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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
Street Address |
501 WEST PINE STREET |
City | FARMINGTON |
State | MO |
Zip Code | 63640 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619057064 | Justin W. Roberts | Otolaryngology | 501 West Pine Street, Farmington, MO 63640 | 2006-10-17 |
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 Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
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] |
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 |
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 |
City | FARMINGTON |
Zip Code | 63640 |
Please comment or provide details below to improve the information on FARMINGTON EAR, NOSE, AND THROAT, 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.