PHYSICIAN GROUPS LC (NPI# 1285827428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285827428 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN GROUPS LC |
| Other Organization Name | SOUTHERN BOONE COUNTY FAMILY CARE |
| Practice Address |
605c Douglas Dr Ashland MO 65010-9088 |
| Mailing Address |
670 Mason Ridge Center Dr Suite 300 Saint Louis MO 63141-8573 |
| Practice Telephone | 5736579354 |
| Mailing Telephone | 3149967644 |
| Mailing Fax Number | 3149967658 |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2008-01-04 |
| Authorized Official Name | RAYMOND P DAVIDSON II (PRESIDENT) |
| Authorized Official Telephone | 3142862028 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Southern Boone County Family Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033236948 | Physician Groups Lc | Allergy & Immunology | 301 West Washington Street, Suite 5, Farmington, MO 63640-1921 | 2007-03-23 |
| 1144357278 | Physician Groups Lc | Family Medicine | 1110 Wolfrum Rd, Weldon Spring, MO 63304-7796 | 2007-02-27 |
| 1427114990 | Physician Groups Lc | Clinic/Center | 1103 W Liberty, Farmington, MO 63640-1921 | 2006-12-29 |
| 1770650020 | Physician Groups Lc | Clinic/Center | 6 Jungermann Road, Suite 108, Saint Peters, MO 63376 | 2006-11-30 |
| 1679640007 | Physician Groups Lc | Clinic/Center | 3528 Patterson Rd, Florissant, MO 63031-1311 | 2006-11-29 |
| 1285664268 | Physician Groups Lc | Clinic/Center | 670 Mason Ridge Center Dr, Suite 300, Saint Louis, MO 63141-8573 | 2006-07-04 |
| 1750562542 | Physician Groups Lc | Obstetrics & Gynecology | 1 Barnes Jewish Hospital Plz, Ste. 16312, Saint Louis, MO 63110-1003 | 2007-11-20 |
| 1790978757 | Physician Groups Lc | Internal Medicine | 2 Progress Point Ct, Suite 101c, O Fallon, MO 63368-2208 | 2007-08-23 |
| 1043403009 | Physician Groups Lc | Obstetrics & Gynecology | 70 Jungermann Cir, Suite 101, Saint Peters, MO 63376-1622 | 2007-08-23 |
| 1598958787 | Physician Groups Lc | Colon & Rectal Surgery | 11155 Dunn Rd, Ste. 312e Bldg. 1, Saint Louis, MO 63136-6150 | 2007-08-22 |
| Street Address |
605C DOUGLAS DR |
| City | ASHLAND |
| State | MO |
| Zip Code | 65010-9088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720025307 | Nathaniel G Murphey | Family Medicine | 605c Douglas Dr, Ashland, MO 65010-9088 | 2006-06-01 |
| 1699267047 | Jane Isabelle Foreman | Nurse Practitioner | 605c Douglas Dr, Ashland, MO 65010-9088 | 2018-06-01 |
| 1578803045 | Sedra Jo Ketcham | Nurse Practitioner | 605c Douglas Dr, Ashland, MO 65010-9088 | 2013-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699182956 | Marieflor Iringan Ferrell | Physical Therapist | 205 Sarah Drive, Ashland, MO 65010 | 2014-07-18 |
| 1508202888 | Kilgore Inc. | Durable Medical Equipment & Medical Supplies | 109 B Eastside Dr, Ashland, MO 65010 | 2013-05-14 |
| 1053435883 | Enjoy Great Health Chiropractic, PC | Chiropractor | 305 East Broadway, Suite C, Ashland, MO 65010 | 2007-03-19 |
| 1871511154 | Alicia M Lange | Physical Therapist | 115 East Broadway, Ashland, MO 65010 | 2006-07-17 |
| 1699755421 | Michael Corey Jones | Psychiatry & Neurology | 206 S College St, Ashland, MO 65010 | 2006-01-18 |
| 1740202829 | Cary J Calkins | Physical Therapy Assistant | 115 East Broadway, Ashland, MO 65010 | 2006-07-24 |
| 1447718929 | Natalie Bill Dowd | Chiropractor | 101 Redtail Dr Ste A, Ashland, MO 65010-1140 | 2019-03-04 |
| 1427583418 | Curators of The University of Missouri | Family Medicine | 101 Redtail Dr Ste C, Ashland, MO 65010-1140 | 2017-04-27 |
| 1437618014 | Natalie Bill Dowd, LLC | Chiropractor | 101 Redtail Dr Ste A, Ashland, MO 65010-1140 | 2019-03-13 |
| 1841428687 | The Terrace Group, Inc | Assisted Living Facility | 102 Redtail Dr, Ashland, MO 65010-1179 | 2009-07-01 |
| Find all providers in zip 65010 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217947 | Aim Wellness LLC | Family Medicine | 844 Central Avenue, Ashland, KY 41101 | 2019-07-24 |
| 1619405453 | Mount Ashland Family Practice Inc | Family Medicine | 611 Siskiyou Blvd Ste 8, Ashland, OR 97520-2151 | 2017-05-24 |
| 1427583418 | Curators of The University of Missouri | Family Medicine | 101 Redtail Dr Ste C, Ashland, MO 65010-1140 | 2017-04-27 |
| 1043611015 | Bellefonte Physician Services, Inc. | Family Medicine | 2910 Carter Ave, Ashland, KY 41101-1943 | 2014-09-10 |
| 1497980254 | Brianne Clark | Family Medicine | 709 W Oak, Ashland, KS 67831 | 2009-05-22 |
| 1922246594 | Matthew Lewis | Family Medicine | 2910 Carter Ave., Ashland, KY 41101 | 2009-02-04 |
| 1194987461 | Luke Anthony Stephens | Family Medicine | 101 Redtail Dr, Ste C, Ashland, MO 65010-1180 | 2008-06-27 |
| 1104085174 | Renee C Schroeder | Family Medicine | 213 10th Ave W, Ashland, WI 54806-1328 | 2008-06-05 |
| 1396911327 | Sanjiv Gupta M.d. P.s.c. | Family Medicine | 101 Ashland Dr, Ashland, KY 41101-7001 | 2008-04-30 |
| 1013191477 | Jerome Stanford Nitzberg | Family Medicine | 273 Granite St, Ashland, OR 97520-2746 | 2007-12-20 |
| Find all providers in ASHLAND | ||||
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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.