NPIMap

Organization Active NPI

Prompt Medical Clinic Inc

  • Acute Care Nurse Practitioner
  • Independence, MO
National Provider Identifier
1982863718
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
118012 Issued in MO
Legal business name
PROMPT MEDICAL CLINIC INC
Practice address
1325 S Noland Rd Ste C
Independence, MO 64055-1346
Phone
(816) 252-6647
Fax
(816) 252-0012
NPI assigned
Jun 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Mr. Arporn Siriwangchai
Title
Administrator
Phone
(816) 252-6647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X 118012 MO Primary

Addresses

Primary practice location

1325 S Noland Rd Ste C
Independence, MO 64055-1346

Mailing address

1325 S Noland Rd Ste C
Independence, MO 64055-1346
Phone (816) 252-6647

Other names 1

  • Mid-America Internal Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Enhanced Health and Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1982863718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S NOLAND RD STE C",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640551346",
            "telephone_number": "816-252-6647",
            "fax_number": "816-252-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S NOLAND RD STE C",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640551346",
            "telephone_number": "816-252-6647",
            "fax_number": "816-252-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMPT MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "SIRIWANGCHAI",
        "authorized_official_first_name": "ARPORN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-252-6647",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MO",
            "license": "118012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid-America Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.