OMC BREAST CARE (NPI# 1255542700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255542700 |
| Entity Type | Organization |
| Organization Name | OMC BREAST CARE |
| Other Organization Name | OZARKS MEDICAL CENTER |
| Practice Address |
1100 N Kentucky Ave West Plains MO 65775-2029 |
| Mailing Address |
Po Box 1100 West Plains MO 65775-1100 |
| Practice Telephone | 4172579111 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PHILIP BAGBY (PRESIDENT AND CEO) |
| Authorized Official Telephone | 4172579111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 17448 | MO | Hospitals |
| Other Name | Type Code |
|---|---|
| Ozarks Medical Center | Doing Business As Name - Organization |
| Street Address |
1100 N KENTUCKY AVE |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700881851 | Visionary Imaging LLC | Radiology | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2005-06-16 |
| 1316559636 | Chandra Steed | Speech-Language Pathologist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2020-08-18 |
| 1144849845 | Danielle M Gregory | Physical Therapy Assistant | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2020-04-13 |
| 1447887708 | Cassidy Jones | Occupational Therapist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2020-03-26 |
| 1710517727 | Patrick Lynn Peck | Counselor | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2020-01-17 |
| 1699334649 | John Robert Piatt | Physician Assistant | 1100 N Kentucky Ave, West Plains, MO 65775 | 2019-06-12 |
| 1346723210 | Sarah Barnhill | Speech-Language Pathologist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2018-09-07 |
| 1306324322 | Bradyn Alexis Sharp | Speech-Language Pathologist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2018-08-01 |
| 1386120558 | Brittany Walsh | Speech-Language Pathologist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2018-07-11 |
| 1265928527 | Lindsey Nicole Butz | Physical Therapist | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2018-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
| 1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
| 1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
| 1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
| 1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
| 1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| Find all providers in zip 65775 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548429079 | Ozarks Medical Center | General Acute Care Hospital | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295274256 | St. Lukes Health System | General Acute Care Hospital | 8101 N Lawndale Ave, Unit 2a, Kansas City, MO 64119-7808 | 2017-02-22 |
| 1093265159 | Missouri Delta Medical Center | General Acute Care Hospital | 2856 Vista Ridge Pl, Jackson, MO 63755-8105 | 2016-10-12 |
| 1285082040 | Jessica Teschner | General Acute Care Hospital | 3201 Ballard Mill Dr, Columbia, MO 65203-1875 | 2016-06-01 |
| 1912368002 | Emily Daniels | General Acute Care Hospital | 1737 Redbird Cv, Saint Louis, MO 63144-1610 | 2016-03-16 |
| 1225415417 | Parkland Veterinary Services, Inc. | General Acute Care Hospital | 615 E Karsch Blvd, Farmington, MO 63640-1225 | 2015-04-27 |
| 1841698164 | Mercy Clinic East Community | General Acute Care Hospital | 1021 Darwick Ct, Saint Louis, MO 63132-2909 | 2014-12-18 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1730528662 | Barnes Jewish Hospital | General Acute Care Hospital | 4512 Cleveland Ave, Apt 12, Saint Louis, MO 63110-3318 | 2013-06-25 |
| 1366796757 | Barnes Jewish Hospital | General Acute Care Hospital | 2180 Splendor Dr, Florissant, MO 63031-2640 | 2012-11-06 |
| 1952651341 | Faisal Alasmari | General Acute Care Hospital | 13928 Reflection Drive, Reflection Cove Apartments, Apt#235, Ballwin, MO 63021 | 2012-09-13 |
| Find all providers with the same taxonomy | ||||
| City | WEST PLAINS |
| Zip Code | 65775 |
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| 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.