SAINT FRANCIS MEDICAL CENTER (NPI# 1063945293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063945293 |
| Entity Type | Organization |
| Organization Name | SAINT FRANCIS MEDICAL CENTER |
| Other Organization Name | IMMEDIATE CONVENIENT CARE |
| Practice Address |
1702 N Kingshighway St Cape Girardeau MO 63701-2122 |
| Mailing Address |
Po Box 801143 Kansas City MO 64180-1143 |
| Practice Telephone | 5733392000 |
| Practice Fax Number | 5733391876 |
| Mailing Telephone | 5733313000 |
| Mailing Fax Number | 5733315073 |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2018-05-09 |
| Authorized Official Name | RENEE C WILKERSON (CREDENTIALING) |
| Authorized Official Telephone | 5733315583 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Immediate Convenient Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023574365 | Saint Francis Medical Center | Pediatrics | 2210 Barron Rd Ste 120, Poplar Bluff, MO 63901-1908 | 2019-02-12 |
| 1053844282 | Saint Francis Medical Center | Obstetrics & Gynecology | Rr 4 #4515, Piedmont, MO 63957-9417 | 2017-04-05 |
| 1023541265 | Saint Francis Medical Center | Family Medicine | 1212 Saint Francis Dr, Dexter, MO 63841-2769 | 2017-04-05 |
| 1366831943 | Saint Francis Medical Center | Family Medicine | 1212 Saint Francis Drive, Dexter, MO 63841-1212 | 2015-01-20 |
| 1457757767 | Saint Francis Medical Center | Family Medicine | 420 Piedmont Ave, Piedmont, MO 63957-1024 | 2014-11-13 |
| 1518372481 | Saint Francis Medical Center | Advanced Practice Midwife | 1702 N Kings Highway St, Cape Girardeau, MO 63701-2122 | 2014-06-30 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1932454956 | Saint Francis Medical Center | Family Medicine | 545 Broad Ridge, Jackson, MO 63755-3001 | 2012-07-16 |
| 1861711640 | Saint Francis Medical Center | Licensed Practical Nurse | 1300 W Commerce Dr, Ste 200, Peoria, IL 61615-1405 | 2010-05-19 |
| 1528198942 | Saint Francis Medical Center | Emergency Medicine | 211 St Francid Dr, Cape Girardeau, MO 63703 | 2007-03-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAINT FRANCIS MEDICAL CENTER | 2620 W Faidley Ave, Grand Island, NE 68803-4205 |
| Street Address |
1702 N KINGSHIGHWAY ST |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63701-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215938568 | Lori G Kolwyck | Social Worker | 1702 N Kingshighway St, Cape Girardeau, MO 63701-2122 | 2005-08-09 |
| 1114438447 | Natelie Rachelle Frazier-cook | Nurse Practitioner | 1702 N Kingshighway St, Cape Girardeau, MO 63701-2122 | 2017-10-13 |
| 1477882298 | Bevin C Guth | Nurse Practitioner | 1702 N Kingshighway St, Cape Girardeau, MO 63701-2122 | 2009-12-08 |
| 1164750964 | Immediate Convenient Care LLC | Family Medicine | 1702 N Kingshighway St, Cape Girardeau, MO 63701-2122 | 2009-12-07 |
| 1952564619 | Damian R Dyer | Preventive Medicine | 1702 N Kingshighway St, Cape Girardeau, MO 63701-2122 | 2008-07-02 |
| 1881724870 | Hoff Medical Clinic, P.C. | Family Medicine | 1702 N Kingshighway St, Cape Girardeau, MO 63701-2122 | 2007-03-07 |
| 1356476683 | Ronald L Robinson | Emergency Medicine | 1702 N Kingshighway St, Cape Girardeau, MO 63701-2122 | 2007-02-23 |
| 1154463057 | Immediate Healthcare, Inc. | Family Medicine | 1702 N Kingshighway St, Cape Girardeau, MO 63701-2122 | 2007-02-14 |
| 1639252968 | Immediate Healthcare Kings Highway | Non-Pharmacy Dispensing Site | 1702 N Kingshighway St, Cape Girardeau, MO 63701-2122 | 2006-10-23 |
| 1407829716 | Bobbi J Palmer | Nurse Practitioner | 1702 N Kingshighway St, Cape Girardeau, MO 63701-2122 | 2006-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1972079580 | Savannah Laine Menard | Behavior Technician | 20 S. Sprigg St, Cape Girardeau, MO 63701 | 2018-10-22 |
| 1932690377 | Broadway Specialty, LLC | Pharmacy | 706 Broadway St, Cape Girardeau, MO 63701 | 2018-05-22 |
| 1356864649 | Terri L. Mccord | Pharmacist | 4170 Connor Dr, Cape Girardeau, MO 63701 | 2017-07-19 |
| 1013459312 | Christina Cossou | Nurse Practitioner | 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 | 2016-11-17 |
| 1124573365 | Ashley Sullivan | Massage Therapist | 3041 Melrose Ave, Cape Girardeau, MO 63701 | 2016-08-17 |
| 1225432172 | Axpm - Merkley, LLC | Dentist | 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 | 2014-10-21 |
| 1639573397 | Marian Perez Hurt | Physical Therapist | 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 | 2014-10-09 |
| 1891194213 | Deanna Abner | Case Manager/Care Coordinator | 20 South Sprigg, Cape Girardeau, MO 63701 | 2014-08-21 |
| 1831506880 | Kwadwo O Britwum | Behavioral Analyst | Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 | 2014-07-22 |
| Find all providers in zip 63701 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013542828 | Johns Healthcare Services LLC | Family Medicine | 2001 Independence St Ste A, Cape Girardeau, MO 63703-5805 | 2020-03-12 |
| 1326503376 | Ebo Md LLC | Family Medicine | 1417 N Mount Auburn Rd Ste A, Cape Girardeau, MO 63701-2171 | 2019-02-04 |
| 1780943753 | Jessica Leanne Cox | Family Medicine | 817 S Mount Auburn Rd # 100, Cape Girardeau, MO 63703-6383 | 2012-05-11 |
| 1306133129 | Andrew J Lawrence | Family Medicine | 1723 Broadway St Ste 315, Cape Girardeau, MO 63701-4556 | 2011-06-30 |
| 1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
| 1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
| 1679766406 | Byron Cornelius Glenn | Family Medicine | 1353 N Mount Auburn Rd, Suite B, Cape Girardeau, MO 63701-1723 | 2007-08-24 |
| 1356473797 | Kenneth A Decoursey | Family Medicine | 1723 Broadway, Suite 120, Cape Girardeau, MO 63701 | 2007-03-12 |
| 1225171804 | Charity Beth Sandvos | Family Medicine | 817 S Mount Auburn Rd Ste 100, Cape Girardeau, MO 63703-6383 | 2007-02-14 |
| 1497765994 | Charles J. Lastrapes, D.o., LLC | Family Medicine | 937 Broadway St, Suite 203, Cape Girardeau, MO 63701-5493 | 2006-08-08 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
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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.