Organization Active NPI

Urbana Medical Clinic, L.L.C.

  • Family Medicine Physician
  • Urbana, MO
National Provider Identifier
1528021565
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36348 Issued in MO
Legal business name
URBANA MEDICAL CLINIC, L.L.C.
Practice address
311 W Broadway St
Urbana, MO 65767-9101
Phone
(417) 993-1999
Fax
(417) 993-1806
NPI assigned
Apr 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Judith Taylor, MD
Title
Owner
Phone
(417) 993-1999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 36348 MO Primary

Addresses

Primary practice location

311 W Broadway St
Urbana, MO 65767-9101

Mailing address

PO Box 127
Urbana, MO 65767-0127
Phone (417) 993-1999

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528021565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "URBANA",
            "state": "MO",
            "postal_code": "657670127",
            "telephone_number": "417-993-1999",
            "fax_number": "417-993-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W BROADWAY ST",
            "city": "URBANA",
            "state": "MO",
            "postal_code": "657679101",
            "telephone_number": "417-993-1999",
            "fax_number": "417-993-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBANA MEDICAL CLINIC, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-993-1999",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "36348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.