Osage Family Clinic, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R1E19 Issued in MO

Legal business name

OSAGE FAMILY CLINIC, LLC

Practice address

1191 Highway KK
Suite 202
Osage Beach, MO 65065-3510

Phone

(573) 302-0670

Fax

(573) 302-0677

NPI assigned

Sep 13, 2006

Last updated

Jun 23, 2008By 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

Dr. Samuel Brayfield, MDNPI 1003841214

Title

Owner/Managing Employee

Phone

(573) 302-0670

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samuel Brayfield, DO

  • Family Medicine Physician
  • Osage Beach, MO
  • NPI 1003841214
  NPD (past) Authorized official
• Catharine Kahrig, FNP-BC

  • Family Nurse Practitioner
  • Osage Beach, MO
  • NPI 1376957415
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1215031737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 LACKLAND HILL PKWY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463572",
            "telephone_number": "314-989-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 HIGHWAY KK",
            "address_2": "SUITE 202",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653510",
            "telephone_number": "573-302-0670",
            "fax_number": "573-302-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSAGE FAMILY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "BRAYFIELD",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER/MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "573-302-0670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R1E19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick W. Oneil, D.O.
• Onsite Rehabilitation, PC
• Osage Beach Center for Behavioral Health, LLC (Osage Beach Center for Behavioral Health)
• Osage Beach Family Eyecare Inc.
• Osage Eye Clinic PC
• Osage Valley Plastic Surgery PC
• Kelan Lane Osborn
• Carla Beth Ostronic, P.A.
• Ozark Rehabilitation & Health Care Center LLC
• Paige Hedgpath OD, PC (Eyes on Missouri)

• Family Medicine Physician in Osage Beach, MO
• Providers in Osage Beach, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.