Active NPI
Kincaid Medical Associates PC
- Family Medicine Physician
- Saint Louis, MO
National Provider Identifier
1942329263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R9N99
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.