Medical One Satellite Clinic – Family Medicine Physician, NPI 1104129733

Family Medicine Physician

Medical One Satellite Clinic is a healthcare provider. based in Lamar, Missouri. specializing in Family Medicine Physician. The organization holds a License No. R8N54 (MO). The NPI Number for Medical One Satellite Clinic is 1104129733

Main info

Organization

Name

Medical One Satellite Clinic

NPI

1104129733

Phone

(417) 681-0214

Address

102 W 2ND ST

Authorized Official

MS. TJ ALLEN CLINIC BUSINESS COORDINATOR

Enumeration Date

21 December 2010

Last Update Date

22 March 2011

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience49

Completeness80

Years active:15State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Medical One Satellite Clinic

102 W 2ND ST
LAMAR, MO 647591029
Phone: (417) 681-0214
Fax: (417) 681-0136
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64759)

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Reviews

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Frequently asked questions

How is Medical One Satellite Clinic identified in CMS data?

CMS-hosted NPPES data lists Medical One Satellite Clinic with NPI 1104129733.

Is Medical One Satellite Clinic listed as active for patients and plans?

The listing shows Medical One Satellite Clinic as active in the NPI system.

What taxonomy line describes Medical One Satellite Clinic?

For research purposes, treat Medical One Satellite Clinic as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.

Where should I expect Medical One Satellite Clinic on a map?

Expect Lamar, Missouri as a primary anchor for Medical One Satellite Clinic unless the record lists multiple sites.

What does 'Organization' mean on this profile?

Entity type tells you whether the number belongs to a person or an organization.