Organization Active NPI

Oncare

  • Family Medicine Physician
  • Mount Vernon, MO
National Provider Identifier
1578978755
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ONCARE
Practice address
918 Sunshine Dr
Mount Vernon, MO 65712-1735
Phone
(417) 553-9583
Fax
(417) 553-9585
NPI assigned
Jun 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Authorized official

Name
Dr. Kevin W Louderback, PSYD HHP MHT PHD
Title
Owner
Phone
(417) 553-9583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

918 Sunshine Dr
Mount Vernon, MO 65712-1735

Mailing address

918 Sunshine Dr
Mount Vernon, MO 65712-1735
Phone (417) 553-9583

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1578978755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 SUNSHINE DR",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657121735",
            "telephone_number": "417-553-9583",
            "fax_number": "417-553-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 SUNSHINE DR",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657121735",
            "telephone_number": "417-553-9583",
            "fax_number": "417-553-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "LOUDERBACK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-553-9583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD HHP MHT PHD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.

Verify at the official NPI Registry.