NPIMap

Organization Active NPI

Audrain Health Care, Inc.

Doing business as Mexico Internal Medicine

  • Internal Medicine Physician
  • Mexico, MO
National Provider Identifier
1962698134
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD31094 Issued in MO
Legal business name
AUDRAIN HEALTH CARE, INC.
Doing business as
Mexico Internal Medicine
Practice address
600 Medical Park Dr
Mexico, MO 65265-3724
Phone
(573) 581-8500
Fax
(573) 581-5397
NPI assigned
Sep 20, 2007
Last updated
Jan 31, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
AUDRAIN HEALTH CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Authorized official

Name
Mr. Dave Neuendorf
Title
President/Ceo
Phone
(573) 582-8108

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD31094 MO Primary
Internal Medicine Physician 207R00000X 2001014673 MO
Pulmonary Disease Physician 207RP1001X R9143 MO

Addresses

Primary practice location

600 Medical Park Dr
Mexico, MO 65265-3724

Mailing address

600 Medical Park Dr
Mexico, MO 65265-3724
Phone (573) 581-8500

Other names 1

  • Mexico Internal Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Audrain Health Care Inc5 organizations share this tax ID, including this one
Part of
Audrain Health Care Inc

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1962698134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MEDICAL PARK DR",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652653724",
            "telephone_number": "573-581-8500",
            "fax_number": "573-581-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MEDICAL PARK DR",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652653724",
            "telephone_number": "573-581-8500",
            "fax_number": "573-581-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDRAIN HEALTH CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AUDRAIN HEALTH CARE, INC.",
        "enumeration_date": "2007-09-20",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "NEUENDORF",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "573-582-8108",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "MD31094",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2001014673",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "R9143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mexico Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mexico, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.