Mcpherson Medical & Diagnostic, Llc | |
1207 N Douglass St Malden MO 63863-1351 | |
(573) 276-3884 | |
(573) 276-3885 |
Full Name | Mcpherson Medical & Diagnostic, Llc |
---|---|
Speciality | Clinic/Center |
Location | 1207 N Douglass St, Malden, Missouri |
Authorized Official Name and Position | Timothy William Mcpherson (OWNER) |
Authorized Official Contact | 5736952181 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mcpherson Medical & Diagnostic, Llc Po Box 12545 Belfast ME 04915-4016 Ph: (573) 276-3884 | Mcpherson Medical & Diagnostic, Llc 1207 N Douglass St Malden MO 63863-1351 Ph: (573) 276-3884 |
NPI Number | 1003407883 |
---|---|
Provider Enumeration Date | 02/03/2021 |
Last Update Date | 02/03/2021 |
Medicare PECOS PAC ID | 5698773539 |
---|---|
Medicare Enrollment ID | O20061201000167 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003407883 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Margaret C Hart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104853050 PECOS PAC ID: 6406847367 Enrollment ID: I20040519001386 |
Provider Name | Roger A Sacry |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528009529 PECOS PAC ID: 9739164021 Enrollment ID: I20040621001718 |
Provider Name | Timothy Mcpherson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245264696 PECOS PAC ID: 8123927308 Enrollment ID: I20040715000001 |
Provider Name | Jonathan L Manzer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407848971 PECOS PAC ID: 5799765178 Enrollment ID: I20040726000227 |
Provider Name | Shawn K Brunk |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558303404 PECOS PAC ID: 6406820547 Enrollment ID: I20040907000090 |
Provider Name | Andrew C Beach |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1164423935 PECOS PAC ID: 3870402324 Enrollment ID: I20041015000153 |
Provider Name | Suzanne E Alt |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811995566 PECOS PAC ID: 9931124781 Enrollment ID: I20051012000193 |
Provider Name | Babatunde Oladiran |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1972610905 PECOS PAC ID: 5092818963 Enrollment ID: I20070314000018 |
Provider Name | Akinrinola Fatoki |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346354693 PECOS PAC ID: 2062309230 Enrollment ID: I20070731000158 |
Provider Name | Abdullah Arshad |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477660637 PECOS PAC ID: 6204928328 Enrollment ID: I20070822000142 |
Provider Name | Emily Jane Garrett-pruett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952503690 PECOS PAC ID: 1254426836 Enrollment ID: I20070927000679 |
Provider Name | Michele L Callahan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609839430 PECOS PAC ID: 8022025238 Enrollment ID: I20071218000178 |
Provider Name | Michael Snyder |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1932239142 PECOS PAC ID: 7719084896 Enrollment ID: I20080114000622 |
Provider Name | Richard F Wittock |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1215943105 PECOS PAC ID: 6800849597 Enrollment ID: I20090519000219 |
Provider Name | Donet Christopher Main |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1861409625 PECOS PAC ID: 9931105079 Enrollment ID: I20100305000505 |
Provider Name | Robert D Tague |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588740369 PECOS PAC ID: 7719870922 Enrollment ID: I20100611000035 |
Provider Name | James R Probst |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1538270624 PECOS PAC ID: 7416965181 Enrollment ID: I20100817000180 |
Provider Name | Joseph Hazan |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1881786960 PECOS PAC ID: 2567630890 Enrollment ID: I20110712000752 |
Provider Name | Richard C Muckerman |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1649219569 PECOS PAC ID: 8325934490 Enrollment ID: I20111123000027 |
Provider Name | Connie L Gurley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104115153 PECOS PAC ID: 8820243249 Enrollment ID: I20130308000301 |
Provider Name | Kristin D Wagner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205105624 PECOS PAC ID: 3577721786 Enrollment ID: I20130716000621 |
Provider Name | Karen I Graham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982983771 PECOS PAC ID: 4385872373 Enrollment ID: I20140121001463 |
Provider Name | Tiffany Leeker |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1669562591 PECOS PAC ID: 4587703673 Enrollment ID: I20150218000236 |
Provider Name | Melinda Auer |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1326336314 PECOS PAC ID: 1456665249 Enrollment ID: I20150807013451 |
Provider Name | Crystal J Dyer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053861609 PECOS PAC ID: 3476832189 Enrollment ID: I20161122000054 |
Provider Name | Tiffany L Nelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225565948 PECOS PAC ID: 2961777024 Enrollment ID: I20170929001116 |
Provider Name | Babafemi Pratt |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1174773873 PECOS PAC ID: 2365695509 Enrollment ID: I20171006001374 |
Provider Name | Lea-ana R Hodges |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831632165 PECOS PAC ID: 8921365743 Enrollment ID: I20171207002181 |
Provider Name | Jeremy Hughes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699200477 PECOS PAC ID: 7618236118 Enrollment ID: I20180108002607 |
Provider Name | Mohsin T Alhaddad |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1467624619 PECOS PAC ID: 6406036201 Enrollment ID: I20180831002262 |
Provider Name | Candace Marie Kirkpatrick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437680394 PECOS PAC ID: 4183991250 Enrollment ID: I20190417002583 |
Provider Name | Laurell Conder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255992897 PECOS PAC ID: 1759612260 Enrollment ID: I20191025001820 |
