Forest City Family Practice LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FOREST CITY FAMILY PRACTICE LLC

Practice address

1000 N Jefferson St
Saint James, MO 65559-1078

Phone

(573) 265-8840

Fax

(573) 265-8884

NPI assigned

Dec 12, 2006

Last updated

Feb 28, 2011By 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

Ms. Kathy Kleffner

Title

Business Office

Phone

(573) 265-8840

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1255492575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N JEFFERSON ST",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655591078",
            "telephone_number": "573-265-8840",
            "fax_number": "573-265-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N JEFFERSON ST",
            "city": "SAINT JAMES",
            "state": "MO",
            "postal_code": "655591078",
            "telephone_number": "573-265-8840",
            "fax_number": "573-265-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST CITY FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "KLEFFNER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "BUSINESS OFFICE",
        "authorized_official_telephone_number": "573-265-8840",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505749309",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine G Durbin, FNP
• Kathy Lynn Eller
• Shauna Evans
• Ferndale Inc
• Ferndale, Inc.
• Forest City Family Practice LLC
• Franklin C Gica, P.T.
• Rachelle L Gorrell, D.O.
• Kara C Goss, LCSW
• Marsha Kay Gray

• Family Medicine Physician in Saint James, MO
• Providers in Saint James, 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 Feb 28, 2011; 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.