| Arthur Center | |
|
340 Kelley Parkway Mexico MO 65265-2719 | |
| (573) 582-1234 | |
| (573) 581-1981 |
| Full Name | Arthur Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 340 Kelley Parkway, Mexico, Missouri |
| Authorized Official Name and Position | Jeanann Early (DIRECTOR OF COMPLIANCE) |
| Authorized Official Contact | 5735821234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arthur Center 340 Kelley Parkway Mexico MO 65265-2719 Ph: (573) 582-1234 | Arthur Center 340 Kelley Parkway Mexico MO 65265-2719 Ph: (573) 582-1234 |
| NPI Number | 1144293549 |
|---|---|
| Provider Enumeration Date | 02/08/2006 |
| Last Update Date | 12/12/2024 |
| Certification Date | 12/12/2024 |
| Medicare PECOS PAC ID | 5395659403 |
|---|---|
| Medicare Enrollment ID | O20031113000501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144293549 | NPI | - | NPPES |
| 566091708 | Medicaid | MO | |
| 5726-7685 | Other | MO | MO DEPT OF MENTAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 5726-7685 (Missouri) | Primary |
| Provider Name | Veneta Jo Raboin |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1891791166 PECOS PAC ID: 2163493370 Enrollment ID: I20040803000050 |
| Provider Name | Steven Goldberg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871681346 PECOS PAC ID: 3971572231 Enrollment ID: I20041002000088 |
| Provider Name | Ahmed a Taranissi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215978689 PECOS PAC ID: 9537119169 Enrollment ID: I20050131000905 |
| Provider Name | Charles Hornby |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598712242 PECOS PAC ID: 9032140280 Enrollment ID: I20050826000635 |
| Provider Name | M. Allison Felton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417968710 PECOS PAC ID: 5193733590 Enrollment ID: I20060327000600 |
| Provider Name | Eric F Kondro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336124023 PECOS PAC ID: 5496814378 Enrollment ID: I20081106000682 |
| Provider Name | Michael Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972523991 PECOS PAC ID: 2668527961 Enrollment ID: I20090910000502 |
| Provider Name | Amir Sahba Jalali |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346334166 PECOS PAC ID: 5496947780 Enrollment ID: I20101005000662 |
| Provider Name | Carolyn S Canterbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942510102 PECOS PAC ID: 1951598838 Enrollment ID: I20101203000777 |
| Provider Name | Cheryl G Lummis |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1962438762 PECOS PAC ID: 5698936516 Enrollment ID: I20120419000423 |
| Provider Name | Humza Waheed |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1689938524 PECOS PAC ID: 2567696784 Enrollment ID: I20150928001739 |
| Provider Name | Lan-tu Dang Holem |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1902892235 PECOS PAC ID: 3678864568 Enrollment ID: I20160623001970 |
| Provider Name | Brenda Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497149652 PECOS PAC ID: 7113813833 Enrollment ID: I20161207002443 |
| Provider Name | Victoria Lynn Sanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568013993 PECOS PAC ID: 5193132256 Enrollment ID: I20210408000085 |
| Provider Name | Tyva Michelle Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891365607 PECOS PAC ID: 2769884824 Enrollment ID: I20210712003035 |
| Provider Name | Brandy M Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871166843 PECOS PAC ID: 4688818313 Enrollment ID: I20211110000766 |
| Provider Name | Ashley D Arens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588316616 PECOS PAC ID: 0042603649 Enrollment ID: I20220203000131 |
| Provider Name | Kirsten Straub Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124773650 PECOS PAC ID: 3072907005 Enrollment ID: I20220308001233 |
| Provider Name | Patricia Ann Erwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023170966 PECOS PAC ID: 1850779026 Enrollment ID: I20220531000387 |
| Provider Name | Fatma Aisha Ahmouda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982311718 PECOS PAC ID: 9638549462 Enrollment ID: I20230111003144 |
| Provider Name | Evan M Buckmiller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396361853 PECOS PAC ID: 6709200025 Enrollment ID: I20230411002746 |
| Provider Name | Richard E Sofinski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184847386 PECOS PAC ID: 9436333515 Enrollment ID: I20230515001236 |
| Provider Name | Kacee D Cagle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891308599 PECOS PAC ID: 6901264191 Enrollment ID: I20230620003346 |
| Provider Name | Stephanie D'orazio-brafman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811372279 PECOS PAC ID: 6406156678 Enrollment ID: I20230801001243 |
