Freeman Neosho Physician Group | |
336 S Jefferson St Neosho MO 64850-1769 | |
(417) 347-6605 | |
Not Available |
Full Name | Freeman Neosho Physician Group |
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Speciality | Internal Medicine |
Location | 336 S Jefferson St, Neosho, Missouri |
Authorized Official Name and Position | Steven W Graddy (CFO) |
Authorized Official Contact | 4173476678 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Freeman Neosho Physician Group Po Box 3810 Joplin MO 64803-3810 Ph: (417) 347-6605 | Freeman Neosho Physician Group 336 S Jefferson St Neosho MO 64850-1769 Ph: (417) 347-6605 |
NPI Number | 1083045686 |
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Provider Enumeration Date | 12/06/2013 |
Last Update Date | 05/03/2016 |
Medicare PECOS PAC ID | 4284624552 |
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Medicare Enrollment ID | O20040729000101 |
Identifier | Type | State | Issuer |
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1083045686 | NPI | - | NPPES |
Provider Name | Kyra L Reichardt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629013271 PECOS PAC ID: 4486559481 Enrollment ID: I20031203000460 |
Provider Name | Harold D Blankenship |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003840901 PECOS PAC ID: 2567457518 Enrollment ID: I20050617000010 |
Provider Name | Frank E Tisdale |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558319152 PECOS PAC ID: 6800829847 Enrollment ID: I20050912000454 |
Provider Name | Larry G Barnes |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982653614 PECOS PAC ID: 9638169907 Enrollment ID: I20050912000723 |
Provider Name | John F Swartz |
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Provider Type | Practitioner - Cardiac Electrophysiology |
Provider Identifiers | NPI Number: 1063442572 PECOS PAC ID: 9133017809 Enrollment ID: I20060501000330 |
Provider Name | Derek W Miller |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1699706887 PECOS PAC ID: 5597778167 Enrollment ID: I20060727000006 |
Provider Name | Angela Michelle Langer |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1922149525 PECOS PAC ID: 3870694425 Enrollment ID: I20070726000079 |
Provider Name | Sandra J Tinney |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053347542 PECOS PAC ID: 5799874756 Enrollment ID: I20071129000133 |
Provider Name | Robert C Stauffer |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1265478390 PECOS PAC ID: 9931298650 Enrollment ID: I20071204000232 |
Provider Name | Bruce Akuna |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326099516 PECOS PAC ID: 0345321774 Enrollment ID: I20080111000202 |
Provider Name | John D Paulson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801077797 PECOS PAC ID: 7416014568 Enrollment ID: I20090317000620 |
Provider Name | David Baker |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1487867602 PECOS PAC ID: 7618056219 Enrollment ID: I20090916000589 |
Provider Name | Darla Denise Easter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336474659 PECOS PAC ID: 4385785518 Enrollment ID: I20100109000063 |
Provider Name | Troy Richard D'amour |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376589804 PECOS PAC ID: 7113060252 Enrollment ID: I20100211000309 |
Provider Name | Gerald W Englund |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1003878141 PECOS PAC ID: 1759413370 Enrollment ID: I20100717000253 |
Provider Name | Brady G Hesington |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1265522692 PECOS PAC ID: 7214060458 Enrollment ID: I20101206001028 |
Provider Name | Jana L Allison |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1699970459 PECOS PAC ID: 0648449900 Enrollment ID: I20110803000562 |
Provider Name | Charbel Maksoud |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1285845339 PECOS PAC ID: 9638348998 Enrollment ID: I20110803000570 |
Provider Name | Scott M Mcclintick |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1295933984 PECOS PAC ID: 5799818274 Enrollment ID: I20110803000601 |
Provider Name | Ernest S Holmes |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1316977804 PECOS PAC ID: 3173794336 Enrollment ID: I20110919000745 |
Provider Name | Philip C Slocum |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1275889826 PECOS PAC ID: 3072766658 Enrollment ID: I20130109000737 |
Provider Name | Nichole L Howe |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1790021160 PECOS PAC ID: 1254585813 Enrollment ID: I20130206000480 |
Provider Name | Trisha A George |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598104184 PECOS PAC ID: 7315188059 Enrollment ID: I20130723000759 |
Provider Name | Allison Lea Galloway |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1811143944 PECOS PAC ID: 2961646807 Enrollment ID: I20130916000729 |
Provider Name | Jason L Maxfield |
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Provider Type | Practitioner - Sleep Medicine |
