FAMILY MEDICAL CLINIC, LLC (NPI# 1699708842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699708842 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICAL CLINIC, LLC |
| Other Organization Name | FAMILY MEDICAL CLINIC |
| Practice Address |
1700 Nw Mock Ave Blue Springs MO 64015-3118 |
| Practice Telephone | 8162240400 |
| Practice Fax Number | 8162240418 |
| Mailing Telephone | 8162240400 |
| Mailing Fax Number | 8162240418 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-02-12 |
| Authorized Official Name | RUSSELL JAY THORNTON (OWNER) |
| Authorized Official Telephone | 8162240400 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 105481 | MO | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Family Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780126904 | Family Medical Clinic, LLC | Clinic/Center | 11601 S Orange Blossom Trl, Ste 101, Orlando, FL 32837-9437 | 2016-11-07 |
| 1093257156 | Family Medical Clinic, LLC | Clinic/Center | 6512 Carrier Dr, Orlando, FL 32819-8200 | 2016-11-07 |
| 1275089369 | Family Medical Clinic, LLC | Clinic/Center | 1952 N John Young Pkwy, Kissimmee, FL 34741-3221 | 2016-08-29 |
| 1265893812 | Family Medical Clinic, LLC | Clinic/Center | 9000 Sw 137th Ave, Ste 111, Miami, FL 33186-1411 | 2016-03-10 |
| 1679913859 | Family Medical Clinic, LLC | Clinic/Center | 8180 Nw 36th St, Ste 102, Doral, FL 33166-6645 | 2013-07-02 |
| Street Address |
1700 NW MOCK AVE |
| City | BLUE SPRINGS |
| State | MO |
| Zip Code | 64015-3118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205896685 | Russell Jay Thornton | Family Medicine | 1700 Nw Mock Ave, Blue Springs, MO 64015-3118 | 2006-03-28 |
| 1841683323 | Tami Thornton | Nurse Practitioner | 1700 Nw Mock Ave, Blue Springs, MO 64015-3118 | 2015-03-09 |
| 1457303604 | Todd A Stastny Medical Associates | Family Medicine | 1700 Nw Mock Ave, Blue Springs, MO 64015-3118 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492719 | Ignite Medical Resort Independence LLC | Skilled Nursing Facility | 20511 E. Trinity Pl., Blue Springs, MO 64015 | 2020-06-24 |
| 1881004851 | Serina Sitchler | Occupational Therapy Assistant | 3980 Jackson Dr, Independence, MO 64015 | 2014-04-30 |
| 1700207099 | Usa Rental & Sales, Inc | Contractor | 1911 W. 40 Highway, Suite A, Blue Springs, MO 64015 | 2014-01-03 |
| 1629416540 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1101 Nw Woods Chapel Rd, Blue Springs, MO 64015 | 2013-06-13 |
| 1356689376 | Carl H. Dahlquist D.d.s.,llc | Dentist | 1508 N.w. Mock Ave. Ste A, Blue Springs, MO 64015 | 2013-01-25 |
| 1043560493 | Timothy A. Cox | Specialist/Technologist, Other | 808 Nw Maynard Street, Blue Springs, MO 64015 | 2012-09-13 |
| 1578847547 | Shannon J Hattey | Pharmacist | 1701 Nw 7 Hwy, Blue Springs, MO 64015 | 2011-10-07 |
| 1497937676 | Michael Ray Pardun | Chiropractor | 3650 W Hwy 40, Blue Springs, MO 64015 | 2007-11-29 |
| 1437374337 | Clinton Earl Thomas | Counselor | 1200 S. Outer Rd. Suite 330, Blue Springs, MO 64015 | 2007-04-16 |
| 1235251562 | Leigh Gilburn | Family Medicine | 5435 Sw Us Highway 40, Blue Springs, MO 64015 | 2007-04-06 |
| Find all providers in zip 64015 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255816591 | Takedria Mingo-berry | Family Medicine | 206 Nw Mock Ave Ste 201, Blue Springs, MO 64014-2530 | 2018-10-02 |
| 1235251562 | Leigh Gilburn | Family Medicine | 5435 Sw Us Highway 40, Blue Springs, MO 64015 | 2007-04-06 |
| 1558495812 | Woods Chapel Medical Group PC | Family Medicine | 1523 Sw 7 Hwy, Blue Springs, MO 64015 | 2007-03-16 |
| 1811060767 | Blue Springs Family Care PC | Family Medicine | 104 N. 7 Highway, Suite B, Blue Springs, MO 64014-7276 | 2006-11-16 |
| 1710056411 | Dorland Alfred Deshong | Family Medicine | 1208 Nw 6th Terrace, Blue Springs, MO 64014-2200 | 2006-11-07 |
| 1346253580 | Jon Robert Mattson | Family Medicine | 3308 Thornbird St, Blue Springs, MO 64015-9644 | 2006-08-15 |
| 1275549974 | Theresa C Garcia | Family Medicine | 1416 Nw State Route 7, Blue Springs, MO 64014-2238 | 2006-08-01 |
| 1326094632 | Family Care of E. Jackson County LLC | Family Medicine | 725 Nw State Route 7 Ste B, Blue Springs, MO 64014-2426 | 2006-05-26 |
| 1750345245 | Tara A Clark | Family Medicine | 600 Ne Adams Dairy Pkwy, Blue Springs, MO 64014-5493 | 2006-04-13 |
| 1205896685 | Russell Jay Thornton | Family Medicine | 1700 Nw Mock Ave, Blue Springs, MO 64015-3118 | 2006-03-28 |
| Find all providers in BLUE SPRINGS | ||||
| City | BLUE SPRINGS |
| Zip Code | 64015 |
Please comment or provide details below to improve the information on FAMILY MEDICAL CLINIC, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.