Farmington Clinic Company, LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

268973 Issued in MO

Legal business name

FARMINGTON CLINIC COMPANY, LLC

Doing business as

Farmington Primary Care

Practice address

1101 Weber Rd
Suite 302
Farmington, MO 63640-3352

Phone

(573) 756-5787

Fax

(573) 756-4206

NPI assigned

Oct 27, 2011

Last updated

Dec 12, 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

Mr. Daniel S Slipkovich

Title

Ceo

Phone

(866) 315-9221

Specialties & licenses 2

Addresses

Other names 1

• Farmington Primary Care Doing business as

Locations

Practitioners 18

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.

• Victor M Brown, DO DPM

  • Orthopaedic Surgery Physician
  • Farmington, MO
  • NPI 1912935461
  NPD (past)
• John A Hartman, DO

  • Internal Medicine Physician
  • Farmington, MO
  • NPI 1225032832
  NPD (past)
• Karl D Killion, DO

  • Family Medicine Physician
  • Farmington, MO
  • NPI 1164474557
  NPD (past)
• Paul S Moniz, DO

  • Family Medicine Physician
  • Farmington, MO
  • NPI 1154373017
  NPD (past)
• James N Moore, DO

  • Family Medicine Physician
  • Farmington, MO
  • NPI 1134171531
  NPD (past)
• Muhammad Naeem, MD

  • Hospitalist Physician
  • Cape Girardeau, MO
  • NPI 1831405307
  NPD (past)
• Angela Sue Neighbors, FNP

  • Nurse Practitioner
  • Saint Robert, MO
  • NPI 1427038686
  NPD (past)
• Ashvin D. Patel, M.D.

  • Internal Medicine Physician
  • Fredericktown, MO
  • NPI 1548235419
  NPD (past)
• Peggy A Presnell, RD

  • Registered Dietitian
  • Fredericktown, MO
  • NPI 1871520825
  NPD (past)
• Gerald D Roberts, DO

  • Family Medicine Physician
  • Farmington, MO
  • NPI 1699727818
  NPD (past)
• Vishon J Subramani, M.D.

  • Internal Medicine Physician
  • Sikeston, MO
  • NPI 1598853368
  NPD (past)
• Robert L. Wudel, D.O.

  • Family Medicine Physician
  • Desloge, MO
  • NPI 1386776987
  NPD (past)

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1316223944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9489",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049159489",
            "telephone_number": "573-756-5787",
            "fax_number": "573-756-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WEBER RD",
            "address_2": "SUITE 302",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403352",
            "telephone_number": "573-756-5787",
            "fax_number": "573-756-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON CLINIC COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "SLIPKOVICH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-315-9221",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MO",
            "license": "268973",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "268973",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmington Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Farmington Clinic Company LLC (Mineral Area Doctors)
• Farmington Clinic Company LLC (Mineral Area Health Care)
• Farmington Clinic Company LLC (Mineral Area Primary Care)
• Farmington Clinic Company LLC (Mineral Area Hospitalist)
• Farmington Clinic Company LLC (Maple Valley Primary Care)
• Farmington Clinic Company, LLC (Farmington Primary Care)
• Farmington Ear, Nose, and Throat, LLC
• Farmington Emergency Group LLC
• Farmington Hand and Physical Therapy
• Farmington Hearing and Balance LLC

• Rural Health Clinic/Center in Farmington, MO
• Providers in Farmington, MO by specialty
• Rural Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.