MOUNTAIN GROVE MEDICAL AND LASER CENTER INC (NPI# 1053760769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053760769 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN GROVE MEDICAL AND LASER CENTER INC |
| Practice Address |
601 N Busch Ave Mountain Grove MO 65711 |
| Mailing Address |
1003 Woodside Ave Essexville MI 48732-1234 |
| Practice Telephone | 4179266643 |
| Practice Fax Number | 4179266317 |
| Mailing Telephone | 9898927722 |
| Mailing Fax Number | 9898927455 |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2018-05-14 |
| Authorized Official Name | MR. DOYLE B HILL (OWNER) |
| Authorized Official Telephone | 4179266643 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1053760769 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972573699 | Mountain Grove Medical and Laser Center Inc | General Practice | 601 N Busch Ave, Mountain Grove, MO 65711 | 2006-01-25 |
| Street Address |
601 N BUSCH AVE |
| City | MOUNTAIN GROVE |
| State | MO |
| Zip Code | 65711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972573699 | Mountain Grove Medical and Laser Center Inc | General Practice | 601 N Busch Ave, Mountain Grove, MO 65711 | 2006-01-25 |
| 1881000198 | Sheena Kay White | Nurse Practitioner | 601 N Busch Ave, Mountain Grove, MO 65711-1415 | 2014-07-08 |
| 1386683043 | Doyle B Hill | General Practice | 601 N Busch Ave, Mountain Grove, MO 65711-1415 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912476300 | Spurling and White LLC | Nurse Practitioner | 100 W. 17th Street, Ste D, Mountain Grove, MO 65711 | 2018-11-15 |
| 1699255299 | Regional Services | Nurse Practitioner | 320 E 9th St, Mountain Grove, MO 65711 | 2018-08-14 |
| 1518342153 | Douglas County Public Health Services Group, Inc. | Clinic/Center | 1604 C. North Main Street, Mountain Grove, MO 65711 | 2015-07-24 |
| 1265754501 | Texas County Memorial Hospital | Clinic/Center | 1905 West 19th Street, Mountain Grove, MO 65711 | 2010-02-26 |
| 1376679423 | Ozarks Medical Center | Clinic/Center | 500 East 19th Street, Suite A, Mountain Grove, MO 65711 | 2007-02-25 |
| 1508917949 | Connie Armstrong | Nurse Practitioner | 1604 N. Main, Mountain Grove, MO 65711 | 2007-01-14 |
| 1659474930 | Cheryl J Bell | Nurse Practitioner | 1602-a N. Main, Mtn. Grove, MO 65711 | 2006-09-05 |
| 1114035870 | Tommy Dean Todd | Dentist | 901 North Main, Mountain Grove, MO 65711 | 2006-08-25 |
| 1376505230 | Community Hospices of America, LLC | Hospice Care, Community Based | 1602c N Main St, Mountain Grove, MO 65711 | 2006-04-05 |
| 1922634732 | Kalynn Woods | Physician Assistant | 1604 C. North Main Street, Mountain Grove, MO 65711 | 2020-03-13 |
| Find all providers in zip 65711 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972573699 | Mountain Grove Medical and Laser Center Inc | General Practice | 601 N Busch Ave, Mountain Grove, MO 65711 | 2006-01-25 |
| 1386683043 | Doyle B Hill | General Practice | 601 N Busch Ave, Mountain Grove, MO 65711-1415 | 2006-06-06 |
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|---|---|---|---|---|
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| 1437707551 | Home Docs Medical Associates, LLC | General Practice | 7584 Olive Blvd Ste 204, University City, MO 63130-1600 | 2019-09-02 |
| 1912462912 | Thomas George Brett | General Practice | 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 | 2019-02-04 |
| 1295208403 | Sme Kentucky Psc | General Practice | 5728 Pergola Dr Apt 207, Columbia, MO 65201-2897 | 2019-01-10 |
| 1821579798 | Healthy Schools Missouri LLC | General Practice | 3675 S Noland Rd Ste 200, Independence, MO 64055-3369 | 2018-08-28 |
| 1902300825 | Landmark Medical of Missouri PC | General Practice | 312 Sw Greenwich Dr # 315, Lees Summit, MO 64082-4408 | 2018-03-23 |
| 1740784214 | Bridge Integrative Medicine LLC | General Practice | 305 Nw Englewood Ct Ste 200, Kansas City, MO 64118 | 2018-03-20 |
| 1093218224 | Andrew Jason Doppelt | General Practice | 200 E Southampton Dr Ste 104, Columbia, MO 65203-3032 | 2018-03-14 |
| 1114427606 | Khrystal Robinson | General Practice | 902 E Reed St, Hayti, MO 63851-1243 | 2018-02-20 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN GROVE |
| Zip Code | 65711 |
Please comment or provide details below to improve the information on MOUNTAIN GROVE MEDICAL AND LASER CENTER INC.
| 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.