NORTHWEST MISSOURI STATE – NPI #1225310204
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.

Health Care Provider Taxonomy Code for Family Medicine

NORTHWEST MISSOURI STATE is a provider located in MARYVILLE, MO. NPPES has assigned the NPI number 1225310204 to NORTHWEST MISSOURI STATE on September 15, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NORTHWEST MISSOURI STATE” is a dba name, the actual legal business name for this organization is NORTHWEST MISSOURI STATE UNIVERSITY. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Feb 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHWEST MISSOURI STATE below.

NPI Profile for
NORTHWEST MISSOURI STATE UNIVERSITY

NPI Number
1225310204
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHWEST MISSOURI STATE UNIVERSITY
Doing Business As (dba): NORTHWEST MISSOURI STATE
Primary location
800 UNIVERSITY DRIVE
MARYVILLE, MO 64468
Phone: (660) 562-1313 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MATTHEW CANNELLA
HEAD ATHLETIC TRAINER
Phone: (660) 562-1313
Updated
Certification Date
Feb 21, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
2255A2300X
- Specialist/Technologist / Athletic Trainer

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.