Individual provider Active NPI

Perpetua Akeyo Owuor, O.T.

  • Occupational Medicine Clinic/Center
  • Farmington, MO
National Provider Identifier
1285751834
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
003471 Issued in MO
Practice address
1280 Doctors Dr
Farmington, MO 63640-2932
Phone
(573) 756-2320
Fax
(573) 760-8677
NPI assigned
Mar 26, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X 003471 MO Primary

Addresses

Primary practice location

1280 Doctors Dr
Farmington, MO 63640-2932

Mailing address

904 S Washington St
Farmington, MO 63640-1851
Phone (573) 760-1053

Other identifiers 3

IdentifierTypeStateIssuer
335559OtherMOHEALTHLINK PROVIDER ID#
114925OtherMOBCBS PROVIDER NUMBER
6400084OtherMOUHC PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003471MOMDOccupational Medicine Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Parkland Health Center Past Accepting new patients
Farmington Hand and Physical Therapy Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1285751834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 S WASHINGTON ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401851",
            "telephone_number": "573-760-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 DOCTORS DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636402932",
            "telephone_number": "573-756-2320",
            "fax_number": "573-760-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWUOR",
        "first_name": "PERPETUA",
        "middle_name": "AKEYO",
        "name_prefix": "Ms.",
        "credential": "O.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "MO",
            "license": "003471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK PROVIDER ID#",
            "identifier": "335559",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "114925",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PROVIDER NUMBER",
            "identifier": "6400084",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.