Mercy Hospital Carthage | |
3125 Dr Russell Smith Way Carthage MO 64836 | |
(417) 358-8121 | |
Not Available |
Full Name | Mercy Hospital Carthage |
---|---|
Speciality | General Acute Care Hospital |
Location | 3125 Dr Russell Smith Way, Carthage, Missouri |
Authorized Official Name and Position | Sherry Lynn Clouse Day (CFO) |
Authorized Official Contact | 4178208439 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mercy Hospital Carthage 3125 Dr Russell Smith Way Carthage MO 64836-7402 Ph: () - | Mercy Hospital Carthage 3125 Dr Russell Smith Way Carthage MO 64836 Ph: (417) 358-8121 |
NPI Number | 1003201955 |
---|---|
Provider Enumeration Date | 03/30/2015 |
Last Update Date | 09/17/2020 |
Certification Date | 09/17/2020 |
Medicare PECOS PAC ID | 8426225251 |
---|---|
Medicare Enrollment ID | O20120225000071 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003201955 | NPI | - | NPPES |
200446020A | Medicaid | OK | |
01067090 | Medicaid | MO | |
203923105 | Medicaid | AR | |
200972980A | Medicaid | KS |
Provider Name | Robert Edward Koch |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1558333997 PECOS PAC ID: 9234038050 Enrollment ID: I20040326001270 |
Provider Name | David E Hargroder |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1811039621 PECOS PAC ID: 9335117456 Enrollment ID: I20040917000016 |
Provider Name | Anne E Winkler |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1346307220 PECOS PAC ID: 2466413455 Enrollment ID: I20041022000716 |
Provider Name | James Robert Woodford |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1689707689 PECOS PAC ID: 6800844531 Enrollment ID: I20050110000053 |
Provider Name | Joy A Mayfield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255403911 PECOS PAC ID: 8820041791 Enrollment ID: I20050303000031 |
Provider Name | Deborah S Herbst |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1831240803 PECOS PAC ID: 2961459953 Enrollment ID: I20050401000303 |
Provider Name | Karl James Haake |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1003801747 PECOS PAC ID: 3274506050 Enrollment ID: I20050606000578 |
Provider Name | Raymond K Griffith |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1700820602 PECOS PAC ID: 4486691797 Enrollment ID: I20050819000300 |
Provider Name | Mark Jarek |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1013955541 PECOS PAC ID: 6406886209 Enrollment ID: I20050820000070 |
Provider Name | Robert Scott Duff |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1265475727 PECOS PAC ID: 2365472164 Enrollment ID: I20050820000106 |
Provider Name | Charles S Rasmussen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891826269 PECOS PAC ID: 1254363393 Enrollment ID: I20050909000010 |
Provider Name | Sherrie Ament-sturtevant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396769766 PECOS PAC ID: 8123051273 Enrollment ID: I20050919000145 |
Provider Name | Nancy Stultz |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1932176567 PECOS PAC ID: 9739107434 Enrollment ID: I20051110000357 |
Provider Name | Jenifer C. Webb |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578501383 PECOS PAC ID: 9537181367 Enrollment ID: I20051221000463 |
Provider Name | Carrie M Osiier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497793608 PECOS PAC ID: 4082626114 Enrollment ID: I20060608000032 |
Provider Name | Vernon Kent Cooper |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1578502753 PECOS PAC ID: 5395757363 Enrollment ID: I20060613000185 |
Provider Name | Edward Dean Messer |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1386792901 PECOS PAC ID: 0941274799 Enrollment ID: I20070302000367 |
Provider Name | Elizabeth M Barlet |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1346298353 PECOS PAC ID: 3072611094 Enrollment ID: I20070614000137 |
Provider Name | Christopher Robert Andrew |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1184660995 PECOS PAC ID: 1355439068 Enrollment ID: I20071114000073 |
Provider Name | Karen L Sapp |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1588619977 PECOS PAC ID: 8123116472 Enrollment ID: I20071120000288 |
Provider Name | Johnny L Venter |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1003852054 PECOS PAC ID: 7113016254 Enrollment ID: I20071127000824 |
Provider Name | Sadie O Giedd |
---|---|
Provider Type | Practitioner - Interventional Pain Management |
Provider Identifiers | NPI Number: 1538360276 PECOS PAC ID: 9032298823 Enrollment ID: I20080505000846 |
