NPIMap

Organization Active NPI

Wellpointe Family Medical

  • Rural Health Clinic/Center
  • Marshfield, MO
National Provider Identifier
1720073638
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
WELLPOINTE FAMILY MEDICAL
Practice address
543 W Hubble Dr
Marshfield, MO 65706-1532
Phone
(417) 859-7746
Fax
(417) 859-7411
NPI assigned
Sep 16, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ward M Lawson, PHDNPI 1083619506
Title
PHD President
Phone
(417) 859-7746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 8

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

National Provider Directory

National Provider Directory
Tax ID family
Wellpointe Family Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

NPPES NPI Registry

Primary practice location

543 W Hubble Dr
Marshfield, MO 65706-1532

Mailing address

PO Box 817
Cape Girardeau, MO 63702-0817
Phone (573) 335-4715

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 26, 2009.

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1720073638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 817",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637020817",
            "telephone_number": "573-335-4715",
            "fax_number": "573-334-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 W HUBBLE DR",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657061532",
            "telephone_number": "417-859-7746",
            "fax_number": "417-859-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLPOINTE FAMILY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "WARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHD PRESIDENT",
        "authorized_official_telephone_number": "417-859-7746",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.