BC MISSOURI EMERGENCY PHYSICIANS, LLP (NPI# 1396760062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396760062 |
| Entity Type | Organization |
| Organization Name | BC MISSOURI EMERGENCY PHYSICIANS, LLP |
| Practice Address |
1101 W Liberty St Farmington MO 63640-1921 |
| Mailing Address |
75 Remit Drive Suite 1910 Chicago IL 60675-1910 |
| Practice Telephone | 5737566451 |
| Practice Fax Number | 5737561408 |
| Mailing Telephone | 8007013381 |
| Mailing Fax Number | 2399391682 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2010-08-06 |
| Authorized Official Name | DR. JAMES M JOHNSON (LLP MANAGING PARTNER) |
| Authorized Official Telephone | 8002535358 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MCR PIN | CG3800 | 01 |
| MO | 504870304 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679598247 | Bc Missouri Emergency Physicians, LLP | Physician Assistant | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2006-07-13 |
| 1003831678 | Bc Missouri Emergency Physicians, LLP | Physician Assistant | 12634 Olive Blvd, Saint Louis, MO 63141-6337 | 2006-07-13 |
| 1952326621 | Bc Missouri Emergency Physicians, LLP | Physician Assistant | 7245 Raider Rd, Bonne Terre, MO 63628-3767 | 2006-07-13 |
| 1538184106 | Bc Missouri Emergency Physicians, LLP | Physician Assistant | 10 Hospital Dr, Saint Peters, MO 63376-1659 | 2006-07-13 |
| Street Address |
1101 W LIBERTY ST |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912970880 | Vladimir Melyakov | Internal Medicine | 1101 W Liberty St, Farmington, MO 63640-1921 | 2006-02-09 |
| 1891303053 | Parkland Health Center | Clinical Medical Laboratory | 1101 W Liberty St, Farmington, MO 63640-1921 | 2020-07-14 |
| 1902430481 | Nrg-parkland LLC | Radiology | 1101 W Liberty St, Farmington, MO 63640-1921 | 2020-02-24 |
| 1700342847 | Alyssa Michelle Bocci | Physician Assistant | 1101 W Liberty St, Farmington, MO 63640-1921 | 2019-02-13 |
| 1811414626 | Nawaf Al-hashemi | Internal Medicine | 1101 W Liberty St, Farmington, MO 63640-1921 | 2017-08-23 |
| 1063959104 | Southern Missouri Infectious Disease Specialists LLC | Internal Medicine | 1101 W Liberty St, Farmington, MO 63640 | 2017-01-27 |
| 1265981856 | Matthew Akers | Nurse Practitioner | 1101 W Liberty St, Farmington, MO 63640-1921 | 2016-09-24 |
| 1780037630 | Meredith Politte | Nurse Practitioner | 1101 W Liberty St, Farmington, MO 63640-1921 | 2016-07-15 |
| 1801252812 | Alyssa Trautman | Dietitian, Registered | 1101 W Liberty St, Farmington, MO 63640-1921 | 2016-01-06 |
| 1770957201 | Mid-america Clinical Pathology, LLC | Pathology | 1101 W Liberty St, Farmington, MO 63640-1921 | 2015-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811315369 | Eduardo Sandoval Jr. | Emergency Medicine | 263 Farmington Ave Mc3955, Farmington, CT 03060-3955 | 2014-04-02 |
| 1801024088 | Jarrad Francis Maiers | Emergency Medicine | 801 West Maple Street, Farmington, NM 87401 | 2009-06-26 |
| 1215111398 | Patricia Ann Mcfadden | Emergency Medicine | 263 Farmington Ave # Mc1127, Farmington, CT 06030-1718 | 2007-12-24 |
| 1316960032 | Kimberly Dale Johnson | Emergency Medicine | 4820 East Main Street, Sjrmc Urgent Care, Farmington, NM 87402 | 2006-07-25 |
| 1770527376 | John Stephen Hunt | Emergency Medicine | 1101 E. Liberty St., Farmington, MO 63640 | 2006-06-15 |
| 1891759221 | Bruce E Harrison | Emergency Medicine | 204 Green Trail Dr, Farmington, MO 63640-9132 | 2006-04-13 |
| 1396719134 | Janet M Wilmes | Emergency Medicine | 4820 E Main St, Farmington, NM 87402-8660 | 2006-02-16 |
| 1588636823 | Kelly L Hartel | Emergency Medicine | 1101 W. Liberty, Parkland Health Center, Farmington, MO 63640 | 2006-02-02 |
| 1851824262 | Joseph Anthony Kebisek | Emergency Medicine | 263 Farmington Ave, Farmington, CT 06032-1956 | 2017-04-04 |
| 1427403195 | Alexander Charmoz | Emergency Medicine | 263 Farmington Ave, Farmington, CT 06030-0001 | 2016-04-29 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
Please comment or provide details below to improve the information on BC MISSOURI EMERGENCY PHYSICIANS, LLP.
| 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.