Active NPI
Medstop One Diagnostics LLC
- General Practice Physician
- Cape Girardeau, MO
National Provider Identifier
1871893743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- MEDSTOP ONE DIAGNOSTICS LLC
- Practice address
- 3065 William St
Ste 211
Cape Girardeau, MO 63703-6393 - Phone
- (573) 335-4100
- Fax
- (573) 339-7887
- NPI assigned
- Oct 26, 2010
- Last updated
- Oct 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacey L Gallaher
- Title
- Billing
- Phone
- (573) 335-1779
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
3065 William St
Ste 211
Cape Girardeau, MO 63703-6393
Mailing address
PO Box 1623
Cape Girardeau, MO 63702-1623
Phone (573) 335-1779
National Provider Directory
National Provider DirectoryLocations
3065 William St
Ste 211
Cpe Girardeau, MO 63703
Phone (573) 335-1779
Practitioners & affiliated clinicians
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.
-
- Adult Health Nurse Practitioner
- Cape Girardeau, MO
- NPI 1366497604
-
- Family Medicine Physician
- Cape Girardeau, MO
- NPI 1386732196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602028800000",
"number": "1871893743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1623",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637021623",
"telephone_number": "573-335-1779",
"fax_number": "573-335-1772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3065 WILLIAM ST",
"address_2": "STE 211",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637036393",
"telephone_number": "573-335-4100",
"fax_number": "573-339-7887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDSTOP ONE DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-26",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A",
"authorized_official_last_name": "GALLAHER",
"authorized_official_first_name": "STACEY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "BILLING",
"authorized_official_telephone_number": "573-335-1779"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.