INTERNAL MEDICINE ASSOCIATES OF SOUTHEAST MISSOURI LLC (NPI# 1144451063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144451063 |
| Entity Type | Organization |
| Organization Name | INTERNAL MEDICINE ASSOCIATES OF SOUTHEAST MISSOURI LLC |
| Other Organization Name | PHYSICIANS PARK PRIMARY CARE |
| Practice Address |
225 Physicians Park Poplar Bluff MO 63901-3956 |
| Practice Telephone | 5737275500 |
| Practice Fax Number | 5736861315 |
| Mailing Telephone | 5737275500 |
| Mailing Fax Number | 5736861315 |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2009-07-28 |
| Authorized Official Name | MRS. CAROLYN CRITES (ADMINISTRATOR) |
| Authorized Official Telephone | 5737275500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Physicians Park Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629208848 | Internal Medicine Associates of Southeast Missouri LLC | Clinic/Center | 223 Physicians Park, Poplar Bluff, MO 63901-3956 | 2009-07-22 |
| 1629022215 | Internal Medicine Associates of Southeast Missouri LLC | Internal Medicine | 225 Physicians Park, Suite 400, Poplar Bluff, MO 63901-3956 | 2006-05-19 |
| 1598718355 | Internal Medicine Associates of Southeast Missouri LLC | Clinic/Center | 225 Physicians Park, Suite 400, Poplar Bluff, MO 63901-3956 | 2006-05-19 |
| Street Address |
225 PHYSICIANS PARK |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-3956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710965371 | Gilbert D Smith | Family Medicine | 225 Physicians Park, Suite 400, Poplar Bluff, MO 63901-3956 | 2006-01-04 |
| 1376008334 | Zachary L Ferguson | Physician Assistant | 225 Physicians Park, Poplar Bluff, MO 63901-3935 | 2019-02-04 |
| 1316486202 | Vanessa Adams | Nurse Practitioner | 225 Physicians Park, Ste 203, Poplar Bluff, MO 63901-3935 | 2017-02-13 |
| 1134589625 | Ssm Neurosciences, Inc. | Neurological Surgery | 225 Physicians Park, Suite 102, Poplar Bluff, MO 63901-3935 | 2016-02-26 |
| 1275991861 | Southern Care and Comfort In Home Agency, LLC | In Home Supportive Care | 225 Physicians Park, Suite 301, Poplar Bluff, MO 63901-3935 | 2016-02-10 |
| 1215305941 | Christian Bowers | Nurse Practitioner | 225 Physicians Park, Suites 400 & 104, Poplar Bluff, MO 63901-3935 | 2015-09-11 |
| 1730586777 | Mark Gerard Smith | Physical Therapist | 225 Physicians Park, Suite 101, Poplar Bluff, MO 63901-3956 | 2014-11-19 |
| 1689096919 | Saint Francis Medical Center | Internal Medicine | 225 Physicians Park, Ste 400, Poplar Bluff, MO 63901-3956 | 2014-01-06 |
| 1386998318 | Black River Medical Group, LLC | Surgery | 225 Physicians Park, Suite 204, Poplar Bluff, MO 63901-3956 | 2012-10-29 |
| 1609157403 | Joyce A Barklow | Nurse Practitioner | 225 Physicians Park, Suite 203, Poplar Bluff, MO 63901-3956 | 2011-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275511859 | Kneibert Clinic LLC | Clinic/Center | 2588 N Westwood Blvd, Poplar Bluff, MO 63901 | 2006-01-04 |
| 1356849616 | Heartland Women's Healthcare Mo PC | Clinic/Center | 2340 Katy Ln, Poplar Bluff, MO 63901-2300 | 2018-01-31 |
| 1457881963 | Poplar Bluff Pediatric Assoc Ll | Clinic/Center | 2210 Barron Rd, Poplar Bluff, MO 63901-1908 | 2017-06-16 |
| 1508237926 | Family Counseling Center, Inc. | Clinic/Center | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2015-10-12 |
| 1780927871 | Southeast Health Center of Stoddard County, LLC | Clinic/Center | 2002 Kanell Blvd, Poplar Bluff, MO 63901-4045 | 2013-03-27 |
| 1225380108 | Poplar Bluff Regional Medical Center, LLC | Clinic/Center | 2360 Katy Ln, Poplar Bluff, MO 63901-2300 | 2012-10-03 |
| 1881965267 | Poplar Bluff Regional Medical Center, LLC | Clinic/Center | 2588 N Westwood Blvd, Poplar Bluff, MO 63901-2535 | 2012-01-18 |
| 1376841064 | Black River Healthcare, Inc. | Clinic/Center | 1879 N Westwood Blvd, Poplar Bluff, MO 63901-2833 | 2011-03-04 |
| 1629208848 | Internal Medicine Associates of Southeast Missouri LLC | Clinic/Center | 223 Physicians Park, Poplar Bluff, MO 63901-3956 | 2009-07-22 |
| 1578517918 | Christopher R. Montgomery, Md | Clinic/Center | 2400 Lucy Lee Pkwy, Suite B, Poplar Bluff, MO 63901-2429 | 2006-05-20 |
| Find all providers in POPLAR BLUFF | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
Please comment or provide details below to improve the information on INTERNAL MEDICINE ASSOCIATES OF SOUTHEAST MISSOURI LLC.
| 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.