Windsor Family Medical Clinic Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

26D0721157 Issued in MO

Legal business name

WINDSOR FAMILY MEDICAL CLINIC INC

Practice address

114 N Main St
Windsor, MO 65360-1355

Phone

(660) 647-2111

Fax

(660) 647-2110

NPI assigned

Jun 25, 2008

Last updated

Jun 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. George E Windsor, D.O.NPI 1184625139

Title

Physician

Phone

(660) 647-2111

Specialties & licenses 1

Addresses

Other identifiers 7

Locations

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.

• George Edward Windsor, DO

  • Family Medicine Physician
  • Windsor, MO
  • NPI 1184625139
  Authorized official Same address or phone

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1780846493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 107",
            "city": "WINDSOR",
            "state": "MO",
            "postal_code": "653600107",
            "telephone_number": "660-647-2111",
            "fax_number": "660-647-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N MAIN ST",
            "city": "WINDSOR",
            "state": "MO",
            "postal_code": "653601355",
            "telephone_number": "660-647-2111",
            "fax_number": "660-647-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR FAMILY MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "WINDSOR",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "660-647-2111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": "26D0721157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00456003",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY HEALTH PARTNERS",
            "identifier": "0000328280",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCUSA",
            "identifier": "33420",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY CARE PLUS",
            "identifier": "7904",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05245011",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1184625139",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240252908",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Blake Tomlinson, M.A.
• Cozette A Toole, PSYD, LP
• Truman Valley Health Care, Inc. (Windsor Healthcare & Rehab Center)
• Robin Vogt, NP
• Windsor Ambulance District
• Windsor Rehabilitation & Health Care Center LLC
• George Edward Windsor, DO
• Rosalyn D Wisniewski, DIETITIAN
• Richard A Witte, D.O.
• Lisa Kay Yates

• Primary Care Clinic/Center in Windsor, MO
• Providers in Windsor, MO by specialty
• Primary Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.