Gregorio L. Rodriguez, M.D., P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

33173 Issued in MO

Legal business name

GREGORIO L. RODRIGUEZ, M.D., P.C.

Practice address

1403 E. Marshall Street
Charleston, MO 63834

Phone

(573) 683-2327

Fax

(573) 683-2373

NPI assigned

Feb 22, 2010

Last updated

Dec 7, 2011By 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. Gregorio L. Rodriguez, M.D.NPI 1790883064

Title

President

Phone

(573) 683-6066

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Gregorio Lerma Rodriguez, M.D.

  • Internal Medicine Physician
  • Charleston, MO
  • NPI 1790883064
  Authorized official Same address or phone

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1871815597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 394",
            "address_2": "1403 E. MARSHALL STREET",
            "city": "CHARLESTON",
            "state": "MO",
            "postal_code": "63834",
            "telephone_number": "573-683-2327",
            "fax_number": "573-683-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 E. MARSHALL STREET",
            "city": "CHARLESTON",
            "state": "MO",
            "postal_code": "63834",
            "telephone_number": "573-683-2327",
            "fax_number": "573-683-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORIO L. RODRIGUEZ, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "GREGORIO",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-683-6066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "33173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200006500",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca L Crowley-Kuykendall, RD LD CNSC
• Bianca Daisy
• Amber Nikole Faire, FNP-C
• Ferguson Medical Group Rural Health Center Inc.
• Nicole Larea Gorsuch
• Jeffrey Griesemer, MD
• Myra Gunn, RD
• Courtney Hahs, PHARMD
• Judith Hahs
• Michael C Hakala, D.O.

• Family Medicine Physician in Charleston, MO
• Providers in Charleston, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.