| Parkland Health Center | |
|
1101 W Liberty St Farmington MO 63640-1921 | |
| (573) 756-6451 | |
| (573) 756-1408 |
| Full Name | Parkland Health Center |
|---|---|
| Speciality | General Practice |
| Location | 1101 W Liberty St, Farmington, Missouri |
| Authorized Official Name and Position | Annette Schnabel (PRESIDENT) |
| Authorized Official Contact | 5737608280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkland Health Center 1101 W Liberty St Farmington MO 63640-1921 Ph: (573) 756-6451 | Parkland Health Center 1101 W Liberty St Farmington MO 63640-1921 Ph: (573) 756-6451 |
| NPI Number | 1922016112 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/19/2024 |
| Medicare PECOS PAC ID | 1951219237 |
|---|---|
| Medicare Enrollment ID | O20050224000840 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922016112 | NPI | - | NPPES |
| 010638203 | Medicaid | MO | |
| 182901 | Other | HEALTH LINK | |
| 260163 | Other | MERCY MC | |
| 119 | Other | BLUE CROSS BLUE SHIELD | |
| 999681 | Other | COMMUNITY CARE PLUS | |
| 5020035 | Other | UNITED HEALTHCARE | |
| 856X8562 | Other | HEALTHCARE USA |
| Provider Name | Scott D Kirkley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972604908 PECOS PAC ID: 1153421276 Enrollment ID: I20070703000012 |
| Provider Name | Sujatha Ayyagari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922057751 PECOS PAC ID: 0648268599 Enrollment ID: I20071120000324 |
| Provider Name | Jeanne M Kornhardt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679521116 PECOS PAC ID: 2860581832 Enrollment ID: I20071129000270 |
| Provider Name | Michelle E Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467639278 PECOS PAC ID: 0840379459 Enrollment ID: I20080508000069 |
| Provider Name | Douglas W Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700018504 PECOS PAC ID: 9032256300 Enrollment ID: I20091020000371 |
| Provider Name | Kimberly Lynne Borchers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396940862 PECOS PAC ID: 9234278417 Enrollment ID: I20091201000332 |
| Provider Name | Jamesy C Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053632935 PECOS PAC ID: 4688708514 Enrollment ID: I20100813001089 |
| Provider Name | Karin L Clauss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235392648 PECOS PAC ID: 7618146416 Enrollment ID: I20110812000173 |
| Provider Name | Christine A Herrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356629430 PECOS PAC ID: 7810151768 Enrollment ID: I20120606000154 |
| Provider Name | Jonathan K Borchers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588869101 PECOS PAC ID: 3476608308 Enrollment ID: I20121214000454 |
| Provider Name | Tara Renea Wadlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346641115 PECOS PAC ID: 1850512419 Enrollment ID: I20141023001060 |
| Provider Name | Lauren Oberle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427401017 PECOS PAC ID: 5890081418 Enrollment ID: I20160908001164 |
| Provider Name | Amy L Schomer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346229010 PECOS PAC ID: 3870744873 Enrollment ID: I20160909002532 |
| Provider Name | Jennifer V Crouch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902246705 PECOS PAC ID: 9032343256 Enrollment ID: I20160912000112 |
| Provider Name | Andrea Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447612601 PECOS PAC ID: 6709173776 Enrollment ID: I20160920001414 |
| Provider Name | Tanya Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801345574 PECOS PAC ID: 6002195922 Enrollment ID: I20161117001071 |
| Provider Name | Megan D Huhman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154875169 PECOS PAC ID: 7911288634 Enrollment ID: I20170111000938 |
| Provider Name | Reshma Eugene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578948188 PECOS PAC ID: 0840509675 Enrollment ID: I20180928002381 |
| Provider Name | John David Edward Cooper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093193377 PECOS PAC ID: 9032412598 Enrollment ID: I20191018002605 |
| Provider Name | Jenna S Deken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376009456 PECOS PAC ID: 1557796737 Enrollment ID: I20200116000112 |
| Provider Name | Amy Elizabeth Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922566157 PECOS PAC ID: 5092142760 Enrollment ID: I20200219002508 |
| Provider Name | Joan Azoury |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154771715 PECOS PAC ID: 6406149582 Enrollment ID: I20200807000511 |
| Provider Name | Piyush Srivastava |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568985802 PECOS PAC ID: 2062839681 Enrollment ID: I20200827003050 |
| Provider Name | Whitney Elizabeth Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962015768 PECOS PAC ID: 3274944426 Enrollment ID: I20201119002947 |
| Provider Name | Thomas A Dear |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841610011 PECOS PAC ID: 1658794250 Enrollment ID: I20210813000391 |
| Provider Name | Lauren Gabrielle Azoury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407520166 PECOS PAC ID: 3476951641 Enrollment ID: I20211004000387 |
| Provider Name | Gabrielle Marie Plummer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093477242 PECOS PAC ID: 8224425996 Enrollment ID: I20220427001707 |
| Provider Name | Uchenne Evans Mbaraonye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629633235 PECOS PAC ID: 4789067844 Enrollment ID: I20220823000941 |
| Provider Name | Hannah M Vetter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750888350 PECOS PAC ID: 1153678495 Enrollment ID: I20220915000370 |
| Provider Name | Tia Lyann Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659090348 PECOS PAC ID: 1052788304 Enrollment ID: I20221031000826 |
| Provider Name | Hunter Elijah Wadlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073236097 PECOS PAC ID: 1254701477 Enrollment ID: I20230105000389 |
| Provider Name | Clarice L Ogden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457909376 PECOS PAC ID: 2961867015 Enrollment ID: I20230425002555 |
| Provider Name | Courtney A Bequette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669094900 PECOS PAC ID: 0941663793 Enrollment ID: I20230828002588 |
| Provider Name | Jessica Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730962622 PECOS PAC ID: 4082078456 Enrollment ID: I20230919000874 |
| Provider Name | Jenna Nephew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164116398 PECOS PAC ID: 4789042672 Enrollment ID: I20240103001908 |
| Provider Name | Cristen Mae Mckibben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174304158 PECOS PAC ID: 7618312059 Enrollment ID: I20240226002021 |
| Provider Name | Fisher Wadlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588421663 PECOS PAC ID: 1557701042 Enrollment ID: I20240501001481 |
| Provider Name | Jessica Taylor Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790540029 PECOS PAC ID: 4183064272 Enrollment ID: I20240507001565 |
Southeast Missouri Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5536 Hwy 32, Farmington, MO 63640 Phone: 573-756-5749 Fax: 573-431-5205 | |
Womack Counseling Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 503 Potosi St, Farmington, MO 63640 Phone: 573-756-1602 Fax: 573-756-1603 | |
Bjc Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple Street, Farmington, MO 63640 Phone: 573-756-5353 Fax: 573-756-4557 | |
Templar Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 E Columbia St Ste B9, Farmington, MO 63640 Phone: 573-953-3005 Fax: 844-458-8348 | |
T-k Ranch Equine Assisted Coaching Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17885 Hart Pinkston Rd, Farmington, MO 63640 Phone: 573-747-9115 Fax: 855-209-5615 | |
Bjc Behavioral Southeast Pharmacy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple St, Farmington, MO 63640 Phone: 573-756-5353 | |
Bjc Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1085 Maple St, Farmington, MO 63640 Phone: 573-756-5353 Fax: 573-756-4557 |