Our Urgent Care, Llc | |
1111 W Pearce Blvd Wentzville MO 63385-1020 | |
(252) 813-9104 | |
Not Available |
Full Name | Our Urgent Care, Llc |
---|---|
Speciality | Clinic/Center |
Location | 1111 W Pearce Blvd, Wentzville, Missouri |
Authorized Official Name and Position | Logan Mccall (PRESIDENT) |
Authorized Official Contact | 2528139104 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Our Urgent Care, Llc P O Box 795216 St Louis MO 63179 Ph: (252) 813-9104 | Our Urgent Care, Llc 1111 W Pearce Blvd Wentzville MO 63385-1020 Ph: (252) 813-9104 |
NPI Number | 1902815863 |
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Provider Enumeration Date | 08/07/2006 |
Last Update Date | 08/05/2020 |
Medicare PECOS PAC ID | 5799782496 |
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Medicare Enrollment ID | O20061020000531 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902815863 | NPI | - | NPPES |
501015002 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
Provider Name | Desh V Anand |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1154378073 PECOS PAC ID: 7113830712 Enrollment ID: I20031110000589 |
Provider Name | Thomas M Farrell |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952345969 PECOS PAC ID: 4183517923 Enrollment ID: I20040205000187 |
Provider Name | Nancy J Woods |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821031501 PECOS PAC ID: 6406849579 Enrollment ID: I20040405001493 |
Provider Name | Raj L Shivaji |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1770508160 PECOS PAC ID: 1355330457 Enrollment ID: I20040512000117 |
Provider Name | Jeanne M Hancock |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972696730 PECOS PAC ID: 9830175686 Enrollment ID: I20040624000875 |
Provider Name | Nancy S Giaimo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699719971 PECOS PAC ID: 4688622137 Enrollment ID: I20050111000639 |
Provider Name | Sivasankara R Konala |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538104229 PECOS PAC ID: 7618915992 Enrollment ID: I20050418001025 |
Provider Name | Kalugotla Shivaram |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1619959137 PECOS PAC ID: 6103850797 Enrollment ID: I20051230000100 |
Provider Name | Sudheer C Atluri |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1861417313 PECOS PAC ID: 9931114527 Enrollment ID: I20060220000424 |
Provider Name | Olexandr S Krinochkin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912971318 PECOS PAC ID: 8527074129 Enrollment ID: I20060306000274 |
Provider Name | Kathryn C Steinmann |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023000932 PECOS PAC ID: 0547227886 Enrollment ID: I20070801000188 |
Provider Name | Keith M Ratcliff |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841232386 PECOS PAC ID: 1557255221 Enrollment ID: I20091014000079 |
Provider Name | Shamim Amini |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1265486617 PECOS PAC ID: 3779586177 Enrollment ID: I20100605000176 |
Provider Name | Dana J Aronin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467639781 PECOS PAC ID: 2961532197 Enrollment ID: I20100614000621 |
Provider Name | Ameha A Hagos |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073763991 PECOS PAC ID: 2264588151 Enrollment ID: I20100618000776 |
Provider Name | Steven D Stahle |
---|---|
Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1578672341 PECOS PAC ID: 1850498585 Enrollment ID: I20101015000943 |
Provider Name | Charles T Dodson |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1689681454 PECOS PAC ID: 3375590433 Enrollment ID: I20101105000009 |
Provider Name | Alfreda Shields |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497021810 PECOS PAC ID: 7810145133 Enrollment ID: I20130114000179 |
Provider Name | Laura M Gramolino |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013358100 PECOS PAC ID: 2466686779 Enrollment ID: I20130927000362 |
Provider Name | Kristi L Ramos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205265196 PECOS PAC ID: 4486874625 Enrollment ID: I20141009002524 |
Provider Name | Megan Gibbons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558765362 PECOS PAC ID: 7810119096 Enrollment ID: I20141104002149 |
Provider Name | Maggie Duffey Lewis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023433745 PECOS PAC ID: 2062735012 Enrollment ID: I20141223000606 |
Provider Name | Jade Alexandria Holman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558750364 PECOS PAC ID: 4688986276 Enrollment ID: I20150710000913 |
Provider Name | Lacy R Loeb |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366813545 PECOS PAC ID: 2466762000 Enrollment ID: I20151110002474 |
Provider Name | Douglas M Mayo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942674254 PECOS PAC ID: 0345548608 Enrollment ID: I20160420000317 |
