Memphis Medical Services | |
450 E Sigler Ave Suite A Memphis MO 63555-1726 | |
(660) 465-2828 | |
(660) 465-2820 |
Full Name | Memphis Medical Services |
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Speciality | Clinic/Center |
Location | 450 E Sigler Ave, Memphis, Missouri |
Authorized Official Name and Position | Maricia R Dial (CEO) |
Authorized Official Contact | 6604658511 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Memphis Medical Services 450 E Sigler Ave Suite A Memphis MO 63555-1726 Ph: (660) 465-2828 | Memphis Medical Services 450 E Sigler Ave Suite A Memphis MO 63555-1726 Ph: (660) 465-2828 |
NPI Number | 1205844982 |
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Provider Enumeration Date | 08/04/2006 |
Last Update Date | 10/15/2014 |
Medicare PECOS PAC ID | 8224940366 |
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Medicare Enrollment ID | O20040923000249 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205844982 | NPI | - | NPPES |
599750205 | Medicaid | MO |
Provider Name | Elliott L Hix |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1568447464 PECOS PAC ID: 6204730633 Enrollment ID: I20031126000210 |
Provider Name | Michael O Turner |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1649233602 PECOS PAC ID: 5496747537 Enrollment ID: I20040331000303 |
Provider Name | Robert Remis |
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Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1528047974 PECOS PAC ID: 6901888247 Enrollment ID: I20040602000338 |
Provider Name | Richard M Wolkowitz |
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Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1477547461 PECOS PAC ID: 3375521123 Enrollment ID: I20040709000169 |
Provider Name | Dana P Valencia |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1902868185 PECOS PAC ID: 9830080480 Enrollment ID: I20040726000919 |
Provider Name | William H Dixon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740299759 PECOS PAC ID: 8426024837 Enrollment ID: I20040908000198 |
Provider Name | Ly T Phan |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1356430870 PECOS PAC ID: 0547288565 Enrollment ID: I20051109000014 |
Provider Name | Randall W Tobler |
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Provider Type | Practitioner - Gynecological Oncology |
Provider Identifiers | NPI Number: 1639190069 PECOS PAC ID: 0042218711 Enrollment ID: I20061114000214 |
Provider Name | Dorothy Sue Jennings |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609807551 PECOS PAC ID: 2466430327 Enrollment ID: I20070615000477 |
Provider Name | Julia E Mcnabb |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669532727 PECOS PAC ID: 2961502141 Enrollment ID: I20070717000697 |
Provider Name | Jerry White |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336359017 PECOS PAC ID: 9032296363 Enrollment ID: I20080410000235 |
Provider Name | John Bailey |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1063415354 PECOS PAC ID: 5991874745 Enrollment ID: I20080520000079 |
Provider Name | Daniel J Lamothe-jost |
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Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1689676512 PECOS PAC ID: 4385706829 Enrollment ID: I20081217000680 |
Provider Name | Raymond P Smith |
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Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1477526259 PECOS PAC ID: 3577524941 Enrollment ID: I20081222000042 |
Provider Name | Deborah A Holte |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1487687935 PECOS PAC ID: 7214988500 Enrollment ID: I20090219000268 |
Provider Name | Neil E Hoyal |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518979392 PECOS PAC ID: 1052396405 Enrollment ID: I20091029000162 |
Provider Name | Jeffrey Davis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679558589 PECOS PAC ID: 9335274240 Enrollment ID: I20100317000774 |
Provider Name | Kathleen M Weaver |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1376748491 PECOS PAC ID: 2163565904 Enrollment ID: I20100702000511 |
Provider Name | Matthew P Cormier |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831109347 PECOS PAC ID: 6901092170 Enrollment ID: I20101130000780 |
Provider Name | Lisa Marie Prather Rollison |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1417111337 PECOS PAC ID: 8527238492 Enrollment ID: I20110901000171 |
Provider Name | Jay B Nastav |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1588944011 PECOS PAC ID: 7719158443 Enrollment ID: I20110928000827 |
Provider Name | Celeste M Miller-parish |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1437169190 PECOS PAC ID: 7911174545 Enrollment ID: I20120121000128 |