| Provider Name | Jordan Elyse Goodin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639949928 PECOS PAC ID: 0749625382 Enrollment ID: I20240305001898 |
| Provider Name | Marie Bisconti |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770922692 PECOS PAC ID: 1658652540 Enrollment ID: I20240624004510 |
| Provider Name | Ya'lita Williams Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073270351 PECOS PAC ID: 6608311717 Enrollment ID: I20240712003751 |
| Provider Name | Mary Ference |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073734224 PECOS PAC ID: 4880580703 Enrollment ID: I20240730003641 |
| Provider Name | Amira Yamamoto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104335801 PECOS PAC ID: 9234492364 Enrollment ID: I20240816003816 |
| Provider Name | Holly Leann Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447087432 PECOS PAC ID: 5395278774 Enrollment ID: I20241023003033 |
| Provider Name | Paul Jernigan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033317417 PECOS PAC ID: 1254866957 Enrollment ID: I20241118003351 |
| Provider Name | Michele Mclin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407103542 PECOS PAC ID: 0941459143 Enrollment ID: I20250122001534 |
| Provider Name | Sheila Bogart |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902859812 PECOS PAC ID: 8527166305 Enrollment ID: I20250326003035 |
| Provider Name | Madison Breanne Sturrock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790500031 PECOS PAC ID: 7517482730 Enrollment ID: I20250421002273 |
| Provider Name | Julie Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881124576 PECOS PAC ID: 9032636923 Enrollment ID: I20250505001676 |
| Provider Name | Amy Fuemmeler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437771789 PECOS PAC ID: 1658898564 Enrollment ID: I20250505001876 |
| Provider Name | Ashutosh Ashok Shrivastava |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1881982833 PECOS PAC ID: 1254621618 Enrollment ID: I20250618001412 |
| Provider Name | Lauren E Lummis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275106452 PECOS PAC ID: 6608389689 Enrollment ID: I20250702001296 |
| Provider Name | Sara Rose Lebel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710695465 PECOS PAC ID: 1557873254 Enrollment ID: I20250707002897 |
| Provider Name | Julie Ann Dotzler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679381685 PECOS PAC ID: 3678071404 Enrollment ID: I20250812000349 |
| Provider Name | Beverly Ann Gardner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326749128 PECOS PAC ID: 0749789857 Enrollment ID: I20250815003114 |
| Provider Name | Alyssa Ann Carlisle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891273934 PECOS PAC ID: 9739688383 Enrollment ID: I20250819005018 |
| Provider Name | Cheryl Harmon |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1982799326 PECOS PAC ID: 5991016305 Enrollment ID: I20250915000383 |
| Provider Name | Mckenzi Kea Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013706183 PECOS PAC ID: 0345747010 Enrollment ID: I20251008002370 |
| Provider Name | Parisa Jalalat |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184140915 PECOS PAC ID: 7911268347 Enrollment ID: I20251119001296 |
| Provider Name | Laura Bowitz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881215465 PECOS PAC ID: 1759705791 Enrollment ID: I20260209002279 |
| Provider Name | Megan Marie Bertels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467302653 PECOS PAC ID: 0244719979 Enrollment ID: I20260212000190 |
| Provider Name | Dwight E. Mcleod |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1063610392 PECOS PAC ID: 0446725006 Enrollment ID: I20260410002535 |
Lisa J. Snow, LCSW, LLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 314 E Promenade St, Mexico, MO 65265 Phone: 573-975-4301 Fax: 573-975-4304 |
Advantage Counseling Associates LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 W Jackson St, Mexico, MO 65265 Phone: 573-567-0070 Fax: 417-944-1440 |
Platinum Health Systems Audrain Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 E Monroe St, Mexico, MO 65265 Phone: 573-582-5000 Fax: 573-582-3700 |
Arthur Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 Kelley Pkwy, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-582-1212 |
Platinum Health Systems Audrain Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 E Monroe St, Mexico, MO 65265 Phone: 573-582-5000 Fax: 573-582-3700 |
Arthur Center Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 Kelley Pkwy, Mexico, MO 65265 Phone: 573-582-1234 Fax: 573-581-1981 |