St. Joseph Nephrology Associates, P.a.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

R9428 Issued in MO

Legal business name

ST. JOSEPH NEPHROLOGY ASSOCIATES, P.A.

Practice address

1009 W Saint Maartens Dr
Suite F
Saint Joseph, MO 64506-2963

Phone

(816) 232-8145

Fax

(816) 279-1840

NPI assigned

Jul 11, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Scott S Brown, MD

Title

President

Phone

(816) 232-8145

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1841298171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 W SAINT MAARTENS DR",
            "address_2": "SUITE F",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062963",
            "telephone_number": "816-232-8145",
            "fax_number": "816-279-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 W SAINT MAARTENS DR",
            "address_2": "SUITE F",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062963",
            "telephone_number": "816-232-8145",
            "fax_number": "816-279-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH NEPHROLOGY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-232-8145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "R9428",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "R8D62",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "MD105262",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502578909",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Joseph Chiropractic LLC
• St. Joseph Family Dental, LLC
• St. Joseph Family Dental, LLC
• St. Joseph Family Medical Clinic, Inc.
• St. Joseph Manor Health & Rehabilitation LLC
• St. Joseph School District
• St. Joseph Senior Living LLC
• St. Joseph Urology, LLC
• St. Joseph Urology,LLC
• St. Kolbe-Puckett Center for Healing Inc

• Nephrology Physician in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Nephrology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.