Provider Identifiers | NPI Number: 1053572966 PECOS PAC ID: 8224285242 Enrollment ID: I20130919000385 |
Provider Name | Lori Ramsey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013347400 PECOS PAC ID: 6002046281 Enrollment ID: I20140310000518 |
Provider Name | Rebecca A Bender |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194141317 PECOS PAC ID: 4183847247 Enrollment ID: I20140519002235 |
Provider Name | Justin J Dillingham |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003103490 PECOS PAC ID: 0648495838 Enrollment ID: I20140701002123 |
Provider Name | Joseph Kirk Sheppard |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083901821 PECOS PAC ID: 3375760887 Enrollment ID: I20140806002606 |
Provider Name | Kevin C. Christian |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1194019968 PECOS PAC ID: 8224258686 Enrollment ID: I20150611001226 |
Provider Name | Kathleen Ott |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013465830 PECOS PAC ID: 9830477421 Enrollment ID: I20161102001766 |
Provider Name | Jessica L Verheyen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093187619 PECOS PAC ID: 3476853110 Enrollment ID: I20170210000110 |
Provider Name | Katharine Dexter Whitekiller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730642612 PECOS PAC ID: 4284967159 Enrollment ID: I20190607000761 |
Provider Name | Stephanie D Nesvold |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992366041 PECOS PAC ID: 3375870595 Enrollment ID: I20190812001443 |
Provider Name | Vickie Lynn Blevins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174184568 PECOS PAC ID: 7911234992 Enrollment ID: I20190814000897 |
Provider Name | Amy Elizabeth Marpu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790347417 PECOS PAC ID: 0042542912 Enrollment ID: I20191025000388 |
Provider Name | Barbara H Miller |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548268469 PECOS PAC ID: 9234134180 Enrollment ID: I20191101000618 |
Provider Name | Jacob Martin Edge |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013438993 PECOS PAC ID: 9931520335 Enrollment ID: I20200610000846 |
Provider Name | Adam James Field |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1811422959 PECOS PAC ID: 0446595664 Enrollment ID: I20200731002683 |
Provider Name | Megan M Carlson |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1710346762 PECOS PAC ID: 5092131219 Enrollment ID: I20200819001353 |
Provider Name | Karlin A Silvers |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1356957682 PECOS PAC ID: 4486064573 Enrollment ID: I20201030001166 |
Provider Name | Cory B Emmert |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1386173375 PECOS PAC ID: 6709139678 Enrollment ID: I20220614002421 |
Provider Name | Jonathan A Sheldon |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1144717273 PECOS PAC ID: 2567843956 Enrollment ID: I20220715002430 |
Provider Name | Vigyan V Bang |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1790199727 PECOS PAC ID: 9032590054 Enrollment ID: I20220721001230 |
Provider Name | Shelby L. Tinney-edge |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154989564 PECOS PAC ID: 2062895766 Enrollment ID: I20220812001680 |
Provider Name | Whitney L Franklin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942711544 PECOS PAC ID: 3375809064 Enrollment ID: I20220929002420 |
Provider Name | Shelby A Spangler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871219808 PECOS PAC ID: 0941678304 Enrollment ID: I20221116002386 |
Provider Name | Alisha A Gauss |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114632981 PECOS PAC ID: 6901277805 Enrollment ID: I20230131002195 |
Provider Name | Melanie Susan Akuna |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134741127 PECOS PAC ID: 2769843358 Enrollment ID: I20230728002888 |
Provider Name | Harsh Vardhan Duphare |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1598775611 PECOS PAC ID: 1456398841 Enrollment ID: I20231012001414 |
Provider Name | Deanna M Duvall |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1669084620 PECOS PAC ID: 2163870486 Enrollment ID: I20231128001234 |
Access Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2209 Oak Ridge Dr, Neosho, MO 64850 Phone: 417-451-0977 Fax: 417-451-7094 | |
Freeman Neosho Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 336 S Jefferson St, Neosho, MO 64850 Phone: 417-455-4200 | |
Free Market Physician Hospital Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4040 La Questa Dr, Neosho, MO 64850 Phone: 417-283-4953 | |
Access Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1120 Carl Sweeney Rd, Neosho, MO 64850 Phone: 417-782-6200 Fax: 417-782-6210 | |
Access Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 Wornall St, Neosho, MO 64850 Phone: 417-782-6200 Fax: 417-782-6210 | |
Access Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 N Washington St, Neosho, MO 64850 Phone: 417-782-6200 Fax: 417-782-6210 |