KNEIBERT CLINIC LLC (NPI# 1225196058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225196058 |
| Entity Type | Organization |
| Organization Name | KNEIBERT CLINIC LLC |
| Other Organization Name | KNEIBERT CLINIC RADIOLOGY |
| Practice Address |
686 Lester St Poplar Bluff MO 63901 |
| Mailing Address |
Po Box 220 Poplar Bluff MO 63902 |
| Practice Telephone | 5736862411 |
| Practice Fax Number | 5736868452 |
| Mailing Telephone | 5736862411 |
| Mailing Fax Number | 5736868452 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT E CHRISTIAN (ADMINISTRATOR) |
| Authorized Official Telephone | 5737787210 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kneibert Clinic Radiology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275511859 | Kneibert Clinic LLC | Clinic/Center | 2588 N Westwood Blvd, Poplar Bluff, MO 63901 | 2006-01-04 |
| 1821240896 | Kneibert Clinic LLC | Clinic/Center | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2008-10-21 |
| 1558448688 | Kneibert Clinic LLC | Eyewear Supplier (Equipment, not the service) | 686 Lester St, Suite 101, Poplar Bluff, MO 63901-5025 | 2006-11-01 |
| 1811975436 | Kneibert Clinic LLC | Durable Medical Equipment & Medical Supplies | 686 Lester St, Poplar Bluff, MO 63901 | 2006-01-04 |
| 1386622959 | Kneibert Clinic LLC | Clinic/Center | 686 Lester St, Poplar Bluff, MO 63902 | 2006-01-04 |
| 1104804699 | Kneibert Clinic LLC | Family Medicine | 686 Lester St, Poplar Bluff, MO 63901 | 2006-01-04 |
| 1912985409 | Kneibert Clinic LLC | Clinical Medical Laboratory | 686 Lester St, Poplar Bluff, MO 63901 | 2006-01-04 |
| 1174501662 | Kneibert Clinic LLC | Clinic/Center | 686 Lester St, Poplar Bluff, MO 63901 | 2006-01-04 |
| Street Address |
686 LESTER ST |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598743122 | Jeffry T Till | Social Worker | 686 Lester St, Poplar Bluff, MO 63901 | 2006-01-04 |
| 1083181416 | Elizabeth Ann L'heureux | Nurse Practitioner | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2018-10-24 |
| 1871026005 | Saint Francis Medical Center | Nurse Practitioner | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2017-04-05 |
| 1356706378 | Saint Francis Medical Center | Psychologist | 686 Lester St, Poplar Bluff, MO 63901 | 2015-12-17 |
| 1063808145 | Jennie Mabrey | Hearing Instrument Specialist | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2015-04-15 |
| 1417379488 | Chris E Martin | Social Worker | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2014-01-10 |
| 1740592435 | Michael Dewayne Roach | Family Medicine | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2010-07-09 |
| 1205168374 | Stacey E Bruce | Social Worker | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2010-02-01 |
| 1659606713 | Jill M Mcgruder | Nurse Practitioner | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2009-10-07 |
| 1821240896 | Kneibert Clinic LLC | Clinic/Center | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2008-10-21 |
| 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 | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831155571 | Advanced Healthcare Diagnostic Services, LLC | Clinic/Center | 2002 Kanell Blvd, Suite 104, Poplar Bluff, MO 63901-4045 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336633304 | Midwest Imaging Specialists | Clinic/Center | 201 S Mount Auburn Rd Ste B, Cape Girardeau, MO 63703-4912 | 2018-06-21 |
| 1922480110 | Eric Edwin Klein | Clinic/Center | 400 Stallion Hill Ct, Chesterfield, MO 63005-4838 | 2015-06-24 |
| 1255728226 | Harry S. Truman Mvh | Clinic/Center | 132 Southampton Dr, Columbia, MO 65203-3050 | 2015-04-17 |
| 1215326574 | Walker Medical Building Mri Services, LLC | Clinic/Center | 12855 N 40 Dr Lowr Level, Saint Louis, MO 63141-8657 | 2015-01-09 |
| 1558617035 | Hi Tech Diagnostics LLC | Clinic/Center | 16502 Barrister Ln, Chesterfield, MO 63005-4602 | 2012-08-02 |
| 1386945665 | West Central Missouri Diagnostic | Clinic/Center | 1430 Thompson Blvd Ste 7, Sedalia, MO 65301-2209 | 2010-11-03 |
| 1437476900 | Pearl Imaging, LLC | Clinic/Center | 4293 Veterans Memorial Pkwy, Saint Peters, MO 63376-1657 | 2010-04-23 |
| 1659504116 | Mri Partners of Chesterfield, LLC. | Clinic/Center | 14825 North Outer Forty Road, Suite 110, Chesterfield, MO 63017-2026 | 2009-09-01 |
| 1720232192 | Elite Imaging of North County, LLC | Clinic/Center | 433 Lynn Haven Ln, Hazelwood, MO 63042-1808 | 2008-11-11 |
| 1164647657 | Ct Partners of Chesterfield, LLC | Clinic/Center | 14825 North Outer Forty Rd., Ste 110, Chesterfield, MO 63017-2026 | 2007-04-17 |
| Find all providers with the same taxonomy | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
Please comment or provide details below to improve the information on KNEIBERT CLINIC 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.