Phillip Kintner MD, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

2011017279 Issued in MO

Legal business name

PHILLIP KINTNER MD, LLC

Practice address

546 Maple Valley Dr
Farmington, MO 63640-1981

Phone

(573) 664-1278

Fax

(573) 664-1118

NPI assigned

Jan 30, 2017

Last updated

Jan 30, 2017By 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

Dr. Phillip Kintner, M.D.

Title

Owner

Phone

(573) 664-1278

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14986/brand/1/csg/1/fhir/r4

Practitioners 2

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.

• Vidal T Sheen, MD

  • Vascular Surgery Physician
  • Saint Louis, MO
  • NPI 1083687859
  NPD
• Rachael Damask Brewer, FNP

  • Family Nurse Practitioner
  • Saint Louis, MO
  • NPI 1073718409
  NPD (past)

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1841737798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 MAPLE VALLEY DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401981",
            "telephone_number": "573-664-1278",
            "fax_number": "573-664-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 MAPLE VALLEY DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401981",
            "telephone_number": "573-664-1278",
            "fax_number": "573-664-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP KINTNER MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "KINTNER",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-664-1278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MO",
            "license": "2011017279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Petty, LPC
• Marsha Ann Petty, MSW
• Steven Thomas Pfister, M.A.
• Pharmingtonrx, LLC (Parkland Pharmacy)
• Pharmingtonrx, LLC (Parkland Pharmacy)
• Stephen Mark Phillips
• Ashley Nichole Philpott
• Physician Groups LC (Medical Arts Allergy Clinic)
• Physician Groups LC (Medical Arts Clinic)
• Physician Groups LC (Medical Arts Alergy Clinic)

• Medical Specialty Clinic/Center in Farmington, MO
• Providers in Farmington, MO by specialty
• Medical Specialty Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.