Active NPI
Pike Medical Clinic, Inc
- Family Medicine Physician
- Bowling Green, MO
National Provider Identifier
1699775668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R5C36
- Legal business name
- PIKE MEDICAL CLINIC, INC
- Practice address
- 905 Business Hwy 161 S
Bowling Green, MO 63334-0000 - Phone
- (573) 324-2241
- Fax
- (573) 324-5137
- NPI assigned
- Jul 29, 2005
- Last updated
- Aug 22, 2020
- 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
- Jan F Onik, DO
- Title
- Physician
- Phone
- (573) 754-5555
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R5C36 | MO | Primary |
Addresses
Primary practice location
905 Business Hwy 161 S
Bowling Green, MO 63334-0000
Mailing address
905 Business Hwy 161 S
Bowling Green, MO 63334-0000
Phone (573) 324-2241
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Louisiana, MO
- NPI 1982604930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1699775668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 BUSINESS HWY 161 S",
"city": "BOWLING GREEN",
"state": "MO",
"postal_code": "633340000",
"telephone_number": "573-324-2241",
"fax_number": "573-324-5137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 BUSINESS HWY 161 S",
"city": "BOWLING GREEN",
"state": "MO",
"postal_code": "633340000",
"telephone_number": "573-324-2241",
"fax_number": "573-324-5137"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIKE MEDICAL CLINIC, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ONIK",
"authorized_official_first_name": "JAN",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "573-754-5555",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MO",
"license": "R5C36",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, MO
- Pike County Memorial Hospital (PCMH Clinic)
- Pike County Memorial Hospital (Medical Walk-In Clinic)
- Pike County Memorial Hospital (Medical Walk-In Clinic)
- Pike County Memorial Hospital (PCMH Clinic)
- Pike County Sheltered Workshop (Pike Shop)
- Preferred Family Healthcare, Inc. (Clarity Healthcare)
- Preferred Family Healthcare, Inc. (Clarity Healthcare)
- Tiffany Ann Ritter, DNP, FNP-BC
- Ruth Jensen Village Residential Services, Inc. C Rodes Hood Group
- Ruth Jensen Village Residential Services, Inc. Frances Feldman Group
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.