Provider Name | Tracy N Killian |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477903284 PECOS PAC ID: 6002108974 Enrollment ID: I20160713001763 |
Provider Name | Tavia N Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568813061 PECOS PAC ID: 7517251754 Enrollment ID: I20160810001380 |
Provider Name | Sheila Marie Struckmeyer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003360850 PECOS PAC ID: 7810284874 Enrollment ID: I20160920001241 |
Provider Name | Jennifer L Seib |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346796562 PECOS PAC ID: 4082992037 Enrollment ID: I20161026003038 |
Provider Name | Donna Jo Harmon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891238895 PECOS PAC ID: 5698057735 Enrollment ID: I20170124003196 |
Provider Name | Jillian Ethridge-brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093252777 PECOS PAC ID: 8022392349 Enrollment ID: I20170306002547 |
Provider Name | Annie Nguyen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205273059 PECOS PAC ID: 4082901384 Enrollment ID: I20170627001576 |
Provider Name | Brittany M Peterein |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316467095 PECOS PAC ID: 2062782899 Enrollment ID: I20170726003126 |
Provider Name | Jessica Lee Lester |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295247591 PECOS PAC ID: 9032476908 Enrollment ID: I20171130002551 |
Provider Name | Gale M Schlogl |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972012193 PECOS PAC ID: 6305104449 Enrollment ID: I20171220000154 |
Provider Name | Christy Ann Schulte |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598256109 PECOS PAC ID: 2062762214 Enrollment ID: I20180910000261 |
Provider Name | Marlee A Keele |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013400357 PECOS PAC ID: 5092065029 Enrollment ID: I20180912001149 |
Provider Name | James Dale Toombs |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417916222 PECOS PAC ID: 0547511289 Enrollment ID: I20180919003507 |
Provider Name | Amy Louise Wilson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477030161 PECOS PAC ID: 6002167350 Enrollment ID: I20180925003186 |
Provider Name | Malissa A Weber |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285113217 PECOS PAC ID: 6901157932 Enrollment ID: I20181001002181 |
Provider Name | Michael Kevin Lemp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063839504 PECOS PAC ID: 1052537487 Enrollment ID: I20181115000329 |
Provider Name | Adina Winter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194263392 PECOS PAC ID: 2163776519 Enrollment ID: I20181121001029 |
Provider Name | Ronald F Lopez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699767012 PECOS PAC ID: 6305852724 Enrollment ID: I20190318001961 |
Provider Name | Lauren Nicole Marshall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003373200 PECOS PAC ID: 2365784980 Enrollment ID: I20191016002122 |
Provider Name | Tracy Zelphia Shaw-reese |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285130930 PECOS PAC ID: 2062844046 Enrollment ID: I20191112003581 |
Provider Name | Ameenah Robinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912556556 PECOS PAC ID: 2567890288 Enrollment ID: I20200311002477 |
Provider Name | Denise Jacqueline Wagster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073160818 PECOS PAC ID: 3678901055 Enrollment ID: I20200318000999 |
Provider Name | Katherine Lee Marshall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174128649 PECOS PAC ID: 3375957921 Enrollment ID: I20210122001471 |
Provider Name | Natalie Michelle Barone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689183832 PECOS PAC ID: 7517341761 Enrollment ID: I20220907001960 |
Primary Care Physicians, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1603 Wentzville Pkwy, Suite 121, Wentzville, MO 63385 Phone: 636-327-6556 | |
Ria Medical, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 Creekside Office Dr., Wentzville, MO 63385 Phone: 636-639-6262 Fax: 636-639-1375 | |
Family 1st Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 Hickory Post Ct, Wentzville, MO 63385 Phone: 314-930-1255 | |
Pathways Community Behavioral Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1032 Crosswinds Ct, Wentzville, MO 63385 Phone: 636-332-8000 | |
Crider Health Center,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1032 Crosswinds Ct, Wentzville, MO 63385 Phone: 636-332-6000 Fax: 363-332-3045 | |
Compass Health, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1066 Crosswinds Ct, Wentzville, MO 63385 Phone: 844-853-8937 | |
Leah S Owens Dc Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1433 Prospect Lakes Dr, Wentzville, MO 63385 Phone: 636-544-2576 |