OZARKS MEDICAL CENTER (NPI# 1033456694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033456694 |
| Entity Type | Organization |
| Organization Name | OZARKS MEDICAL CENTER |
| Other Organization Name | OMC ORTHOPAEDIC CLINIC- HAND CENTER |
| Practice Address |
1111 N Kentucky Ave West Plains MO 65775-2028 |
| Mailing Address |
Po Box 1100 West Plains MO 65775-1100 |
| Practice Telephone | 4172561747 |
| Mailing Telephone | 4172561747 |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |
| Authorized Official Name | MR. DAVID ZECHMAN (PRESIDENT AND CEO) |
| Authorized Official Telephone | 4172569111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
174-52 | MO | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| OMC Orthopaedic Clinic- Hand Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1427526565 | Ozarks Medical Center | Clinic/Center | 201 West High Street, Suite 2, Willow Springs, MO 65793 | 2018-11-07 |
| 1124514476 | Ozarks Medical Center | Clinic/Center | 201 West High Street, Suite 2, Willow Springs, MO 65793 | 2018-07-10 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| 1750680146 | Ozarks Medical Center | Internal Medicine | 1115 Alaska St Ste 215, West Plains, MO 65775-2014 | 2011-03-24 |
| 1326213406 | Ozarks Medical Center | Ambulance | Hc 1 Box 31, Gainesville, MO 65655-9601 | 2008-04-29 |
| 1871768952 | Ozarks Medical Center | Ambulance | 203 Front St, Thayer, MO 65791-1220 | 2008-04-29 |
| 1679600936 | Ozarks Medical Center | Clinic/Center | 172 Hwy 62 East, Suite 1, Salem, AR 72576 | 2007-02-27 |
| 1649306002 | Ozarks Medical Center | Clinic/Center | 260 S Main Street, Mammoth Spring, AR 72554-7466 | 2007-02-27 |
| 1730215195 | Ozarks Medical Center | Clinic/Center | 1375 Nettleton Avenue, Thayer, MO 65791 | 2007-02-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OZARKS MEDICAL CENTER | 1100 Kentucky Ave, West Plains, MO 65775-2029 |
| Street Address |
1111 N KENTUCKY AVE |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775-2028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154397891 | Morgan Barrett | Radiology | 1111 N Kentucky Ave, Shaw Medical Building, West Plains, MO 65775-2028 | 2006-02-23 |
| 1003414814 | Logan Miller | Physical Therapist | 1111 N Kentucky Ave, West Plains, MO 65775-2028 | 2020-10-14 |
| 1205446705 | Holly Claire Robinson | Occupational Therapist | 1111 N Kentucky Ave, West Plains, MO 65775-2028 | 2020-08-09 |
| 1639706054 | Hannah Marie Riggs | Physical Therapy Assistant | 1111 N Kentucky Ave, West Plains, MO 65775-2028 | 2020-03-25 |
| 1023649233 | Celsie Morrow | Speech-Language Pathologist | 1111 N Kentucky Ave, West Plains, MO 65775-2028 | 2020-01-28 |
| 1760942429 | David Amador | Physical Therapist | 1111 N Kentucky Ave, West Plains, MO 65775-2028 | 2019-03-20 |
| 1699235358 | Rebekah Joy Clogston | Physical Therapist | 1111 N Kentucky Ave, West Plains, MO 65775-2028 | 2019-03-20 |
| 1013481415 | Marissa-li Garrett | Occupational Therapist | 1111 N Kentucky Ave, West Plains, MO 65775-2028 | 2019-01-18 |
| 1710459425 | James Clark Glover IIi | Physical Therapy Assistant | 1111 N Kentucky Ave, West Plains, MO 65775-2028 | 2018-12-19 |
| 1831670538 | Gillian Gabrielle Jones | Occupational Therapist | 1111 N Kentucky Ave, West Plains, MO 65775-2028 | 2018-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
| 1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
| 1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
| 1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
| 1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
| 1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| Find all providers in zip 65775 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093732521 | Richard H Gelberman | Orthopaedic Surgery | 4921 Parkview Pl Ste 6a6b, Ste 6a/6b, Saint Louis, MO 63110-1032 | 2006-07-17 |
| 1427086933 | Paul Faud Nassab | Orthopaedic Surgery | 19550 E 39th St S Ste 410, Independence, MO 64057-2307 | 2006-06-30 |
| 1861990731 | Sebastien Lalonde | Orthopaedic Surgery | 1100 Virginia Ave, Columbia, MO 65212-0001 | 2018-01-25 |
| 1932599354 | Sbkt Enterprises, LLC | Orthopaedic Surgery | 1000 Des Peres Rd, Suite 210, Saint Louis, MO 63131-2050 | 2015-01-24 |
| 1235408170 | Rockhill Orthopaedic Specialists Inc | Orthopaedic Surgery | 120 Ne Saint Lukes Blvd, Suite 200, Lees Summit, MO 64086-6000 | 2011-12-21 |
| 1386954113 | David M Brown | Orthopaedic Surgery | 14825 N Outer 40 Rd, Suite 2005, Chesterfield, MO 63017-2152 | 2010-10-14 |
| 1851621460 | Tyler Randall Krummenacher | Orthopaedic Surgery | 845 N New Ballas Ct, Suite 200, Saint Louis, MO 63141-7134 | 2010-01-04 |
| 1649508219 | Jun Yamanokuchi Matsui | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2009-11-19 |
| 1710115712 | David Micah Brogan | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2009-06-29 |
| 1780839902 | Mohamed Khalid | Orthopaedic Surgery | 1100 Virginia Ave, Columbia, MO 65212-0001 | 2008-12-02 |
| Find all providers with the same taxonomy | ||||
| City | WEST PLAINS |
| Zip Code | 65775 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.