Organization Active NPI

Sikeston Medical Center, L.L.P

  • Family Medicine Physician
  • Sikeston, MO
National Provider Identifier
1649498122
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SIKESTON MEDICAL CENTER, L.L.P
Practice address
916 S Kingshighway St
Sikeston, MO 63801-4416
Phone
(573) 472-4440
Fax
(573) 472-4562
NPI assigned
Apr 23, 2007
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
Mr. Warren N. Kerber
Title
Administrator
Phone
(573) 998-2090

Specialties & licenses 1

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

Addresses

Primary practice location

916 S Kingshighway St
Sikeston, MO 63801-4416

Mailing address

916 S Kingshighway St
Sikeston, MO 63801-4416
Phone (573) 472-4440

National Provider Directory

National Provider Directory

Locations

916 S Kingshighway St
Sikeston, MO 63801
Phone (573) 472-4440

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649498122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 S KINGSHIGHWAY ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638014416",
            "telephone_number": "573-472-4440",
            "fax_number": "573-472-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 S KINGSHIGHWAY ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638014416",
            "telephone_number": "573-472-4440",
            "fax_number": "573-472-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIKESTON MEDICAL CENTER, L.L.P",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KERBER",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-998-2090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sikeston, 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.