Advantage Medical Group LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

424928 Issued in KS

Legal business name

ADVANTAGE MEDICAL GROUP LLC

Practice address

1104 E 23Rd St
Lawrence, KS 66046-5004

Phone

(785) 749-0130

Fax

(785) 749-0132

NPI assigned

Apr 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Knox, M.D.NPI 1043212293

Title

Medical Director

Phone

(785) 749-0130

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas B Knox, M.D.

  • Family Medicine Physician
  • Atchison, KS
  • NPI 1043212293

  KS

  Medicare reassignment Care Compare group NPD Authorized official
• James T Brady, DC

  • Chiropractor
  • Lawrence, KS
  • NPI 1831142694
  Medicare reassignment Care Compare group NPD
• Jon McCormick, D.C.

  • Chiropractor
  • Lawrence, KS
  • NPI 1295913317
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1922060128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 E 23RD ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660465004",
            "telephone_number": "785-749-0130",
            "fax_number": "785-749-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 E 23RD ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660465004",
            "telephone_number": "785-749-0130",
            "fax_number": "785-749-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "785-749-0130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "BRA0103693",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "KS",
            "license": "424928",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "KS",
            "license": "0428304",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "KS",
            "license": "17903",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "KS",
            "license": "430567",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "KS",
            "license": "64063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Lawrence, KS
• General Practice Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.