Provider Name | Whitney Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780966127 PECOS PAC ID: 4981936382 Enrollment ID: I20191105001229 |
Provider Name | Chris Lee Raymer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578098570 PECOS PAC ID: 7719173103 Enrollment ID: I20191115002515 |
Provider Name | Tabitha W Chu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720629561 PECOS PAC ID: 7012349475 Enrollment ID: I20191123000067 |
Provider Name | Jody M Pryor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629602024 PECOS PAC ID: 8123459112 Enrollment ID: I20200506002997 |
Provider Name | Adrianne Nicole Simpson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255953907 PECOS PAC ID: 9537584966 Enrollment ID: I20200803001186 |
Provider Name | Evan G Mason |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1699195701 PECOS PAC ID: 5991092884 Enrollment ID: I20200812000819 |
Provider Name | Katherine E Laytham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750995759 PECOS PAC ID: 0941611818 Enrollment ID: I20201125000341 |
Provider Name | Melanie A Henry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952774275 PECOS PAC ID: 0840597852 Enrollment ID: I20210720002251 |
Provider Name | Kayla Fuller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033790159 PECOS PAC ID: 6305241100 Enrollment ID: I20210817002045 |
Provider Name | Susan Zhou |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952974172 PECOS PAC ID: 2860883956 Enrollment ID: I20211228002385 |
Provider Name | Jordan Brotz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104574334 PECOS PAC ID: 8325434491 Enrollment ID: I20220330000987 |
Provider Name | Aubri D Ashbacher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528677200 PECOS PAC ID: 1557743036 Enrollment ID: I20220729002779 |
Provider Name | Kristina Lynn Wadley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124741715 PECOS PAC ID: 9638555493 Enrollment ID: I20220930001530 |
Provider Name | Stephanie D Clark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851795595 PECOS PAC ID: 2567828346 Enrollment ID: I20230522000246 |
Provider Name | Shahzad Shah |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356528442 PECOS PAC ID: 0143386086 Enrollment ID: I20230906000209 |
Provider Name | Haley Michelle Clark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295512366 PECOS PAC ID: 5799139887 Enrollment ID: I20230922002104 |
Provider Name | Mckenzie Elizabeth Turner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962280750 PECOS PAC ID: 3678927548 Enrollment ID: I20230926003014 |
Provider Name | Emma Kathryn Wagner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851074959 PECOS PAC ID: 7618321480 Enrollment ID: I20230927002602 |
Provider Name | Carolyn Jean Herbert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386315778 PECOS PAC ID: 0648642363 Enrollment ID: I20230929001791 |
Provider Name | Shellee Flora |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871276667 PECOS PAC ID: 9335593821 Enrollment ID: I20231003000773 |
Provider Name | Faviola Marin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598136350 PECOS PAC ID: 4486000106 Enrollment ID: I20231031003364 |
Provider Name | Richard Amesquita |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1326254616 PECOS PAC ID: 5698759397 Enrollment ID: I20231108002788 |
Provider Name | Lori E Parker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801224407 PECOS PAC ID: 3375990344 Enrollment ID: I20231113002435 |
Provider Name | Megan Wood |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1407052996 PECOS PAC ID: 0244495521 Enrollment ID: I20231115003607 |
Provider Name | Catherine Nailaen Mepukori |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003514563 PECOS PAC ID: 1355798125 Enrollment ID: I20231116000167 |
Provider Name | Anna Lee Rebekah Montague |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336829035 PECOS PAC ID: 1153772173 Enrollment ID: I20240103004508 |
Provider Name | Jennifer Greene |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477162188 PECOS PAC ID: 0547646762 Enrollment ID: I20240223001670 |
Provider Name | Mario Del Frate |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1861180549 PECOS PAC ID: 8224473186 Enrollment ID: I20240301000238 |
Provider Name | Sophia Mazhou |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801657853 PECOS PAC ID: 1658717061 Enrollment ID: I20240307002972 |
Provider Name | Destinee Hope Price |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780453407 PECOS PAC ID: 9234575911 Enrollment ID: I20240316000141 |
Provider Name | Cynthia D. Hester |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1699057240 PECOS PAC ID: 9234576976 Enrollment ID: I20240318002127 |
Provider Name | Chika Ijioma |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770350811 PECOS PAC ID: 1850738931 Enrollment ID: I20240325002894 |
Provider Name | Elaine G Childs |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1205915576 PECOS PAC ID: 7315385580 Enrollment ID: I20240406000395 |
Joseph E Pehlman Family Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1207 N Douglass St, Malden, MO 63863 Phone: 573-276-3884 Fax: 573-276-3885 | |
Mercy Hospital Stoddard Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 N Douglass St, Malden, MO 63863 Phone: 573-276-2221 | |
Msh Malden Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1707 N Doulgas, Malden, MO 63863 Phone: 573-276-6488 | |
Daeoc Family Planning Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Town Sq, Malden, MO 63863 Phone: 573-276-6090 Fax: 573-276-6108 | |
Southeast Health On Wheels Mobile Van Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 N Douglass St, Malden, MO 63863 Phone: 573-748-7701 Fax: 573-748-2554 | |
Malden Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 W Broadwater Rd, Malden, MO 63863 Phone: 573-990-1002 Fax: 573-990-1284 |