NPIMap

Organization Active NPI

Pike Medical Clinic, Inc

  • Family Medicine Physician
  • Louisiana, MO
National Provider Identifier
1740280767
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R5C36 Issued in MO
Legal business name
PIKE MEDICAL CLINIC, INC
Practice address
211 S 3Rd St
Louisiana, MO 63353-2000
Phone
(573) 754-5555
Fax
(573) 754-4077
NPI assigned
Aug 1, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jan F Onik, DONPI 1982604930
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X R5C36 MO Primary

Addresses

Primary practice location

211 S 3Rd St
Louisiana, MO 63353-2000

Mailing address

211 S 3Rd St
Louisiana, MO 63353-2000
Phone (573) 754-5555

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740280767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S 3RD ST",
            "city": "LOUISIANA",
            "state": "MO",
            "postal_code": "633532000",
            "telephone_number": "573-754-5555",
            "fax_number": "573-754-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S 3RD ST",
            "city": "LOUISIANA",
            "state": "MO",
            "postal_code": "633532000",
            "telephone_number": "573-754-5555",
            "fax_number": "573-754-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-01",
        "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 Louisiana, MO

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.

Verify at the official NPI Registry.