NPIMap

Individual provider Active NPI

Paul Aaron Metcalf, D.O.

  • Family Medicine Physician
  • Cedar Hill, MO
National Provider Identifier
1336287333
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2006009460 Issued in MO
Practice address
6420 The Cedars CT
Cedar Hill, MO 63016-2222
Phone
(636) 274-2700
Fax
(636) 274-4660
NPI assigned
Feb 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2006009460 MO Primary

Addresses

Primary practice location

6420 The Cedars CT
Cedar Hill, MO 63016-2222

Mailing address

6420 The Cedars Court
PO Box 140
Cedar Hill, MO 63016
Phone (636) 274-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070806000818 MO Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 3072604016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care of Cedar Hill LLCGroup PAC ID 9436413549, 7 clinicians

Practice addresses (Care Compare)

6420 The Cedars CT
Suite 1
Cedar Hill, MO 63016-2222
Phone (636) 274-2700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care of Cedar Hill LLC Family Medicine CurrentSince May 1, 2018 Accepting new patients
Forrest Opco LLC Past Accepting new patients
Cedars Court Healthcare LLC Past Accepting new patients
Cedar Hill Family Medicine, LLC Family Medicine Past Accepting new patients

Locations

6420 The Cedars Ct
Cedar Hill, MO 63016
Phone (636) 274-2700

6420 The Cedars Ct
Ste 1
Cedar Hill, MO 63016
Phone (636) 274-2700

Interoperability endpoints

  • Direct secure messaging: admin@cedarhillprimarycare.e-mdsdirect.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
GentivaSaint Louis, MO, CCN 261550 Hospice Contracted Managing Employee Jan 5, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336287333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 THE CEDARS COURT",
            "address_2": "PO BOX 140",
            "city": "CEDAR HILL",
            "state": "MO",
            "postal_code": "63016",
            "telephone_number": "636-274-2700",
            "fax_number": "636-274-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 THE CEDARS CT",
            "city": "CEDAR HILL",
            "state": "MO",
            "postal_code": "630162222",
            "telephone_number": "636-274-2700",
            "fax_number": "636-274-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METCALF",
        "first_name": "PAUL",
        "middle_name": "AARON",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2006009460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, MO

Sources for this page

Verify at the official NPI Registry.