NPIMap

Organization Active NPI

Fulton Medical Center LLC

  • General Practice Physician
  • Fulton, MO
National Provider Identifier
1851706493
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
FULTON MEDICAL CENTER LLC
Practice address
850 N Hospital Dr
Suite F
Fulton, MO 65251-2535
Phone
(573) 642-5338
NPI assigned
Jun 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Authorized official

Name
Mr. Daniel R Tasset
Title
Vice Chair, Nuehealth
Phone
(913) 387-0510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

850 N Hospital Dr
Suite F
Fulton, MO 65251-2535

Mailing address

11221 Roe Ave
Suite 320
Leawood, KS 66211-1922
Phone (913) 387-0510

Other names 1

  • Fulton Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1851706493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11221 ROE AVE",
            "address_2": "SUITE 320",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111922",
            "telephone_number": "913-387-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N HOSPITAL DR",
            "address_2": "SUITE F",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512535",
            "telephone_number": "573-642-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "TASSET",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE CHAIR, NUEHEALTH",
        "authorized_official_telephone_number": "913-387-0510",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fulton Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fulton Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fulton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.