Active NPI
Belleville Medical Clinic, P.a.
- Family Medicine Physician
- Belleville, KS
National Provider Identifier
1376648907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- BELLEVILLE MEDICAL CLINIC, P.A.
- Practice address
- 2337 G St
Belleville, KS 66935-2463 - Phone
- (785) 527-2217
- Fax
- (785) 527-5929
- NPI assigned
- Sep 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andy E. Walker, M.D.
- Title
- President
- Phone
- (785) 527-2217
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2337 G St
Belleville, KS 66935-2463
Mailing address
2337 G St
Belleville, KS 66935-2463
Phone (785) 527-2217
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191283200000",
"number": "1376648907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2337 G ST",
"city": "BELLEVILLE",
"state": "KS",
"postal_code": "669352463",
"telephone_number": "785-527-2217",
"fax_number": "785-527-5929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2337 G ST",
"city": "BELLEVILLE",
"state": "KS",
"postal_code": "669352463",
"telephone_number": "785-527-2217",
"fax_number": "785-527-5929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELLEVILLE MEDICAL CLINIC, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2007-10-02",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "ANDY",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "785-527-2217",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.