Organization Active NPI

Seth Paskon M.D.

  • Internal Medicine Physician
  • Potosi, MO
National Provider Identifier
1932377678
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MDR5003 Issued in MO
Legal business name
SETH PASKON M.D.
Practice address
1 Kwan PLZ
Potosi, MO 63664-1435
Phone
(573) 438-4322
Fax
(573) 438-5363
NPI assigned
Feb 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Dr. Seth C Paskon, MD
Title
Owner
Phone
(573) 438-4322

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MDR5003 MO Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

1 Kwan PLZ
Potosi, MO 63664-1435

Mailing address

1 Kwan PLZ
Potosi, MO 63664-1435
Phone (573) 438-4322

Other identifiers 1

IdentifierTypeStateIssuer
593788508MedicaidMO

Other names 1

  • Potosi Medical Clinic Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1932377678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KWAN PLZ",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636641435",
            "telephone_number": "573-438-4322",
            "fax_number": "573-438-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KWAN PLZ",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636641435",
            "telephone_number": "573-438-4322",
            "fax_number": "573-438-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETH PASKON M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "PASKON",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-438-4322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "MDR5003",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "593788508",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Potosi Medical Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Potosi, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.