Liberal Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04-33980 Issued in KS

Legal business name

LIBERAL FAMILY MEDICINE, LLC

Practice address

305 W 15TH St
Suite 103
Liberal, KS 67901

Phone

(620) 604-9698

NPI assigned

Jun 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Francisco J Chacon, M.D.

Title

Owner

Phone

(620) 604-9698

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lindsay Chacon, PHARM.D.

  • Pharmacist
  • Roeland Park, KS
  • NPI 1801204813
  NPD (past)

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1700148442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W 15TH ST",
            "address_2": "SUITE 103",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "67901",
            "telephone_number": "620-604-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W 15TH ST",
            "address_2": "SUITE 103",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "67901",
            "telephone_number": "620-604-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERAL FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "CHACON",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-604-9698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-33980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Lewis
• Liberal Anesthesia Consultants LLC
• Liberal Diagnostics, LLC
• Liberal Family Chiropractic
• Liberal Family Chiropractic Inc
• Liberal Intensive Rehabilitation
• Liberal Med Link LLC
• Liberal SNF Op Co LLC
• Liberal Urgent Care LLC
• Liberal Usd 480

• Family Medicine Physician in Liberal, KS
• Providers in Liberal, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.