MR. JOHN D MARCUM (NPI# 1720113053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720113053 |
| Entity Type | Individual |
| Full Name | MR. JOHN D MARCUM |
| Credential | MD |
| Practice Address |
1020 St Clair Plaza St Clair MO 63077 |
| Practice Telephone | 6366296030 |
| Practice Fax Number | 6366296030 |
| Mailing Telephone | 6366296030 |
| Mailing Fax Number | 6366296030 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2014-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | G38741 | CA | Allopathic & Osteopathic Physicians |
| Y | 207K00000X | Allergy & Immunology | R3G15 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902885957 | John William Marcum | Anesthesiology | 5021 Verdugo Way, Camarillo, CA 93012-8675 | 2006-01-10 |
| 1700490612 | John Michael Marcum | Behavior Technician | 15001 Michigan Ave, Dearborn, MI 48126-6600 | 2020-09-08 |
| Street Address |
1020 ST CLAIR PLAZA |
| City | ST CLAIR |
| State | MO |
| Zip Code | 63077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346687845 | Medley Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 1435 N. Main St., St. Clair, MO 63077 | 2013-05-24 |
| 1225367337 | St Clair Allergy-asthma | Specialist | 1020 St. Clair Plaza, St. Clair, MO 63077 | 2009-12-18 |
| 1568614063 | Victorian Manor of St Clair | Assisted Living Facility | 160 Charles Dr, St Clair, MO 63077 | 2008-10-15 |
| 1962664052 | Anita Farris Altemeyer | Physical Therapist | 214 Hartman Place, St Clair, MO 63077 | 2008-06-30 |
| 1184845729 | James Leroy Bunge | Dentist | 525 E Springfield Rd, St. Clair, MO 63077 | 2007-05-01 |
| 1538227970 | St. Clair Ambulance District | Ambulance | 3 Paul Parks Dr, St. Clair, MO 63077 | 2006-12-05 |
| 1821162280 | Kiko Enterprises, LLC | Pharmacy | 920 H St Clair Plaza Dr, St Clair, MO 63077 | 2006-11-20 |
| 1235139221 | Kirk Edward Brockman | Family Medicine | 1001 Cardwell St, St. Clair, MO 63077 | 2005-07-30 |
| 1487869368 | Kamil Dostalik | Physical Therapist | 1135 N Commercial Ave, Saint Clair, MO 63077-1012 | 2007-05-13 |
| 1982914818 | St Clair Physical Therapy Inc | Clinic/Center | 1135 N Commercial Ave, Saint Clair, MO 63077-1012 | 2010-10-13 |
| Find all providers in zip 63077 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770921835 | Maggie Murfin Barnthouse | Allergy & Immunology | 3101 Broadway Blvd., Allergy/immunology, Kansas City, MO 64111 | 2013-06-11 |
| 1730483140 | Burton Creek Weight Loss Solutions, LLC | Allergy & Immunology | 709 N Kentucky Ave, West Plains, MO 65775-2085 | 2010-12-28 |
| 1720308448 | Sonia Cajigal | Allergy & Immunology | 711 Old Ballas Road Suite 100, St. Louis, MO 63141 | 2010-06-03 |
| 1730377318 | Westbury Allergy, P.C. | Allergy & Immunology | 12 Westbury Dr, Saint Charles, MO 63301-2543 | 2007-10-09 |
| 1285822767 | Nancy Ann Williams | Allergy & Immunology | 125 E Brooks St, Brookfield, MO 64628-1727 | 2007-10-09 |
| 1083810808 | Ritu Gupta | Allergy & Immunology | Washington University, Allergy Dept., Campus Box 8122, 660 S. Euclid Ave., St. Louis, MO 63110 | 2007-06-27 |
| 1124235239 | Jeremy Shawn Katcher | Allergy & Immunology | 12818 Tesson Ferry Rd Ste 205, Saint Louis, MO 63128-2945 | 2007-05-17 |
| 1619023330 | Allergy & Asthma Consultants of The Ozarks Ltd. | Allergy & Immunology | 407 A. East Russell Ave., Suite 3, Warrensburg, MO 64093 | 2007-01-26 |
| 1902909559 | Hutchinson Clinic Inc | Allergy & Immunology | 624 W Lockling Ave, Brookfield, MO 64628 | 2006-09-07 |
| 1902919178 | Michael Edward Joseph | Allergy & Immunology | 1727 W 26th St, Joplin, MO 64804-1513 | 2006-08-15 |
| Find all providers with the same taxonomy | ||||
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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.