Organization Active NPI

Emergency Practice Associates, Inc.

  • Emergency Medicine Physician
  • Maryville, MO
National Provider Identifier
1679990733
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
EMERGENCY PRACTICE ASSOCIATES, INC.
Practice address
2016 S Main St
Maryville, MO 64468-2655
Phone
(660) 562-2600
NPI assigned
Mar 26, 2014
Last updated
Apr 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
Julie A. Koch-Hoth
Title
Ceo
Phone
(800) 458-5003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

2016 S Main St
Maryville, MO 64468-2655

Mailing address

PO Box 78785
Milwaukee, WI 53278-8785
Phone (405) 682-3303

Other identifiers 3

IdentifierTypeStateIssuer
1679990733MedicaidIA
100264122-00MedicaidNE
1679990733MedicaidMO

National Provider Directory

National Provider Directory

Locations

078785 Box
Milwaukee, WI 53278

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1679990733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78785",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532788785",
            "telephone_number": "405-682-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 S MAIN ST",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682655",
            "telephone_number": "660-562-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY PRACTICE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "KOCH-HOTH",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-458-5003"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679990733",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100264122-00",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679990733",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.