John Amick DO PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36537 Issued in MO

Legal business name

JOHN AMICK DO PC

Practice address

1133 W Kansas St
Liberty, MO 64068

Phone

(816) 781-7400

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John H Amick, D.O.

Title

Senior Partner

Phone

(816) 781-7400

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Cobblestone Family Health Doing business as

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1720114705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640692281",
            "telephone_number": "816-781-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 W KANSAS ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "64068",
            "telephone_number": "816-781-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN AMICK DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "AMICK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "816-781-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "36537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506107408",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH4140",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS CITY BCBS",
            "identifier": "20109010",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cobblestone Family Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffery D Janney LLC
• Candace A. Jeffries, PHARMD, PLPC
• Amanda Jelavich, LCSW
• Shelby Jenkins
• John a. Deakins DDS PC
• John C Parker LLC
• John L Bean DO Inc
• John William Richards OD
• Carissa Lynn Johnson
• Chelsea Dawn Johnson, M.D.

• Family Medicine Physician in Liberty, MO
• Providers in Liberty, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.