Mediscan, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MEDISCAN, LLC

Practice address

111 N Missouri St
Jackson, MO 63755-1831

Phone

(573) 755-0282

Fax

(573) 755-0338

NPI assigned

Jun 25, 2014

Last updated

Jun 25, 2014By 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

Jamie McCoy

Title

Manager

Phone

(573) 755-0282

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1851706188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N MISSOURI ST",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637551831",
            "telephone_number": "573-755-0282",
            "fax_number": "573-755-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N MISSOURI ST",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637551831",
            "telephone_number": "573-755-0282",
            "fax_number": "573-755-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDISCAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "573-755-0282"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E F McDonald Jr., OD
• Nicole Rae McDonald, BCBA, LBA
• Alexandrea Margaret McGahey
• McIntosh Spine and Joint, LLC
• Stuart McIntosh, D.C.
• Mercy Pharmacy Services, LLC (Mercy Pharmacy Jackson)
• Elizabeth Keith Merideth, M.A. CCC-SLP/L
• Crista J Merriman, APRN
• Bryn Elizabeth Meyr
• Addison Mae Middleton, FNP

• Health Service Clinic/Center in Jackson, MO
• Providers in Jackson, MO by specialty
• Health Service Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.