NPIMap

Organization Active NPI

Lakes Area Medical Clinic, LLC

  • Family Medicine Physician
  • Kimberling City, MO
National Provider Identifier
1386876316
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LAKES AREA MEDICAL CLINIC, LLC
Practice address
11863 State Hwy 13
Kimberling City, MO 65686
Phone
(417) 739-1995
Fax
(417) 739-1893
NPI assigned
Aug 8, 2009
Last updated
Oct 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Dr. Thomas L Huffman, M.D.NPI 1396776761
Title
Owner/Medical Director
Phone
(417) 739-1995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

11863 State Hwy 13
Kimberling City, MO 65686

Mailing address

PO Box 555
Kimberling City, MO 65686-0555
Phone (417) 739-1995

Other names 1

  • N/A Other name

National Provider Directory

National Provider Directory

Locations

11016 E State Highway 76
Ste 26
Branson West, MO 65737
Phone (417) 272-0400

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1249689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1386876316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555",
            "city": "KIMBERLING CITY",
            "state": "MO",
            "postal_code": "656860555",
            "telephone_number": "417-739-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11863 STATE HWY 13",
            "city": "KIMBERLING CITY",
            "state": "MO",
            "postal_code": "65686",
            "telephone_number": "417-739-1995",
            "fax_number": "417-739-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES AREA MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-08",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "417-739-1995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kimberling City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.