Organization Active NPI

Patientcare Medical LLC

  • Primary Care Clinic/Center
  • Springfield, MO
National Provider Identifier
1801075650
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
R7J81 Issued in MO
Legal business name
PATIENTCARE MEDICAL LLC
Practice address
2949 E Chestnut Expy
Springfield, MO 65802-2525
Phone
(417) 832-0078
Fax
(417) 832-1648
NPI assigned
Oct 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Authorized official

Name
Thomas Fox Landholt, M.D.NPI 1033205646
Title
Proprietor
Phone
(417) 832-0078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X R7J81 MO Primary

Addresses

Primary practice location

2949 E Chestnut Expy
Springfield, MO 65802-2525

Mailing address

2949 E Chestnut Expy
Springfield, MO 65802-2525
Phone (417) 832-0078

Other names 1

  • PatientCare Family Clinic Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1801075650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2949 E CHESTNUT EXPY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658022525",
            "telephone_number": "417-832-0078",
            "fax_number": "417-832-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 E CHESTNUT EXPY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658022525",
            "telephone_number": "417-832-0078",
            "fax_number": "417-832-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENTCARE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "LANDHOLT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "FOX",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "417-832-0078",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": "R7J81",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PatientCare Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.