NPIMap

Organization Active NPI

Vienna Family Practice LLC

  • Family Medicine Physician
  • Vienna, MO
National Provider Identifier
1326328295
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VIENNA FAMILY PRACTICE LLC
Practice address
111 Parkway
Vienna, MO 65582-8003
Phone
(573) 422-3360
Fax
(573) 422-3391
NPI assigned
Aug 24, 2011
Last updated
Aug 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Keith Edward Segall, DO
Title
Sole Member
Phone
(573) 422-3360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

111 Parkway
Vienna, MO 65582-8003

Mailing address

111 Parkway
Vienna, MO 65582-8003
Phone (573) 422-3360

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1326328295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PARKWAY",
            "city": "VIENNA",
            "state": "MO",
            "postal_code": "655828003",
            "telephone_number": "573-422-3360",
            "fax_number": "573-422-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PARKWAY",
            "city": "VIENNA",
            "state": "MO",
            "postal_code": "655828003",
            "telephone_number": "573-422-3360",
            "fax_number": "573-422-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIENNA FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "SEGALL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "573-422-3360",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.