Provider Name | Edward E Goetten |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1093828675 PECOS PAC ID: 4981746708 Enrollment ID: I20120420000290 |
Provider Name | Christian A Khoury |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477694867 PECOS PAC ID: 3173677101 Enrollment ID: I20120504000523 |
Provider Name | Matthew Ragsdell |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1629196811 PECOS PAC ID: 9830258649 Enrollment ID: I20121026000140 |
Provider Name | Marilyn L Day |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093894206 PECOS PAC ID: 8123268919 Enrollment ID: I20130627000526 |
Provider Name | Stephanie M Henley Pippert |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508114885 PECOS PAC ID: 2062642432 Enrollment ID: I20140304001094 |
Provider Name | Jessica R Whitman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982913141 PECOS PAC ID: 7214167527 Enrollment ID: I20140306001890 |
Provider Name | Jenna Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962818468 PECOS PAC ID: 8325268360 Enrollment ID: I20140925001687 |
Provider Name | Shane C Wilson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477808467 PECOS PAC ID: 2466779244 Enrollment ID: I20150317001211 |
Provider Name | James L Potter |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1477942159 PECOS PAC ID: 4385955178 Enrollment ID: I20150619001833 |
Provider Name | Sonya R See |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801271788 PECOS PAC ID: 9830404102 Enrollment ID: I20150814014320 |
Provider Name | Charles A Cluff |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1235494709 PECOS PAC ID: 6103132709 Enrollment ID: I20150827000850 |
Provider Name | Jessica E Christen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437526258 PECOS PAC ID: 1951618446 Enrollment ID: I20150916000822 |
Provider Name | Ken H Baxa |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386020741 PECOS PAC ID: 1557666096 Enrollment ID: I20160222002319 |
Provider Name | Crystal L Redman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740600253 PECOS PAC ID: 4587945647 Enrollment ID: I20170103001486 |
Provider Name | Teresa M Kirchner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316486293 PECOS PAC ID: 2264700137 Enrollment ID: I20170616002263 |
Provider Name | Eldon Leon Frazier |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821061375 PECOS PAC ID: 4587613153 Enrollment ID: I20171019001755 |
Provider Name | Aaron C Neisen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841686029 PECOS PAC ID: 2769784768 Enrollment ID: I20171026003543 |
Provider Name | Daniel E Schneider |
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Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1861786261 PECOS PAC ID: 0143471466 Enrollment ID: I20171026003598 |
Provider Name | Kelsey M Davis-humes |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457701419 PECOS PAC ID: 7113219031 Enrollment ID: I20171114000071 |
Provider Name | Aurora C Bell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598116196 PECOS PAC ID: 5991097594 Enrollment ID: I20190826002994 |
Provider Name | Brandi Ann White |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578188959 PECOS PAC ID: 6507288248 Enrollment ID: I20200625000580 |
Provider Name | Herman Burgermeister |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1215953492 PECOS PAC ID: 1658552120 Enrollment ID: I20210825002980 |
Provider Name | Betty L. Orange |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1437115201 PECOS PAC ID: 7719886977 Enrollment ID: I20230215002499 |
Provider Name | Nicholas J Comstock |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568032712 PECOS PAC ID: 8224402102 Enrollment ID: I20230315002151 |
Provider Name | Brenna Ashley Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447973797 PECOS PAC ID: 6406211945 Enrollment ID: I20230505000241 |
Provider Name | Elliot Deblieck |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588288435 PECOS PAC ID: 8527489988 Enrollment ID: I20230830003819 |
Provider Name | Hossain Mesbah |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316467806 PECOS PAC ID: 2961777313 Enrollment ID: I20240105000892 |
Northeast Missouri Family Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Rr 1 Box 55, Sigler Avenue, Memphis, MO 63555 Phone: 660-465-7037 Fax: 660-465-7350 | |
Memphis Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 E Sigler Ave, Suite A, Memphis, MO 63555 Phone: 660-465-2828 Fax: 660-465-2820 | |
Northeast Missouri Health Council Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 E Grand Ave, Memphis, MO 63555 Phone: 660-627-5757 |