Organization Active NPI

J B Astik M D P a

Doing business as J.B. Astik, MD

  • Internal Medicine Physician
  • Warrensburg, MO
National Provider Identifier
1457485930
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
AA9372575 Issued in MO
Legal business name
J B ASTIK M D P A
Doing business as
J.B. Astik, MD
Practice address
511 Burkarth Rd
Warrensburg, MO 64093-3103
Phone
(660) 747-8154
Fax
(660) 747-9757
NPI assigned
Mar 15, 2007
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Jayendra B Astik, MD
Title
President
Phone
(660) 747-8154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X AA9372575 MO Primary

Addresses

Primary practice location

511 Burkarth Rd
Warrensburg, MO 64093-3103

Mailing address

511 Burkarth Rd
Warrensburg, MO 64093-3103
Phone (660) 747-8154

Other identifiers 4

IdentifierTypeStateIssuer
506055805MedicaidMO
CJ7821OtherRR MEDICARE
30634017OtherMOKANSAS CITY BCBS
L400000OtherMOMEDICARE GROUP PTAN NUMBER

Other names 1

  • J.B. ASTIK, MD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1457485930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 BURKARTH RD",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933103",
            "telephone_number": "660-747-8154",
            "fax_number": "660-747-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 BURKARTH RD",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933103",
            "telephone_number": "660-747-8154",
            "fax_number": "660-747-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J B ASTIK M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "ASTIK",
        "authorized_official_first_name": "JAYENDRA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "660-747-8154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "AA9372575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506055805",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CJ7821",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS CITY BCBS",
            "identifier": "30634017",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN NUMBER",
            "identifier": "L400000",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J.B. ASTIK, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warrensburg, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.