Organization Active NPI

Denise M. Hamar, DO

Doing business as Carthage Children's Clinic, LLC

  • Medical Specialty Clinic/Center
  • Carthage, MO
National Provider Identifier
1528374113
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
R7F62 Issued in MO
Legal business name
DENISE M. HAMAR, DO
Doing business as
Carthage Children's Clinic, LLC
Practice address
1221 Oak St
Carthage, MO 64836-2028
Phone
(417) 359-9291
Fax
(417) 359-9241
NPI assigned
Aug 20, 2010
Last updated
Aug 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Authorized official

Name
Dr. Denise Marie Hamar, DONPI 1760412118
Title
Pediatrician
Phone
(417) 359-9291

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X R7F62 MO Primary

Addresses

Primary practice location

1221 Oak St
Carthage, MO 64836-2028

Mailing address

1221 Oak St
Carthage, MO 64836-2028
Phone (417) 359-9291

Other identifiers 1

IdentifierTypeStateIssuer
242277424MedicaidMO

Other names 1

  • Carthage Children's Clinic, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carthage Children's Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1221 Oak St
Carthage, MO 64836
Phone (417) 359-9291

Practitioners & affiliated clinicians

Practitioners 1

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": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1528374113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 OAK ST",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648362028",
            "telephone_number": "417-359-9291",
            "fax_number": "417-359-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 OAK ST",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648362028",
            "telephone_number": "417-359-9291",
            "fax_number": "417-359-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE M. HAMAR, DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "HAMAR",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "417-359-9291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MO",
            "license": "R7F62",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242277424",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carthage Children's Clinic, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carthage, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.