NPIMap

Organization Active NPI

Farmington Clinic Company LLC

Doing business as Mineral Area Urology

  • Urology Physician
  • Farmington, MO
National Provider Identifier
1417287897
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
FARMINGTON CLINIC COMPANY LLC
Doing business as
Mineral Area Urology
Practice address
1101 Weber Rd
Suite 303
Farmington, MO 63640-3352
Phone
(573) 756-8880
Fax
(573) 756-8881
NPI assigned
Jan 6, 2010
Last updated
Jan 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Authorized official

Name
Mr. Daniel S Slipkovich
Title
Ceo
Phone
(615) 764-3049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X Primary

Addresses

Primary practice location

1101 Weber Rd
Suite 303
Farmington, MO 63640-3352

Mailing address

PO Box 504354
Saint Louis, MO 63150-0001
Phone (573) 756-8880

Other names 1

  • MINERAL AREA UROLOGY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Farmington Clinic Company L3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1417287897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504354",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631500001",
            "telephone_number": "573-756-8880",
            "fax_number": "573-756-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WEBER RD",
            "address_2": "SUITE 303",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403352",
            "telephone_number": "573-756-8880",
            "fax_number": "573-756-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON CLINIC COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "SLIPKOVICH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-764-3049",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MINERAL AREA UROLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.