Stone Castle Family Practice LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

109547 Issued in MO

Legal business name

STONE CASTLE FAMILY PRACTICE LLC

Practice address

404 W US Highway 54
Camdenton, MO 65020-6943

Phone

(573) 317-9200

Fax

(573) 317-9202

NPI assigned

Nov 6, 2007

Last updated

Jan 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Lee Cathcart, MD

Title

Owner

Phone

(573) 317-9200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth L Derrington, M.D.

  • Family Medicine Physician
  • Gravois Mills, MO
  • NPI 1124023940
  NPD (past)

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1972783058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W US HIGHWAY 54",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650206943",
            "telephone_number": "573-317-9200",
            "fax_number": "573-317-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W US HIGHWAY 54",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650206943",
            "telephone_number": "573-317-9200",
            "fax_number": "573-317-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE CASTLE FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "CATHCART",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-317-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": "109547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Vincent Skiba, DO
• Isaac A Southwick
• Carinda Elynn Steele, ATC, LAT, PTA
• Howard Lee Stich III, DC
• Deanna Stock
• Crystal Marie Strickler, DDS
• Brian Douglas Swanson, PHYSICIAN ASSISTANT
• Teichmeier Group, LLC
• Lauren Ashley Thompson, M.S., CF-SLP
• Steven Craig Thrap, DDS

• Primary Care Clinic/Center in Camdenton, MO
• Providers in Camdenton, MO by specialty
• Primary Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.