SOUTH COUNTY INTERNAL MEDICINE PHYSICIANS, LLC


Address: 1479 Highway 61, Suite A, Festus, MO 63028-4109
Phone: 6365796148

SOUTH COUNTY INTERNAL MEDICINE PHYSICIANS, LLC (NPI# 1134352396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134352396
Entity Type Organization
Organization Name SOUTH COUNTY INTERNAL MEDICINE PHYSICIANS, LLC
Practice Address 1479 Highway 61
Suite A
Festus
MO 63028-4109
Mailing Address 12342 Spanish Trace Dr
Maryland Heights
MO 63043-2306
Practice Telephone 6365796148
Practice Fax Number 8887566714
Mailing Telephone 3145423686
Mailing Fax Number 8887566714
Enumeration Date 2009-09-03
Last Update Date 2009-09-03
Authorized Official Name DR. RATAN K NALLAMOTHU (PHYSICIAN)
Authorized Official Telephone 6365796148
Authorized Official Credential M.D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
2009008003 MO Ambulatory Health Care Facilities

Office Location

Street Address 1479 HIGHWAY 61
SUITE A
City FESTUS
State MO
Zip Code 63028-4109

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629214572 Prosthetic and Orthotic Care Inc Prosthetic/Orthotic Supplier 1479 Highway 61, Suite D, Festus, MO 63028-4109 2008-12-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952943268 Lauryn E Morris Occupational Therapist 3657 Baptist Park Rd, Mapaville, MO 63028 2019-10-09
1912557547 Rena Robinson Technician 150 Brandon Wallace Way Suite 1014, Suite 1014, Festus, MO 63028 2019-09-16
1780232264 Cynthia L James Technician 110 Juliet Place, Festus, MO 63028 2019-08-28
1700377009 Akr Endodontics, LLC Dentist 1431 Us Hwy 61, Festus, MO 63028 2018-05-22
1962869990 Fatma Esen Antakli Nurse Practitioner Advanced Pain Centers 190 Industrial Drive, Festus, MO 63028 2016-01-21
1083088744 Megan Schomer Counselor 2675 Meyer Rd, Festus, MO 63028 2015-11-18
1043608144 Elka Follmer Physical Therapist 1349 Us Hwy 61, Festus, MO 63028 2014-12-26
1811394729 Ashley Schwendeman Physical Therapist 1403 N. Truman Blvd, Fesuts, MO 63028 2014-11-21
1073871257 Staurla Chantel Waun Counselor 10719 Buckeye Rd, Festus, MO 63028 2012-04-25
1639444086 Jeffrey Steitz Otolaryngology 1390 Us Highway 61 Ste 3100, Festus, MO 63028 2012-03-19
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356832653 Mobile Health Practitioners LLC Clinic/Center 1078 Eagle Valley Dr, Festus, MO 63028-1257 2018-05-22

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1114483468 Your Optimal Healthcare LLC Clinic/Center 300 W 4th St Ste H, Eureka, MO 63025-1839 2019-02-12
1306313051 Country Care Family Clinic, LLC Clinic/Center 3 E Cleveland Ave, Ellsinore, MO 63937 2018-10-31
1285118950 Vera Whole Health, Wa PC Clinic/Center 8350 N. Church Road, Kansas City, MO 64158 2018-09-19
1003324542 Quad/med, LLC Clinic/Center 2015 Ne Jefferson Street, Grain Valley, MO 64029 2018-01-18
1093267601 Careatc-saint Peter Clinic/Center 4601 Executive Centre Pkwy, Saint Peters, MO 63376-1683 2016-10-30
1407303480 Kerns Family Health Care LLC Clinic/Center 1335 Vilage Dr B, St. Joseph, MO 64506-2457 2016-09-07
1316491020 Wecare Tlc - Wwt Mo Family Health Center Clinic/Center 58 Weldon Pkwy, Bldg 58, Maryland Heights, MO 63043-3237 2016-08-10
1255703500 Community Hospital Association Clinic/Center 101 South Washington Street, Oregon, MO 64473 2015-10-27
1023485752 Dennis E. Robinson D.o. Clinic/Center 487 Pomme De Terre Dr., Marshfield, MO 65706 2015-08-28
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Competitor

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City FESTUS
Zip Code 63028

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Dataset Information

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.

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