Active NPI
Lincoln County Medicine & Pediatrics, LLC
- Pediatrics Physician
- Troy, MO
National Provider Identifier
1619008877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2003002316
- Legal business name
- LINCOLN COUNTY MEDICINE & PEDIATRICS, LLC
- Practice address
- 1165B E Cherry St
Troy, MO 63379-1520 - Phone
- (636) 528-1919
- Fax
- (636) 528-1916
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James L Bockhorst, MD
- Title
- Partner
- Phone
- (636) 528-1919
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 111051 | MO | |
| Internal Medicine Physician | 207R00000X | 2003002316 | MO | |
| Pediatrics Physician | 208000000X | 2003002316 | MO | Primary |
Addresses
Primary practice location
1165B E Cherry St
Troy, MO 63379-1520
Mailing address
1165B E Cherry St
Troy, MO 63379-1520
Phone (636) 528-1919
National Provider Directory
National Provider DirectoryLocations
1165B E Cherry St
Troy, MO 63379
Phone (636) 528-1919
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Marshall, MO
- NPI 1487623658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1619008877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1165B E CHERRY ST",
"city": "TROY",
"state": "MO",
"postal_code": "633791520",
"telephone_number": "636-528-1919",
"fax_number": "636-528-1916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165B E CHERRY ST",
"city": "TROY",
"state": "MO",
"postal_code": "633791520",
"telephone_number": "636-528-1919",
"fax_number": "636-528-1916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINCOLN COUNTY MEDICINE & PEDIATRICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BOCKHORST",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "636-528-1919",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MO",
"license": "111051",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MO",
"license": "2003002316",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "MO",
"license": "2003002316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.