Organization Active NPI

Farmington Clinic Company LLC

  • Orthopaedic Surgery Physician
  • St. Louis, MO
National Provider Identifier
1427244482
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
FARMINGTON CLINIC COMPANY LLC
Doing business as
Mineral Area Orthopedics
Practice address
Post Office Box 504354
St. Louis
St. Louis, MO 63150-0001
Phone
(573) 756-2600
Fax
(573) 756-2615
NPI assigned
Sep 24, 2007
Organization subpart
Yes
Parent organization
FARMINGTON CLINIC COMPANY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Authorized official

Name
Jean M Callahan
Title
Provider Enrollment
Phone
(573) 701-7346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

Post Office Box 504354
St. Louis
St. Louis, MO 63150-0001

Mailing address

1101 Weber Road, Suite 203
Farmington, MO 63640-3325
Phone (573) 756-2600

Other names 1

  • Mineral Area Orthopedics Doing business as

National Provider Directory

National Provider Directory
Part of
Farmington Clinic Company L

Locations

1214 Weber Rd
Farmington, MO 63640
Phone (573) 454-2663

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1427244482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 WEBER ROAD, SUITE 203",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403325",
            "telephone_number": "573-756-2600",
            "fax_number": "573-756-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "POST OFFICE BOX 504354",
            "address_2": "ST. LOUIS",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631500001",
            "telephone_number": "573-756-2600",
            "fax_number": "573-756-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON CLINIC COMPANY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FARMINGTON CLINIC COMPANY LLC",
        "enumeration_date": "2007-09-24",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "573-701-7346"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mineral Area Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St. Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.