Individual provider Active NPI

Vincent Hamo, D.O.

  • Family Medicine Physician
  • Independence, MO
National Provider Identifier
1215391966
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2018014099 Issued in MO
Practice address
4801 S Cliff Ave Ste 300
Independence, MO 64055
Phone
(816) 251-5200
Fax
(816) 251-5299
NPI assigned
Apr 8, 2016
Last updated
Jun 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2018014099 MO Primary

Addresses

Primary practice location

4801 S Cliff Ave Ste 300
Independence, MO 64055

Mailing address

4801 S Cliff Ave Ste 300
Independence, MO 64055-6954
Phone (816) 251-5200

Other practice location 1

7101 S Padre Island Dr
Corpus Christi, TX 78412-4913
Phone (361) 761-3280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180808000882 MO Practitioner - Emergency MedicinePractitioner - Family Practice 3577852490 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harrison County Community Hospital DistrictGroup PAC ID 4587630926, shared by 5 NPIs, 21 clinicians

Practice addresses (Care Compare)

2600 Miller St
Bethany, MO 64424-2701

514 N 39TH St
Bethany, MO 64424-2706
Phone (660) 425-2211

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2018014099MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison County Community Hospital District Family Medicine Current Accepting new patients
Harrison County Community Hospital District CurrentSince Jun 8, 2025 Accepting new patients
Harrison County Community Hospital District Family Medicine CurrentSince Jun 8, 2025 Accepting new patients
Harrison County Community Hospital District Current Accepting new patients
Macon County Samaritan Hospital CurrentSince Jan 5, 2025 Accepting new patients
General John J Pershing Memorial Hospital Association CurrentSince Jul 1, 2020 Accepting new patients

Locations

2600 Miller St
Bethany, MO 64424
Phone (660) 425-2211

3202 Miller St
Bethany, MO 64424
Phone (660) 425-3154

130 E Lockling St
Brookfield, MO 64628
Phone (660) 258-1050

1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151

101 E Hayward St
Meadville, MO 64659
Phone (660) 938-4213

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1215391966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S CLIFF AVE STE 300",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556954",
            "telephone_number": "816-251-5200",
            "fax_number": "816-251-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S CLIFF AVE STE 300",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64055",
            "telephone_number": "816-251-5200",
            "fax_number": "816-251-5299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7101 S Padre Island Dr",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784124913",
            "country_code": "US",
            "telephone_number": "361-761-3280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMO",
        "first_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-08",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2018014099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.