James R. Ennis, DO

General Practice Physician · Holts Summit, MO

Individual Active NPI

NPI number 1881666865

Practice location

180 Northstar
Holts Summit, MO 65043
Phone
(573) 896-5115
Fax
(573) 896-4272

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NPI record

NPI
1881666865
Entity type
Individual (Type 1)
Enumeration date
February 3, 2006
Last updated
July 19, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X R6639 MO

Mailing address

180 Northstar
Capital Region Medical Clinic
Holts Summit, MO 65043
Phone
(573) 896-5115
Fax
(573) 896-4272

About Dr. Ennis

James R. Ennis, DO is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 180 Northstar, Holts Summit, MO 65043. The NPI number 1881666865 was assigned on February 3, 2006 and the record was last updated on July 19, 2012.

Dr. Ennis lists a license in the registry: #R6639 (MO) for General Practice Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of James R. Ennis, DO?

The NPI number is 1881666865.

What is the phone number of Dr. Ennis?

The phone number listed for the practice location is (573) 896-5115.

Where is Dr. Ennis located?

180 Northstar, Holts Summit, MO 65043.

What is the taxonomy code for Dr. Ennis?

The primary taxonomy code is 208D00000X – General Practice Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.