Active NPI
SSM Audrain Health Care, Inc.
- Family Medicine Physician
- Mexico, MO
National Provider Identifier
1477563625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SSM AUDRAIN HEALTH CARE, INC.
- Doing business as
- Audrain Family Health Care
- Practice address
- 625 E Summit St
Mexico, MO 65265-3294 - Phone
- (573) 473-3831
- Fax
- (573) 473-3706
- NPI assigned
- Aug 9, 2006
- Organization subpart
- Yes
- Parent organization
- SSM AUDRAIN HEALTH CARE, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David A. Neuendorf
- Title
- President/Ceo
- Phone
- (573) 582-8108
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
625 E Summit St
Mexico, MO 65265-3294
Mailing address
625 E Summit St
Mexico, MO 65265-3294
Phone (573) 473-3831
Other names 1
- Audrain Family Health Care
National Provider Directory
National Provider Directory- Part of
- Rusty Spieler MD
Locations
625 E Summit St
Mexico, MO 65265
Phone (573) 473-3831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431043200000",
"number": "1477563625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 E SUMMIT ST",
"city": "MEXICO",
"state": "MO",
"postal_code": "652653294",
"telephone_number": "573-473-3831",
"fax_number": "573-473-3706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 E SUMMIT ST",
"city": "MEXICO",
"state": "MO",
"postal_code": "652653294",
"telephone_number": "573-473-3831",
"fax_number": "573-473-3706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SSM AUDRAIN HEALTH CARE, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SSM AUDRAIN HEALTH CARE, INC.",
"enumeration_date": "2006-08-09",
"last_updated": "2015-05-08",
"status": "A",
"authorized_official_last_name": "NEUENDORF",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "573-582-8108",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Audrain Family Health Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mexico, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.