Active NPI
Emergency Practice Associates, Inc.
- Emergency Medicine Physician
- Maryville, MO
National Provider Identifier
1679990733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- 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, 2016
- 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
- Julie A. Koch-Hoth
- Title
- Ceo
- Phone
- (800) 458-5003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679990733 | Medicaid | IA | |
| 100264122-00 | Medicaid | NE | |
| 1679990733 | Medicaid | MO |
National Provider Directory
National Provider DirectoryLocations
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.