JOHN AMICK DO PC (NPI# 1720114705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720114705 |
| Entity Type | Organization |
| Organization Name | JOHN AMICK DO PC |
| Other Organization Name | COBBLESTONE FAMILY HEALTH |
| Practice Address |
1133 W Kansas St Liberty MO 64068 |
| Mailing Address |
Po Box 381 Liberty MO 64069-2281 |
| Practice Telephone | 8167817400 |
| Mailing Telephone | 8167817400 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2009-07-28 |
| Authorized Official Name | DR. JOHN H AMICK (SENIOR PARTNER) |
| Authorized Official Telephone | 8167817400 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 36537 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | KANSAS CITY BCBS | 20109010 | 01 |
| MO | 506107408 | 05 | |
| MO | RAILROAD MEDICARE | CH4140 | 01 |
| Other Name | Type Code |
|---|---|
| Cobblestone Family Health | Doing Business As Name - Organization |
| Street Address |
1133 W KANSAS ST |
| City | LIBERTY |
| State | MO |
| Zip Code | 64068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437128402 | John H Amick | Family Medicine | 1133 W Kansas St, Liberty, MO 64068-2281 | 2006-03-14 |
| 1619446812 | Jay Don Stevens | Nurse Practitioner | 1133 W Kansas St, Liberty, MO 64068-2281 | 2018-11-16 |
| 1023530672 | Sadia Ali | Nurse Practitioner | 1133 W Kansas St, Liberty, MO 64068-2281 | 2017-07-14 |
| 1346602695 | Cobblestone Specialty Care Inc | Family Medicine | 1133 W Kansas St, Liberty, MO 64068-2281 | 2016-03-25 |
| 1033211016 | Patricia Juanell Crain | Nurse Practitioner | 1133 W Kansas St, Liberty, MO 64068-2281 | 2006-09-01 |
| 1871562488 | John A Burroughs | Family Medicine | 1133 W Kansas St, Liberty, MO 64068-2281 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
| 1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
| 1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
| 1023438371 | Sarah E Ehlers | Social Worker | 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 | 2014-04-24 |
| 1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
| 1639593965 | Klein Dental Group LLC | Clinic/Center | 12 Westwoods Dr, Liberty, MO 64068 | 2014-02-06 |
| 1124457239 | Sarah Ehlers, Lcsw LLC | Social Worker | 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 | 2013-11-08 |
| 1134561558 | Holly Hemphill | Marriage & Family Therapist | 117 N. Water Street, Liberty, MO 64068 | 2013-07-26 |
| 1093157133 | Tina Wilma Sanborn | Marriage & Family Therapist | 1170 W. Kansas St., Liberty, MO 64068 | 2013-07-17 |
| 1609215441 | Timothy Adam Lynch | Marriage & Family Therapist | 1170 West Kansas Ave., Liberty, MO 64068 | 2013-06-14 |
| Find all providers in zip 64068 | ||||
| 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 |
|---|---|---|---|---|
| 1316595838 | Health Center of Southeast Texas | Family Medicine | 1002 Bowie St, Liberty, TX 77575-4659 | 2019-08-28 |
| 1740668326 | Elizabeth Critelli Nevshemal | Family Medicine | 1025 Aspen Dr, Liberty, MO 64068-7411 | 2015-05-14 |
| 1669818480 | Field Memorial Community Hospital | Family Medicine | 1410 Main St. East, Liberty, MS 39645-0514 | 2013-05-20 |
| 1801144977 | Phillip Eugene King | Family Medicine | 418 Lakeside Dr, Liberty, MO 64068-3440 | 2012-08-21 |
| 1124279872 | Palmetto Health | Family Medicine | 300 W. Front St, Liberty, SC 29657-1012 | 2008-09-30 |
| 1265690309 | Brandon Kyle Smith | Family Medicine | 1201 N Travis St, Liberty, TX 77575-3539 | 2008-05-27 |
| 1669654539 | The Family Doctors Office PC | Family Medicine | Westowne 3, Suite 303, Liberty, MO 64068 | 2007-12-03 |
| 1528285079 | Don Shannon Callens | Family Medicine | 720 Travis, Liberty, TX 77575-4828 | 2007-04-19 |
| 1649358649 | Karam Family Practice | Family Medicine | 10046 Old Liberty Rd, Liberty, NC 27298-8071 | 2006-11-01 |
| 1023190527 | Sheri L Dark | Family Medicine | 1409 N Travis St, Liberty, TX 77575-3137 | 2006-10-20 |
| Find all providers in LIBERTY | ||||
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| 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.