FARMINGTON EAR, NOSE, AND THROAT, LLC


Address: 501 West Pine Street, Farmington, MO 63640
Phone: 5737568888

FARMINGTON EAR, NOSE, AND THROAT, LLC (NPI# 1740451491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740451491
Entity Type Organization
Organization Name FARMINGTON EAR, NOSE, AND THROAT, LLC
Practice Address 501 West Pine Street
Farmington
MO 63640
Mailing Address 501 W Pine St
Farmington
MO 63640
Practice Telephone 5737568888
Practice Fax Number 8662915617
Mailing Telephone 5737568888
Mailing Fax Number 8662915617
Enumeration Date 2008-03-20
Last Update Date 2009-03-04
Authorized Official Name DR. JUSTIN W. ROBERTS (OWNER)
Authorized Official Telephone 5737568888
Authorized Official Credential D.O.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 501 WEST PINE STREET
City FARMINGTON
State MO
Zip Code 63640

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619057064 Justin W. Roberts Otolaryngology 501 West Pine Street, Farmington, MO 63640 2006-10-17

Providers in the same zip code

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 Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407251069 Missouri Cvs Pharmacy, L.L.C. Clinic/Center 942 Valley Creek Dr, Farmington, MO 63640-1968 2014-10-24
1841737798 Phillip Kintner Md, LLC Clinic/Center 546 Maple Valley Dr, Farmington, MO 63640-1981 2017-01-30
1477859122 Four Corners Heart and Lung Institute PC Clinic/Center 2700 Farmington Ave, Building I Suite 2, Farmington, NM 87401-4559 2011-01-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215536818 Heartland Weight Loss Clinic, LLC Clinic/Center 3095 Lexington Ave Ste 200, Cape Girardeau, MO 63701-2629 2020-10-23
1902361652 Redings Mill Internal Care Clinic/Center 454 Redings Mill Rd, Joplin, MO 64804 2019-02-06
1386126308 Kirksville Specialty Clinic LLC Clinic/Center 1108 E Patterson St Ste 10, Kirksville, MO 63501-4043 2018-09-06
1639616113 Stratus Medical Group Clinic/Center 2010 N Main St, Sikeston, MO 63801-8478 2017-01-23
1871044735 Susan D Purcell Md Dermatology LLC Clinic/Center 969 N Mason Rd Ste 170, Saint Louis, MO 63141-6387 2016-10-16
1679961577 Ssm Regional Health Services Clinic/Center 2505 Mission Dr Ste 130, Jefferson City, MO 65109-9508 2014-12-30
1154730414 Mohammed Z Siddiqui Medical Consulting LLC Clinic/Center 10 Overbrook Dr, Saint Louis, MO 63124-1482 2014-08-11
1962818435 Retired Clinic/Center 13714 N Sportsmans Dr, Hallsville, MO 65255-9330 2014-07-06
1043625460 Kobler Chiropractic and Acupuncture LLC Clinic/Center 500 Nw Englewood Rd, Kansas City, MO 64118-3960 2014-06-24
1912349515 Rheumatology Care, LLC Clinic/Center 745 Friedens Rd, Saint Charles, MO 63303-4235 2013-07-24
Find all providers with the same taxonomy

Competitor

Search similar providers

City FARMINGTON
Zip Code 63640

Improve Information

Please comment or provide details below to improve the information on FARMINGTON EAR, NOSE, AND THROAT, LLC.

Dataset Information

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.

Trending Searches