FLAT CREEK ENTERPRISES, LLC (NPI# 1194908632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194908632 |
| Entity Type | Organization |
| Organization Name | FLAT CREEK ENTERPRISES, LLC |
| Practice Address |
1410 E Kearney St Suite D Springfield MO 65803-4102 |
| Mailing Address |
Po Box 8235 Springfield MO 65801-8235 |
| Practice Telephone | 4177730520 |
| Mailing Telephone | 4178645455 |
| Mailing Fax Number | 4178645781 |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2008-04-29 |
| Authorized Official Name | DR. DAVE D WEEMS (OWNER) |
| Authorized Official Telephone | 4177730520 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
114747 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RAILROAD MEDICARE | DG9102 | 01 |
| MO | 505488601 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | FLAT CREEK ENTERPRISES, LLC | 5020 Route 9w Suite 102, Newburgh, Ny 12550 |
| Street Address |
1410 E KEARNEY ST SUITE D |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65803-4102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104448216 | Kathleen Gail Newell-lewis | Registered Nurse | 2345 E. Cherokee, Springfield, MO 65803 | 2020-05-12 |
| 1285145730 | Meghan Roetto | Social Worker | 2130 N Glenstone, Springfield, MO 65803 | 2017-10-23 |
| 1346751757 | John B Lehn | Pharmacist | 2625 N Kansas Expressway, Springfield, MO 65803 | 2017-10-12 |
| 1558805754 | Bhg Xliii, LLC | Clinic/Center | 2551 W Kearney St, Springfield, MO 65803 | 2016-12-07 |
| 1962856187 | Karissa Knight | Counselor | 2438 N Cottage, Springfield, MO 65803 | 2016-04-14 |
| 1417383290 | Walgreens | Community/Behavioral Health | 1525 W Kearny, Springfield, MO 65803 | 2013-09-24 |
| 1790123479 | Sarah Fontana | Dentist | 2241 N. Glenstone Ave., Springfield, MO 65803 | 2013-06-04 |
| 1942499587 | Jeci Mora Ramos Jr. | Hearing Instrument Specialist | 2133 N Nettleton, Springfield, MO 65803 | 2007-10-19 |
| 1598891012 | Dwight Richard Daugherty | Dentist | 3016 N Kentwood, Springfield, MO 65803 | 2007-02-26 |
| 1144388224 | Bradley Douglas Graf | Dentist | 1410 E Kearney, Suite A, Springfield, MO 65803 | 2006-12-04 |
| Find all providers in zip 65803 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144474396 | St. John's Health System | Clinic/Center | 1630 E Bradford Pkwy, Suite B, Springfield, MO 65804-6513 | 2008-11-13 |
| 1609895747 | Norman Soler, M.d. | Clinic/Center | 2501 Chatham Rd Ste 300, Springfield, IL 62704-7112 | 2006-07-19 |
| 1295193803 | Terrance J. Ryan D.c., P.C. | Clinic/Center | 366 River St, Springfield, VT 05156-2242 | 2016-02-10 |
| 1457729741 | Right Choice Health Group LLC | Clinic/Center | 125 Liberty St, Suite 205, Springfield, MA 01103-1114 | 2015-09-03 |
| 1568855484 | Quest Primary Group LLC | Clinic/Center | 1176 E Home Rd, Springfield, OH 45503-2726 | 2015-03-17 |
| 1922490259 | Quest Cardiology Group | Clinic/Center | 1176 E Home Rd, Springfield, OH 45503-2726 | 2015-02-24 |
| 1346646601 | The Center for Sports Medicine | Clinic/Center | 905 W Sproul Rd, Suite 106, Springfield, PA 19064-1254 | 2014-11-14 |
| 1134491814 | Swan Urogynecology PC | Clinic/Center | 801 Hill St, Springfield, TN 37172-2951 | 2012-01-27 |
| 1811130602 | Garrison Plastic Surgery, LLC | Clinic/Center | 1530 E. Bradford Parkway, Springfield, MO 65804 | 2009-04-09 |
| 1497930689 | Strow Dermatology Ltd | Clinic/Center | 2041 W Iles Ave, Springfield, IL 62704-7005 | 2008-01-07 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65803 |
Please comment or provide details below to improve the information on FLAT CREEK ENTERPRISES, 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.