Active NPI
McPherson Medical & Diagnostic LLC
- Clinic/Center
- Hayti, MO
National Provider Identifier
1821827452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MCPHERSON MEDICAL & DIAGNOSTIC LLC
- Practice address
- 907 E Reed St
Hayti, MO 63851-1242 - Phone
- (573) 359-3230
- Fax
- (573) 312-3732
- NPI assigned
- Jul 31, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abdullah Arshad
- Title
- Owner
- Phone
- (573) 724-0083
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
907 E Reed St
Hayti, MO 63851-1242
Mailing address
216 W Main St
Steele, MO 63877-1436
Phone (573) 359-3230
Other names 1
- American Medical Missouri LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| 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… |
Other NPIs on the same Medicare enrollment 23
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- McPherson Medical Diagnostic LLC
Other organizations with this tax ID 36
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
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- NPI 1023871571
-
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- Kennett, MO
- NPI 1144041526
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- NPI 1194408054
-
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- NPI 1235917410
-
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- Florissant, MO
- NPI 1417731159
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- Saint Louis, MO
- NPI 1467233544
-
- Clinic/Center
- Saint Peters, MO
- NPI 1487337341
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- Clinic/Center
- Saint Louis, MO
- NPI 1629751581
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- Clinic/Center
- Carthage, MO
- NPI 1700569332
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- Clinic/Center
- Carthage, MO
- NPI 1700569670
-
- Clinic/Center
- Macon, MO
- NPI 1750110193
-
- Rural Health Clinic/Center
- Scott City, MO
- NPI 1790502086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722384000000",
"number": "1821827452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 W MAIN ST",
"city": "STEELE",
"state": "MO",
"postal_code": "638771436",
"telephone_number": "573-359-3230",
"fax_number": "573-312-3732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 E REED ST",
"city": "HAYTI",
"state": "MO",
"postal_code": "638511242",
"telephone_number": "573-359-3230",
"fax_number": "573-312-3732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCPHERSON MEDICAL & DIAGNOSTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-31",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A",
"authorized_official_last_name": "ARSHAD",
"authorized_official_first_name": "ABDULLAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "573-724-0083"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "American Medical Missouri LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hayti, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.