POPLAR BLUFF MEDICAL PARTNERS, LLC (NPI# 1407845472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407845472 |
| Entity Type | Organization |
| Organization Name | POPLAR BLUFF MEDICAL PARTNERS, LLC |
| Practice Address |
221 Physicians Park Poplar Bluff MO 63901-3956 |
| Practice Telephone | 5737279080 |
| Practice Fax Number | 5736861245 |
| Mailing Telephone | 5737279080 |
| Mailing Fax Number | 5736861245 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2008-05-27 |
| Authorized Official Name | MR. MICHAEL BURCHAM (PRESIDENT, CEO) |
| Authorized Official Telephone | 5737279080 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
NOT REQUIRED | MO | Ambulatory Health Care Facilities |
| N | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
NOT REQUIRED | MO | Ambulatory Health Care Facilities |
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
NOT REQUIRED | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 710426909 | 05 |
| Street Address |
221 PHYSICIANS PARK |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-3956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033536974 | Ray E Peters Do Inc | Internal Medicine | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2014-03-27 |
| 1679859219 | Visionary Radiology, PC | Radiology | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2011-10-27 |
| 1003007329 | Shirley A Jautz | Nurse Anesthetist, Certified Registered | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2007-08-05 |
| 1811030737 | Cathy Jo Parsells | Radiology | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2007-02-14 |
| 1750328449 | Ray E. Peters Jr. | Internal Medicine | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2006-06-01 |
| 1679550784 | Zubres Radiology Inc | Radiology | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2005-12-29 |
| 1932186004 | Donna L Almond | Radiology | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2005-12-29 |
| 1326025412 | Heartland Radiology, Inc. | Radiology | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225196058 | Kneibert Clinic LLC | Clinic/Center | 686 Lester St, Poplar Bluff, MO 63901 | 2006-12-05 |
| 1831155571 | Advanced Healthcare Diagnostic Services, LLC | Clinic/Center | 2002 Kanell Blvd, Suite 104, Poplar Bluff, MO 63901-4045 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336633304 | Midwest Imaging Specialists | Clinic/Center | 201 S Mount Auburn Rd Ste B, Cape Girardeau, MO 63703-4912 | 2018-06-21 |
| 1922480110 | Eric Edwin Klein | Clinic/Center | 400 Stallion Hill Ct, Chesterfield, MO 63005-4838 | 2015-06-24 |
| 1255728226 | Harry S. Truman Mvh | Clinic/Center | 132 Southampton Dr, Columbia, MO 65203-3050 | 2015-04-17 |
| 1215326574 | Walker Medical Building Mri Services, LLC | Clinic/Center | 12855 N 40 Dr Lowr Level, Saint Louis, MO 63141-8657 | 2015-01-09 |
| 1558617035 | Hi Tech Diagnostics LLC | Clinic/Center | 16502 Barrister Ln, Chesterfield, MO 63005-4602 | 2012-08-02 |
| 1386945665 | West Central Missouri Diagnostic | Clinic/Center | 1430 Thompson Blvd Ste 7, Sedalia, MO 65301-2209 | 2010-11-03 |
| 1437476900 | Pearl Imaging, LLC | Clinic/Center | 4293 Veterans Memorial Pkwy, Saint Peters, MO 63376-1657 | 2010-04-23 |
| 1659504116 | Mri Partners of Chesterfield, LLC. | Clinic/Center | 14825 North Outer Forty Road, Suite 110, Chesterfield, MO 63017-2026 | 2009-09-01 |
| 1720232192 | Elite Imaging of North County, LLC | Clinic/Center | 433 Lynn Haven Ln, Hazelwood, MO 63042-1808 | 2008-11-11 |
| 1164647657 | Ct Partners of Chesterfield, LLC | Clinic/Center | 14825 North Outer Forty Rd., Ste 110, Chesterfield, MO 63017-2026 | 2007-04-17 |
| Find all providers with the same taxonomy | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
Please comment or provide details below to improve the information on POPLAR BLUFF MEDICAL PARTNERS, LLC.
| 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.