JEFFERSON MEMORIAL HOSPITAL (NPI# 1831274430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831274430 |
| Entity Type | Organization |
| Organization Name | JEFFERSON MEMORIAL HOSPITAL |
| Other Organization Name | THE OCCUPATIONAL MEDICINE CENTER |
| Practice Address |
1400 Us Highway 61 Suite G - 50 Festus MO 63028-4100 |
| Practice Telephone | 6369331670 |
| Practice Fax Number | 6369331203 |
| Mailing Telephone | 6369331670 |
| Mailing Fax Number | 6369331203 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2015-09-09 |
| Authorized Official Name | MR. DANIEL STEVEN ECKENFELS (VP-FINANCE) |
| Authorized Official Telephone | 6369331107 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY HOSPITAL JEFFERSON |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| The Occupational Medicine Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023151651 | Jefferson Memorial Hospital | Home Health | 5 Industrial Dr., Festus, MO 63028 | 2007-02-14 |
| 1891722377 | Jefferson Memorial Hospital | General Acute Care Hospital | 300 S. Preston Street, Ranson, WV 25438-1631 | 2006-06-28 |
| 1316364953 | Jefferson Memorial Hospital | Internal Medicine | 300 S Preston St, Ranson, WV 25438-1631 | 2014-03-20 |
| 1104242569 | Jefferson Memorial Hospital | Medicare Defined Swing Bed Unit | 300 S Preston St, Ranson, WV 25438-1631 | 2014-03-10 |
| 1477979102 | Jefferson Memorial Hospital | Clinic/Center | 912 Somerset Blvd, Suite 100, Charles Town, WV 25401-3952 | 2014-03-05 |
| 1073693248 | Jefferson Memorial Hospital | Skilled Nursing Facility | 300 S. Preston Street, Ranson, WV 25438-1631 | 2006-10-16 |
| 1982704961 | Jefferson Memorial Hospital | Anesthesiology | 300 S Preston St, Ranson, WV 25438-1631 | 2006-09-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JEFFERSON MEMORIAL HOSPITAL | 300 S Preston St, Ranson, WV 25438-1631 |
| Street Address |
1400 US HIGHWAY 61 SUITE G - 50 |
| City | FESTUS |
| State | MO |
| Zip Code | 63028-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264493 | Kaile Jean Eggemeyer | Nurse Practitioner | 1400 Us Highway 61, Festus, MO 63028-4100 | 2020-10-29 |
| 1073010419 | Amanda Rae Mcvey | Registered Nurse | 1400 Us Highway 61, Festus, MO 63028-4100 | 2018-04-11 |
| 1417482530 | Lauren Kerley | Nurse Anesthetist, Certified Registered | 1400 Us Highway 61, Festus, MO 63028-4100 | 2017-04-26 |
| 1669907242 | Mahmoud Mohamed Elfadil | Internal Medicine | 1400 Us Highway 61, Festus, MO 63028-4100 | 2017-04-20 |
| 1346797305 | John Westley Pipkin | Nurse Practitioner | 1400 Us Highway 61, Festus, MO 63028 | 2016-09-07 |
| 1427401579 | Gwendolyn Bailey | Social Worker | 1400 Us Highway 61, Festus, MO 63028-4100 | 2016-07-13 |
| 1710337274 | Matthew James Crisp | Internal Medicine | 1400 Us Highway 61, Festus, MO 63028-4100 | 2016-06-15 |
| 1417311242 | Anthony Sanders | Registered Nurse | 1400 Us Highway 61, Festus, MO 63028-4100 | 2016-04-07 |
| 1780079053 | Debbie Trudell | Counselor | 1400 Us Highway 61, Festus, MO 63028-4100 | 2015-04-02 |
| 1417349234 | Rouba Ghoussoub Md LLC | Internal Medicine | 1400 Us Highway 61, G30, Festus, MO 63028-4100 | 2015-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943268 | Lauryn E Morris | Occupational Therapist | 3657 Baptist Park Rd, Mapaville, MO 63028 | 2019-10-09 |
| 1912557547 | Rena Robinson | Technician | 150 Brandon Wallace Way Suite 1014, Suite 1014, Festus, MO 63028 | 2019-09-16 |
| 1780232264 | Cynthia L James | Technician | 110 Juliet Place, Festus, MO 63028 | 2019-08-28 |
| 1700377009 | Akr Endodontics, LLC | Dentist | 1431 Us Hwy 61, Festus, MO 63028 | 2018-05-22 |
| 1962869990 | Fatma Esen Antakli | Nurse Practitioner | Advanced Pain Centers 190 Industrial Drive, Festus, MO 63028 | 2016-01-21 |
| 1083088744 | Megan Schomer | Counselor | 2675 Meyer Rd, Festus, MO 63028 | 2015-11-18 |
| 1043608144 | Elka Follmer | Physical Therapist | 1349 Us Hwy 61, Festus, MO 63028 | 2014-12-26 |
| 1811394729 | Ashley Schwendeman | Physical Therapist | 1403 N. Truman Blvd, Fesuts, MO 63028 | 2014-11-21 |
| 1073871257 | Staurla Chantel Waun | Counselor | 10719 Buckeye Rd, Festus, MO 63028 | 2012-04-25 |
| 1639444086 | Jeffrey Steitz | Otolaryngology | 1390 Us Highway 61 Ste 3100, Festus, MO 63028 | 2012-03-19 |
| Find all providers in zip 63028 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891918181 | Frank Alexander Krewet IIi | Preventive Medicine | 1400 Us Highway 61, Suite G-50, Festus, MO 63028-4100 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043675309 | Sunshine Healthcare, LLC | Preventive Medicine | 638 Office Parkway, Creve Coeur, MO 63141 | 2015-12-30 |
| 1528448784 | Scott Christopher Jones | Preventive Medicine | 8860 Ladue Road, Suite 220, St. Louis, MO 63124-2068 | 2015-06-03 |
| 1386829273 | Robert F Thomas | Preventive Medicine | 3700 I 70 Dr Se, Suite 106, Columbia, MO 65201-6522 | 2008-01-09 |
| 1770782245 | James Richard Marzolf | Preventive Medicine | 3005 Brown Station Rd, Columbia, MO 65202-2207 | 2007-07-16 |
| 1003028671 | Nicholas Paul Carper | Preventive Medicine | 1001 N Highway Dr, Fenton, MO 63026-1907 | 2007-05-04 |
| 1497970727 | Norbert Thomas Belz | Preventive Medicine | 1423 N Jefferson Ave Ste K-500, Springfield, MO 65802-1917 | 2007-04-13 |
| 1164540415 | Craig S Lofgreen | Preventive Medicine | 720 Oak St, Kansas City, MO 64106-1628 | 2007-03-26 |
| 1891812814 | Bradley A Breeden | Preventive Medicine | 6726 Manchester Ave, Saint Louis, MO 63139-3525 | 2007-03-23 |
| 1902932940 | Geln E. Cooper | Preventive Medicine | 211 St. Francis Drive, Cape Girardeau, MO 63703-8399 | 2007-02-26 |
| 1841330339 | Stuart Mark Bogner | Preventive Medicine | 11700 Studt Ave, Saint Louis, MO 63141-7031 | 2007-02-07 |
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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.