Organization Active NPI

Damour Family Medicine

  • Family Medicine Physician
  • Joplin, MO
National Provider Identifier
1437487790
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2002010040 Issued in MO
Legal business name
DAMOUR FAMILY MEDICINE
Practice address
1801 W 32ND St Ste 102
Joplin, MO 64804-1528
Phone
(417) 782-4100
Fax
(417) 782-4116
NPI assigned
Nov 25, 2009
Last updated
Apr 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Authorized official

Name
Troy R Damour
Title
DO
Phone
(417) 782-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2002010040 MO Primary

Addresses

Primary practice location

1801 W 32ND St Ste 102
Joplin, MO 64804-1528

Mailing address

PO Box 3177
Joplin, MO 64803-3177
Phone (417) 782-4100

National Provider Directory

National Provider Directory

Locations

1905 W 32nd St
Ste 303
Joplin, MO 64804
Phone (417) 624-1714

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": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1437487790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3177",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648033177",
            "telephone_number": "417-782-4100",
            "fax_number": "417-782-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W 32ND ST STE 102",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041528",
            "telephone_number": "417-782-4100",
            "fax_number": "417-782-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMOUR FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "DAMOUR",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "417-782-4100"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2002010040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.