NPIMap

Organization Active NPI

David S. Kermode, DO PC

  • Surgery Physician
  • Kirksville, MO
National Provider Identifier
1508037151
Registry record updated Jan 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
R4H42 Issued in MO
Legal business name
DAVID S. KERMODE, DO PC
Practice address
800 W Jefferson St
Kirksville, MO 63501-1443
Phone
(660) 665-3640
Fax
(660) 626-2004
NPI assigned
Mar 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2009

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

Authorized official

Name
Dr. Daivd S. Kermode, DO
Title
Physician
Phone
(660) 665-3640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X R4H42 MO Primary

Addresses

Primary practice location

800 W Jefferson St
Kirksville, MO 63501-1443

Mailing address

800 W Jefferson St
Kirksville, MO 63501-1443
Phone (660) 665-3640

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232755200000",
    "number": "1508037151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W JEFFERSON ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635011443",
            "telephone_number": "660-665-3640",
            "fax_number": "660-262-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W JEFFERSON ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635011443",
            "telephone_number": "660-665-3640",
            "fax_number": "660-626-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S. KERMODE, DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2009-01-24",
        "status": "A",
        "authorized_official_last_name": "KERMODE",
        "authorized_official_first_name": "DAIVD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "660-665-3640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MO",
            "license": "R4H42",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirksville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.