Organization Active NPI

Kincaid Medical Associates PC

  • Family Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1942329263
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R9N99 Issued in MO
Legal business name
KINCAID MEDICAL ASSOCIATES PC
Practice address
3016 Locust St
Suite 104
Saint Louis, MO 63103-1372
Phone
(314) 531-0008
Fax
(314) 531-0145
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Authorized official

Name
Dr. Rosa Kincaid, M.D.
Title
Owner
Phone
(314) 531-0008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X R9N99 MO Primary

Addresses

Primary practice location

3016 Locust St
Suite 104
Saint Louis, MO 63103-1372

Mailing address

3016 Locust St
Suite 104
Saint Louis, MO 63103-1372
Phone (314) 531-0008

National Provider Directory

National Provider Directory

Locations

3016 Locust St
Ste 104
Saint Louis, MO 63103
Phone (314) 531-0008

2284 Yale Ave
Saint Louis, MO 63143
Phone (314) 531-0008

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1942329263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 LOCUST ST",
            "address_2": "SUITE 104",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031372",
            "telephone_number": "314-531-0008",
            "fax_number": "314-531-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 LOCUST ST",
            "address_2": "SUITE 104",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031372",
            "telephone_number": "314-531-0008",
            "fax_number": "314-531-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINCAID MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "KINCAID",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-531-0008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R9N99",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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.