglas Anthony Carano, DDS
• Cedar Hill Chiropractic PC
• Cedar Hill Family Medicine, LLC
• Cedar Hill Nursing & Rehab, LLC
• Cedars Court Healthcare LLC
• Hillarie Christley
• Olivia Cova
• Deborah A Depew, D.O.
• Amy Valentine Deveydt, MD

• All providers in Cedar Hill, MO
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.