Medcor of Barrington, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MEDCOR OF BARRINGTON, PC

Doing business as

Mammoth Family Clinic

Practice address

One Mammoth Hot Springs
Yellowstone Nat'L Park
Mammoth, WY 82190

Phone

(307) 344-7965

Fax

(307) 344-7336

NPI assigned

Oct 12, 2006

Last updated

Nov 21, 2007By 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

Thomas H. Glimp, MD

Title

Medical Director

Phone

(815) 363-9500

Specialties & licenses 1

Addresses

Other names 1

• Mammoth Family Clinic Doing business as

Practitioners 1

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.

• Kurt Smith Frantz, M.D.

  • Family Medicine Physician
  • Yellowstone National Park, WY
  • NPI 1679514491
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1265521363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58",
            "city": "YELLOWSTONE NATIONAL PARK",
            "state": "WY",
            "postal_code": "821900058",
            "telephone_number": "307-344-7965",
            "fax_number": "307-344-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MAMMOTH HOT SPRINGS",
            "address_2": "YELLOWSTONE NAT'L PARK",
            "city": "MAMMOTH",
            "state": "WY",
            "postal_code": "82190",
            "telephone_number": "307-344-7965",
            "fax_number": "307-344-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCOR OF BARRINGTON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "GLIMP",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "815-363-9500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mammoth Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.