SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC (NPI# 1699073122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699073122 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC |
| Other Organization Name | SOUTHEAST PRIMARY CARE - MT AUBURN |
| Practice Address |
817 S Mount Auburn Rd Cape Girardeau MO 63703-6383 |
| Practice Telephone | 5735194500 |
| Mailing Telephone | 5735194500 |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2016-07-06 |
| Authorized Official Name | STEVE HAAS (VICE PRES CFO) |
| Authorized Official Telephone | 5733344822 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Southeast Primary Care - Mt Auburn | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619245503 | Southeast Missouri Hospital Physicians LLC | Clinic/Center | 25 Doctors Park, Cape Girardeau, MO 63703-4927 | 2011-12-06 |
| 1780982215 | Southeast Missouri Hospital Physicians LLC | Clinic/Center | 1723 Broadway St, Suite 205, Cape Girardeau, MO 63701-4566 | 2011-03-08 |
| Street Address |
817 S MOUNT AUBURN RD |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63703-6383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184857872 | Marie Nichole Wright | Nurse Practitioner | 817 S Mount Auburn Rd, Suite 100, Cape Girardeau, MO 63703-6383 | 2009-08-27 |
| 1215389259 | Parker Capshaw Kohlfeld | Family Medicine | 817 S Mount Auburn Rd, Cape Girardeau, MO 63703-6383 | 2016-07-01 |
| 1376912816 | Jessica Kelley | Nurse Practitioner | 817 S Mount Auburn Rd, Cape Girardeau, MO 63703-6383 | 2015-09-15 |
| 1316328735 | Drew Zural Satterfield | Family Medicine | 817 S Mount Auburn Rd, Cape Girardeau, MO 63703-6383 | 2015-06-11 |
| 1053748582 | Rachael Marie Jenkins | Nurse Practitioner | 817 S Mount Auburn Rd, Suite 200, Cape Girardeau, MO 63703-6383 | 2013-09-30 |
| 1457796054 | Trent James Essner | Audiologist | 817 S Mount Auburn Rd, Suite 200, Cape Girardeau, MO 63703-6383 | 2013-05-08 |
| 1093074932 | Jehan Pascal Murugaser | Family Medicine | 817 S Mount Auburn Rd, Cape Girardeau, MO 63703-6383 | 2012-05-13 |
| 1922260280 | Jamie Dost Harrison | Family Medicine | 817 S Mount Auburn Rd, Suite 100, Cape Girardeau, MO 63703-6383 | 2008-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
| 1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
| 1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
| 1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
| 1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
| 1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
| 1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
| 1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
| Find all providers in zip 63703 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922122076 | Midtown Family Medical Center LLC | Clinic/Center | 24 N Sprigg St, Cape Girardeau, MO 63701-5526 | 2007-03-16 |
| 1619245503 | Southeast Missouri Hospital Physicians LLC | Clinic/Center | 25 Doctors Park, Cape Girardeau, MO 63703-4927 | 2011-12-06 |
| 1780982215 | Southeast Missouri Hospital Physicians LLC | Clinic/Center | 1723 Broadway St, Suite 205, Cape Girardeau, MO 63701-4566 | 2011-03-08 |
| 1124142856 | Midtown Family Medical Center | Clinic/Center | 24 N Sprigg St, Cape Girardeau, MO 63701-5526 | 2007-03-19 |
| 1689725400 | River City Health Clinic, Inc | Clinic/Center | 224 N Frederick St, Cape Girardeau, MO 63701-5626 | 2007-01-16 |
| 1831174762 | Cape Girardeau County Health Department | Clinic/Center | 1121 Linden St, Lower Level, Cape Girardeau, MO 63703-7708 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| Find all providers with the same taxonomy | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63703 |
Please comment or provide details below to improve the information on SOUTHEAST MISSOURI HOSPITAL PHYSICIANS 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.