McPherson Medical & Diagnostic LLC
Organization Active NPI Clinic/Center · Macon, MO
NPI 1750110193 · NPPES record last updated Aug 1, 2024
Key facts
- NPI
- 1750110193
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- MCPHERSON MEDICAL & DIAGNOSTIC LLC
- Practice address
- 307 McKay St
Macon, MO 63552-2029 - Phone
- (660) 385-3141
- Fax
- (660) 385-5866
- NPI assigned
- Aug 1, 2024
- Organization subpart
- No
Authorized official
- Name
- Abdullah Arshad
- Title
- Ceo
- Phone
- (573) 724-0083
Other NPIs on the same Medicare enrollment 23
Corporate family (same tax ID) 36
Practitioners 2
-
James L Deline, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061201000167 | MO | Part B Supplier - Clinic/Group Practice | 5698773539 |
Receives reassigned benefits from 116 practitioners 23 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kennett, MO; Macon, MO; Malden, MO; Saint Louis, MO; Saint Peters, MO; Scott City, MO; Steele, MO; Moberly, MO… |
National Provider Directory
- Tax ID family
- McPherson Medical Diagnostic LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
307 McKay St
Macon, MO 63552-2029
Mailing address
216 W Main St
Steele, MO 63877-1436
Other names
- American Medical Missouri
Other providers in Macon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.