KIRKSVILLE SPECIALTY CLINIC LLC (NPI# 1386126308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386126308 |
| Entity Type | Organization |
| Organization Name | KIRKSVILLE SPECIALTY CLINIC LLC |
| Practice Address |
1108 E Patterson St Ste 10 Kirksville MO 63501-4043 |
| Practice Telephone | 6609560487 |
| Practice Fax Number | 6609560446 |
| Mailing Telephone | 6609560487 |
| Mailing Fax Number | 6609560446 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2020-02-11 |
| Authorized Official Name | MR. DAVID NEUENDORF (CEO) |
| Authorized Official Telephone | 5738868904 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
R6C73 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1108 E PATTERSON ST STE 10 |
| City | KIRKSVILLE |
| State | MO |
| Zip Code | 63501-4043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855642 | Tiffany Anna Athon | Pharmacist | Hy-vee Pharmacy, 500 N Baltimore, Kirksville, MO 63501 | 2020-06-11 |
| 1649829425 | Jillian Jo Pulis | Speech-Language Pathologist | 1300 S Cottage Ave, Kirksville, MO 63501 | 2019-09-05 |
| 1023662319 | Leah Dawn Murphy | Occupational Therapy Assistant | 1705 E La Harpe St, Kirksville, MO 63501 | 2019-07-25 |
| 1902302912 | Brittney Frances Snelling | Specialist/Technologist | 26820 State Hwy 11, Kirksville, MO 63501 | 2018-03-30 |
| 1063931434 | Kara Wehmeyer | Specialist/Technologist | 100 East Normal, Kirksville, MO 63501 | 2017-09-16 |
| 1285080796 | Hawkins Boone Mecham | General Practice | 407 S Main St # 2, Kirksville, MO 63501 | 2016-05-13 |
| 1003287848 | Lacosta Gaines | Nurse Practitioner | 1607 South Baltimore, Kirksville, MO 63501 | 2015-10-19 |
| 1427442573 | Madi Hoppe | Specialist/Technologist | 23571 Crest Trail, Kirksville, MO 63501 | 2015-03-26 |
| 1407247133 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 906 East Shepherd Avenue, Kirksville, MO 63501 | 2015-02-17 |
| 1497069694 | Ella Marie Callison | Physician Assistant | 1611 S Baltimore St Ste A, Kirksville, MO 63501 | 2010-07-29 |
| Find all providers in zip 63501 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023500246 | Premier Specialty Services, LLC | Internal Medicine | 1108 E Patterson St Ste 5, Kirksville, MO 63501-4002 | 2018-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376164277 | Rheum Care LLC | Internal Medicine | 1301 Ymca Drive, Suite 600, Festus, MO 63028-2608 | 2020-05-01 |
| 1801216551 | Joshy Thomas Pathiparampil | Internal Medicine | 12700 Southfork Rd Ste 235, Saint Louis, MO 63128-3201 | 2014-04-21 |
| 1700152048 | Ali Medical LLC | Internal Medicine | 300 Medical Plz Ste 100, Lake St Louis, MO 63367-1484 | 2012-03-30 |
| 1740552280 | David M. Lieberman | Internal Medicine | 28 Nantucket Ln, Saint Louis, MO 63132-4137 | 2012-01-30 |
| 1023306040 | Adam Maxwell Parker | Internal Medicine | 12255 Depaul Drive Suite 500, Bridgeton, MO 63044 | 2011-07-11 |
| 1316113467 | Hopkins Rheumatology PC | Internal Medicine | 412 Nw Mock Ave Ste A, Blue Springs, MO 64014-2541 | 2008-05-07 |
| 1932393162 | Celia Jow Fang Lin | Internal Medicine | 1800 S Brentwood Blvd, #1116, Saint Louis, MO 63144-1820 | 2007-08-30 |
| 1275734543 | Melinda Renee Reed | Internal Medicine | 2900 Independence Sq, West Plains, MO 65775-4238 | 2007-05-31 |
| 1942414198 | Ronald Joseph Auclair | Internal Medicine | 460 N Taylor Ave, Kirkwood, MO 63122-4461 | 2007-05-09 |
| 1114014867 | Terry L. Moore | Internal Medicine | 3660 Vista Ave., St. Louis, MO 63110 | 2006-10-06 |
| Find all providers with the same taxonomy | ||||
| City | KIRKSVILLE |
| Zip Code | 63501 |
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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.