NPIMap

Organization Active NPI

Audrain Health Care, Inc.

Doing business as Mexico Urology Services

  • Urology Physician
  • Mexico, MO
National Provider Identifier
1679761449
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
31266 Issued in MO
Legal business name
AUDRAIN HEALTH CARE, INC.
Doing business as
Mexico Urology Services
Practice address
201 E Monroe St
Mexico, MO 65265-2852
Phone
(573) 581-7582
Fax
(573) 581-7583
NPI assigned
Oct 5, 2007
Last updated
Nov 7, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
AUDRAIN HEALTH CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Mr. Dave Neuendorf
Title
President/Ceo
Phone
(573) 582-8108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 31266 MO Primary

Addresses

Primary practice location

201 E Monroe St
Mexico, MO 65265-2852

Mailing address

201 E Monroe St
Mexico, MO 65265-2852
Phone (573) 581-7582

Other names 1

  • Mexico Urology Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Audrain Health Care Inc5 organizations share this tax ID, including this one
Part of
Audrain Health Care Inc

Other organizations with this tax ID 4

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1679761449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E MONROE ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652852",
            "telephone_number": "573-581-7582",
            "fax_number": "573-581-7583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E MONROE ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652852",
            "telephone_number": "573-581-7582",
            "fax_number": "573-581-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDRAIN HEALTH CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AUDRAIN HEALTH CARE, INC.",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "NEUENDORF",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "573-582-8108",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "31266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mexico Urology Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mexico, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.