OCTAVE C MERVEILLE (NPI# 1245599976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245599976 |
| Entity Type | Individual |
| Full Name | OCTAVE C MERVEILLE |
| Credential | M.D. |
| Practice Address |
4201 S Hocker Dr Independence MO 64055-4723 |
| Mailing Address |
6500 Aberdeen Rd Mission Hills KS 66208-1821 |
| Practice Telephone | 9133840834 |
| Mailing Telephone | 9133840834 |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-05-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 33146 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
4201 S HOCKER DR |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64055-4723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144463266 | Healthback Home Health of Missouri, Inc. | Home Health | 4201 S Hocker Dr, Suite 310, Independence, MO 64055-4723 | 2009-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1295396398 | Alyson Forbes | Behavioral Analyst | 4721 S. Cliff Ave, Suite 103, Independence, MO 64055 | 2019-06-28 |
| 1427526458 | Physicians Wellness Group LLC | Family Medicine | 19045 E Valley View Parkway, Suite G, Independence, MO 64055 | 2018-11-07 |
| 1760967707 | Simone Lila Light | Behavioral Analyst | 4721 S. Cliff Ave Suite 103, Suite 103, Independence, MO 64055 | 2018-09-25 |
| 1841786183 | Ladonna Kaye Stephens | Pharmacist | 4100 Bolger Dr, Independence, MO 64055 | 2018-07-10 |
| 1568954873 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 17501 E 40 Hwy Ste 224, Independence, MO 64055 | 2018-06-01 |
| 1710488002 | Zenith Rehabilitation, LLC | Rehabilitation Practitioner | 14500 E 42nd St S Ste 240, Independence, MO 64055 | 2018-02-22 |
| 1720526924 | Ashley & Gray D.d.s.'s | Clinic/Center | 1520 E 23rd Str, Ste Q, Independence, MO 64055 | 2017-02-08 |
| 1942751045 | Mary C Younger | Counselor | 4710 S Cedar Crest Ct Ste 100, Independence, MO 64055 | 2016-10-24 |
| 1497163950 | Carolyn J Wells | Home Health Aide | 13308 E 43rd Terr S, Independence, MO 64055 | 2014-07-29 |
| Find all providers in zip 64055 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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|---|---|---|---|---|
| 1699306126 | Integrated Medicine of Ohio LLC | General Practice | 6200 Rockside Woods Blvd N Ste 100, Independence, OH 44131-2392 | 2020-02-03 |
| 1821579798 | Healthy Schools Missouri LLC | General Practice | 3675 S Noland Rd Ste 200, Independence, MO 64055-3369 | 2018-08-28 |
| 1275634859 | Gary Owen Skinner | General Practice | 18675 East 39th Street, Suite M, Independence, MO 64057-1762 | 2006-09-26 |
| 1558377341 | Thorne Medical Services, Ltd | General Practice | 139 E. Main Street, Independence, VA 24348-0766 | 2006-07-31 |
| 1154878122 | Long and Associates Pain Therapy Inc | General Practice | 19550 E 39th St S, Suite 235, Independence, MO 64057-2358 | 2016-09-07 |
| 1669897609 | Independence Medical Clinic, LLC | General Practice | 281 W 4th St, Independence, LA 70443-2386 | 2014-02-27 |
| 1427247808 | Robert L Williams, D.o.,p.c. | General Practice | 4419 S Crysler Ave, Independence, MO 64055-5948 | 2007-10-22 |
| 1477753069 | Annamay D Carlson | General Practice | 4419 S Crysler Ave, Independence, MO 64055-5948 | 2007-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305654 | Remedy Health LLC | General Practice | 37 Doctors Park Ste 3, Cape Girardeau, MO 63703-4903 | 2020-04-21 |
| 1760001598 | Md Sarefin Zaman | General Practice | 2715 W 76 Country Blvd Ste 103, Branson, MO 65616-2344 | 2020-04-12 |
| 1437707551 | Home Docs Medical Associates, LLC | General Practice | 7584 Olive Blvd Ste 204, University City, MO 63130-1600 | 2019-09-02 |
| 1912462912 | Thomas George Brett | General Practice | 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 | 2019-02-04 |
| 1295208403 | Sme Kentucky Psc | General Practice | 5728 Pergola Dr Apt 207, Columbia, MO 65201-2897 | 2019-01-10 |
| 1902300825 | Landmark Medical of Missouri PC | General Practice | 312 Sw Greenwich Dr # 315, Lees Summit, MO 64082-4408 | 2018-03-23 |
| 1740784214 | Bridge Integrative Medicine LLC | General Practice | 305 Nw Englewood Ct Ste 200, Kansas City, MO 64118 | 2018-03-20 |
| 1093218224 | Andrew Jason Doppelt | General Practice | 200 E Southampton Dr Ste 104, Columbia, MO 65203-3032 | 2018-03-14 |
| 1114427606 | Khrystal Robinson | General Practice | 902 E Reed St, Hayti, MO 63851-1243 | 2018-02-20 |
| 1235648551 | Robert Calaluce | General Practice | 140 Walter Williams Hall, Columbia, MO 65211-1200 | 2017-09-29 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 64055 |
Please comment or provide details below to improve the information on OCTAVE C MERVEILLE.
| 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.