Sedalia Internal Medicine Specialists PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SEDALIA INTERNAL MEDICINE SPECIALISTS PC

Practice address

1712 S Lafayette Ave
Sedalia, MO 65301-7542

Phone

(660) 827-2526

Fax

(660) 827-5536

NPI assigned

Mar 7, 2007

Last updated

Jul 16, 2015By 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

Toni R Warren

Title

Office Manager

Phone

(660) 827-2526

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1336279454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 S LAFAYETTE AVE",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653017542",
            "telephone_number": "660-827-2526",
            "fax_number": "660-827-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 S LAFAYETTE AVE",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653017542",
            "telephone_number": "660-827-2526",
            "fax_number": "660-827-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDALIA INTERNAL MEDICINE SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "660-827-2526"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "09962017",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501695605",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sedalia Eye Associates, P.C.
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• Sedalia Health Group, LLC
• Sedalia Internal Medicine Specialists
• Sedalia Nursing Home Co (Fair View Nursing Home)
• Sedalia Optometric Clinic, Inc
• Sedalia Surgery Center, LLC
• Sedalia Urgent Care LLC (AFC Urgent Care)
• Sedalia Urgent Care LLC (American Family Care)

• Internal Medicine Physician in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.