H.Peter Ekern, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

27303 Issued in MO

Legal business name

H.PETER EKERN, INC.

Practice address

626 E Summit St
Mexico, MO 65265-3298

Phone

(573) 581-2348

Fax

(573) 581-9447

NPI assigned

Feb 8, 2010

Last updated

Apr 19, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Bonnie A. Sanders

Title

Office Manager

Phone

(573) 581-2348

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1619209251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 S. SUMMIT",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652653298",
            "telephone_number": "573-581-2348",
            "fax_number": "573-581-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 E SUMMIT ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652653298",
            "telephone_number": "573-581-2348",
            "fax_number": "573-581-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H.PETER EKERN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "573-581-2348",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "27303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Hayes Gordon, LCSW
• Jeffrey T Griffin, OD
• Matthew Patrick Griffin, M.D.
• Mona M Grote, LCSW
• Samuel Timothy Guthrie, BS PHARMACY
• Jackie R Hagan
• Michael Wayne Hagen, DO
• John R Hall, M.D.
• David Ham, RPH
• Tessa Ham

• Family Medicine Physician in Mexico, MO
• Providers in Mexico, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.