Organization Active NPI

Holistic Family Medicine and Obstetrics LLC

  • Primary Care Clinic/Center
  • Marshall, MO
National Provider Identifier
1780149336
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HOLISTIC FAMILY MEDICINE AND OBSTETRICS LLC
Practice address
102 E Washington St
Marshall, MO 65340-2146
Phone
(660) 333-3762
Fax
(877) 975-1284
NPI assigned
Feb 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Authorized official

Name
James Tyler Merchant, DO
Title
Manager
Phone
(660) 333-3762

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

102 E Washington St
Marshall, MO 65340-2146

Mailing address

102 E Washington St
Marshall, MO 65340-2146
Phone (660) 333-3762

National Provider Directory

National Provider Directory

Locations

102 E Washington St
Marshall, MO 65340
Phone (660) 333-3762

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1780149336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E WASHINGTON ST",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653402146",
            "telephone_number": "660-333-3762",
            "fax_number": "877-975-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E WASHINGTON ST",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653402146",
            "telephone_number": "660-333-3762",
            "fax_number": "877-975-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC FAMILY MEDICINE AND OBSTETRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-07",
        "last_updated": "2022-02-22",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "MERCHANT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "660-333-3762",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.