GENERAL JOHN J. PERSHING MEMORIAL HOSPITAL (NPI# 1427251750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427251750 |
| Entity Type | Organization |
| Organization Name | GENERAL JOHN J. PERSHING MEMORIAL HOSPITAL |
| Other Organization Name | PERSHING MEMORIAL HOSPITAL |
| Practice Address |
130 E Lockling St Brookfield MO 64628 |
| Mailing Address |
130 E Lockling St Brookfield MO 64628-2337 |
| Practice Telephone | 6602582222 |
| Practice Fax Number | 6602585668 |
| Mailing Telephone | 6602582222 |
| Mailing Fax Number | 6602585668 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2011-03-31 |
| Authorized Official Name | MR. PHILLIP J. HAMILTON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6602582222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 20001006915 | MO | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 358970002 | 05 |
| Other Name | Type Code |
|---|---|
| Pershing Memorial Hospital | Doing Business As Name - Organization |
| Street Address |
130 E LOCKLING ST |
| City | BROOKFIELD |
| State | MO |
| Zip Code | 64628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568463354 | Sisenando P Galvez Jr. | Family Medicine | 130 E Lockling St, Brookfield, MO 64628-2337 | 2005-08-03 |
| 1104322866 | Rebecca Frieda Krc | Emergency Medicine | 130 E Lockling St, Brookfield, MO 64628 | 2018-04-02 |
| 1174979439 | General John J, Pershing Memorial Hospital Association | Clinic/Center | 130 E Lockling St, Brookfield, MO 64628-2337 | 2016-05-05 |
| 1023345923 | David Loris Dollins | Emergency Medicine | 130 E Lockling St, Brookfield, MO 64628-2337 | 2009-11-13 |
| 1689811929 | General John J Pershing Memorial Hospital | Nurse Anesthetist, Certified Registered | 130 E Lockling St, Brookfield, MO 64628-2337 | 2009-01-08 |
| 1649457060 | Kimmy Ann Minkler | Physical Therapist | 130 E Lockling St, Brookfield, MO 64628-2337 | 2008-01-28 |
| 1881731776 | Gary W Fite | Physical Therapist | 130 E Lockling St, Brookfield, MO 64628-2337 | 2007-01-31 |
| 1316013675 | Jerry L Wait | Emergency Medicine | 130 E Lockling St, Brookfield, MO 64628-2337 | 2006-11-28 |
| 1932275286 | Irene Newman Parsonson | Nurse Practitioner | 130 E Lockling St, Brookfield, MO 64628-2337 | 2006-11-28 |
| 1639197361 | General John J Pershing Memorial Hospital Association | Medicare Defined Swing Bed Unit | 130 E Lockling St, Brookfield, MO 64628-2337 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548821747 | Shirley L Arnold | Nurse Practitioner | 624 West Lockling Avenue, Brookfield, MO 64628 | 2019-06-27 |
| 1861761611 | Kristen Marie Butterfield | Physical Therapist | 116 East Pratt, Brookfield, MO 64628 | 2011-12-23 |
| 1588933386 | Jacey Lynne Mohr | Physical Therapy Assistant | 116 E Pratt, Brookfield, MO 64628 | 2011-12-22 |
| 1497841902 | Thomas Ervin Pitts | Dentist | 121 E Brooks St, Brookfield, MO 64628 | 2006-10-04 |
| 1902909559 | Hutchinson Clinic Inc | Allergy & Immunology | 624 W Lockling Ave, Brookfield, MO 64628 | 2006-09-07 |
| 1447257373 | Minerva C Concepcion-rivera | Internal Medicine | 125 East Lockling Avenue, Brookfield, MO 64628 | 2005-07-07 |
| 1992702823 | Pepito C Rivera | Surgery | 130 East Lockling Avenue, Brookfield, MO 64628 | 2005-07-07 |
| 1407874126 | General John J Pershing Memorial Hospital Association | Home Health | 130 E Lockling Ave, Brookfield, MO 64628-0408 | 2006-07-18 |
| 1073521555 | General John J Pershing Memorial Hospital Association | Hospice Care, Community Based | 130 E Lockling Ave, Brookfield, MO 64628-0408 | 2006-08-03 |
| 1982612461 | General John J Pershing Memorial Hospital Association | Personal Emergency Response Attendant | 130 E Lockling Ave, Brookfield, MO 64628-0408 | 2006-08-03 |
| Find all providers in zip 64628 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512916 | Nicole Lehtinen | Dietitian, Registered | 20200 Poplar Creek Pkwy Unit 116n, Brookfield, WI 53045-2163 | 2020-06-15 |
| 1023567039 | Pamela Brown | Dietitian, Registered | 130 East Lockling, Brookfield, MO 64628-2337 | 2016-10-03 |
| 1528447034 | Weighless Md, LLC | Dietitian, Registered | 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 | 2015-05-29 |
| 1265879183 | Stefanie Lyn Kasun-lamb | Dietitian, Registered | 3365 Fiebrantz Dr, Brookfield, WI 53005-3364 | 2013-06-01 |
| 1972856581 | Nutriworld Inc. | Dietitian, Registered | 3453 Grand Blvd., Brookfield, IL 60513-1207 | 2012-10-19 |
| 1639231574 | Janine M Bamberger | Dietitian, Registered | 18620 Benington Dr, Brookfield, WI 53045-5421 | 2006-12-15 |
| 1770686263 | Julie Caroline Conner | Dietitian, Registered | 366 Federal Road, Brookfield, CT 06804-2406 | 2006-09-07 |
| 1578183125 | Brianna Theus | Dietitian, Registered | 6 Tommys Ln, Brookfield, CT 06804-1616 | 2020-04-23 |
| 1447765961 | Sarah Brunner | Dietitian, Registered | 13825 W Burleigh Rd, Brookfield, WI 53005-3058 | 2017-12-06 |
| 1982127841 | Kristy Peschel Multhauf | Dietitian, Registered | 19333 W North Ave, Brookfield, WI 53045-4132 | 2017-07-24 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 64628 |
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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.