MERCY CLINIC JOPLIN LLC (NPI# 1043547474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043547474 |
| Entity Type | Organization |
| Organization Name | MERCY CLINIC JOPLIN LLC |
| Practice Address |
101 W Sycamore St Columbus KS 66725-1276 |
| Mailing Address |
Po Box 504944 Saint Louis MO 63150-0001 |
| Practice Telephone | 6204293636 |
| Mailing Telephone | 3144666428 |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2015-07-02 |
| Authorized Official Name | TRACY A GODFREY (PRESIDENT) |
| Authorized Official Telephone | 4175568962 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1043547474 | 05 | |
| KS | KANSAS BLUE CROSS | 1043547474 | 01 |
| KS | 200639810B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356739288 | Mercy Clinic Joplin LLC | Internal Medicine | 214 Carter St, Berryville, AR 72616-4303 | 2014-12-30 |
| 1841605029 | Mercy Clinic Joplin LLC | Radiology | 11701 Bee Cave Pkwy, Ste 213, Bee Cave, TX 78738-6466 | 2014-06-25 |
| 1689090888 | Mercy Clinic Joplin LLC | Prosthetic/Orthotic Supplier | 3126 S Jackson Ave, Ste 200, Joplin, MO 64804-2534 | 2014-03-12 |
| 1417216938 | Mercy Clinic Joplin LLC | Internal Medicine | 310 2nd Ave Sw, Miami, OK 74354-6743 | 2012-05-04 |
| 1477822567 | Mercy Clinic Joplin LLC | Anesthesiology | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2011-12-20 |
| 1215264817 | Mercy Clinic Joplin LLC | Internal Medicine | 100 Mercy Way, Joplin, MO 64804-4524 | 2009-11-03 |
| 1750618351 | Mercy Clinic Joplin LLC | Clinic/Center | 101 W Sycamore St, Columbus, KS 66725 | 2009-11-03 |
| Street Address |
101 W SYCAMORE ST |
| City | COLUMBUS |
| State | KS |
| Zip Code | 66725-1276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851356422 | James Compton | Emergency Medicine | 101 W Sycamore St, Columbus, KS 66725-1276 | 2006-04-18 |
| 1730701947 | Brice I Saunders | Registered Nurse | 101 W Sycamore St, Columbus, KS 66725-1276 | 2020-05-11 |
| 1568094662 | Community Health Center of Southeast Kansas, Inc. | Pharmacy | 101 W Sycamore St, Columbus, KS 66725-1276 | 2020-02-06 |
| 1740726660 | Tracy Southern | Nurse Practitioner | 101 W Sycamore St, Columbus, KS 66725-1276 | 2017-01-17 |
| 1356789556 | Mercy Hospital Columbus | Clinic/Center | 101 W Sycamore St, Columbus, KS 66725-1276 | 2013-06-10 |
| 1598057945 | Mercy Hospital Joplin | Hospice Care, Community Based | 101 W Sycamore St, Columbus, KS 66725-1276 | 2011-05-04 |
| 1750618351 | Mercy Clinic Joplin LLC | Clinic/Center | 101 W Sycamore St, Columbus, KS 66725 | 2009-11-03 |
| 1336333921 | William F Harrison | Family Medicine | 101 W Sycamore St, Columbus, KS 66725-1276 | 2007-08-28 |
| 1972794402 | Community Health Center of Southeast Kansas, Inc. | Clinic/Center | 101 W Sycamore St, Columbus, KS 66725-1276 | 2007-08-08 |
| 1255416558 | Benjamen Howard Williams | Family Medicine | 101 W Sycamore St, Columbus, KS 66725-1276 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205105624 | Kristin Diane Wagner | Nurse Practitioner | 915 W Maple, Columbus, KS 66725 | 2011-12-14 |
| 1275836819 | Kansas Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 217 S Kansas Ave, Columbus, KS 66725 | 2010-12-20 |
| 1801941083 | Mike Carpino Ford Mercury In | Durable Medical Equipment & Medical Supplies | Hwy 160 69 7 Jct, Columbus, KS 66725 | 2007-01-25 |
| 1780770099 | Evans Drug Inc | Pharmacy | 116 W Pine, Columbus, KS 66725 | 2006-10-05 |
| 1871829812 | Mercy Hospital Columbus | General Acute Care Hospital | 220 N Pennsylvania Ave, Columbus, KS 66725 | 2009-10-27 |
| 1598091530 | Mercy Hospital Columbus | Medicare Defined Swing Bed Unit | 220 N Pennsylvania Ave, Columbus, KS 66725 | 2009-10-27 |
| 1356437677 | Jason W Hulvey | Pharmacist | 116 W Pine, Columbus, KS 66725 | 2006-10-05 |
| 1386724995 | County of Cherokee | Public Health or Welfare | 110 East Walnut, Columbus, KS 66725-0107 | 2006-10-17 |
| 1972699296 | Evan P Mcnemar | Pharmacist | 116 W Pine, Columbus, KS 66725-0309 | 2006-10-05 |
| 1609963578 | Medicalodges, Inc. | Skilled Nursing Facility | 101 Lee Ave, Columbus, KS 66725-1021 | 2006-10-10 |
| Find all providers in zip 66725 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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|---|---|---|---|---|
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| 1699320705 | Kelly Cephas-hill | Family Medicine | 2339 Linden Ave, Columbus, OH 43211-1631 | 2019-08-06 |
| 1043877962 | 1 On 1 Staffing and Wellness Clinic | Family Medicine | 1315 Delauney Ave Ste 201-a, Columbus, GA 31901-2367 | 2019-05-27 |
| 1952893950 | Midland Medical Group, LLC | Family Medicine | 1000 Georgesville Rd, Columbus, OH 43228 | 2018-06-05 |
| 1134635105 | 138 Med | Family Medicine | 30 Lakeridge Ct, Columbus, GA 31904-1800 | 2017-12-28 |
| 1689193922 | Timothy John Moore | Family Medicine | 180 Reinhard Ave, Columbus, OH 43206-2635 | 2017-09-19 |
| 1013437532 | Mission Medical Associates, Inc. | Family Medicine | 589 Peniel Rd, Columbus, NC 28722 | 2017-06-26 |
| 1942735287 | Dean Fordham | Family Medicine | 6886 Shadybrook Trl, Columbus, GA 31904-3802 | 2017-04-24 |
| 1487188587 | Steven Hanrahan | Family Medicine | 2000 10th Ave Ste 380, Columbus, GA 31901-3709 | 2017-04-14 |
| 1962935866 | Alexandra Blood | Family Medicine | 5868 N Hamilton Rd Ste 200, Columbus, OH 43230-1328 | 2017-04-07 |
| Find all providers in COLUMBUS | ||||
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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.