Provider Name | Jacob A Roberts |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1265474472 PECOS PAC ID: 7517975071 Enrollment ID: I20081007000686 |
Provider Name | Robert A Coats |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1851541072 PECOS PAC ID: 3476613779 Enrollment ID: I20081117000358 |
Provider Name | Jonathan D Haffner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093818031 PECOS PAC ID: 6709949498 Enrollment ID: I20090106000751 |
Provider Name | Ray K Woodmansee |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1689620767 PECOS PAC ID: 6002964095 Enrollment ID: I20090430000473 |
Provider Name | Amy M Soetaert |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1093741290 PECOS PAC ID: 1052467404 Enrollment ID: I20090925000573 |
Provider Name | Derek Ross Staner |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1851328819 PECOS PAC ID: 3375623911 Enrollment ID: I20100223000621 |
Provider Name | Rodney D Grant |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1407823024 PECOS PAC ID: 5092859272 Enrollment ID: I20100225000911 |
Provider Name | Erik Lee Snyder |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1912951856 PECOS PAC ID: 3173549458 Enrollment ID: I20100610000427 |
Provider Name | Melinda R Reed |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1275734543 PECOS PAC ID: 6901938398 Enrollment ID: I20100721000142 |
Provider Name | Mark V Griesemer |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1295990059 PECOS PAC ID: 2264581586 Enrollment ID: I20100813001090 |
Provider Name | Philip K Sadler |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1164484945 PECOS PAC ID: 2769453471 Enrollment ID: I20100818000907 |
Provider Name | Timothy D Costello |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1235195785 PECOS PAC ID: 5294914230 Enrollment ID: I20110818000407 |
Provider Name | Jason B Gatewood |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1568652691 PECOS PAC ID: 3072669498 Enrollment ID: I20110908002217 |
Provider Name | Eman Spaulding |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1750571840 PECOS PAC ID: 4284891862 Enrollment ID: I20120209000387 |
Provider Name | Joseph W Mayo |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1407183924 PECOS PAC ID: 0648438465 Enrollment ID: I20120225000089 |
Provider Name | Maripat Gatter |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1649374208 PECOS PAC ID: 9638171184 Enrollment ID: I20120316000494 |
Provider Name | Melinda S Burchfield |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013298983 PECOS PAC ID: 0345402582 Enrollment ID: I20120503000536 |
Provider Name | Jill Lynn Feurt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063421048 PECOS PAC ID: 4880748433 Enrollment ID: I20120524000085 |
Provider Name | Donald E Hockman |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1700015948 PECOS PAC ID: 4981888757 Enrollment ID: I20130906000410 |
Provider Name | Craig Randall |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1992888259 PECOS PAC ID: 0244386175 Enrollment ID: I20130910000468 |
Provider Name | Jennifer C Massengale |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1093981102 PECOS PAC ID: 5193890549 Enrollment ID: I20140124000311 |
Provider Name | Holly Richardson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275974719 PECOS PAC ID: 3476779182 Enrollment ID: I20140731002693 |
Provider Name | Jonathan B Sperry |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1689081143 PECOS PAC ID: 5597982132 Enrollment ID: I20140805002974 |
Provider Name | Heath R Merkley |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1942430103 PECOS PAC ID: 1153549092 Enrollment ID: I20140905001788 |
Provider Name | Matthew Carmichael |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1205147998 PECOS PAC ID: 0244495901 Enrollment ID: I20150126001994 |
Provider Name | Mary Dean |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1962526202 PECOS PAC ID: 6709815004 Enrollment ID: I20150202002022 |
Provider Name | Kenneth Offutt |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1962720540 PECOS PAC ID: 1759609431 Enrollment ID: I20150408002268 |
Provider Name | Kristoffer Jon Bylow |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1174815955 PECOS PAC ID: 2668795832 Enrollment ID: I20150619000457 |
Provider Name | Keanon Walker |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1609250083 PECOS PAC ID: 9638484157 Enrollment ID: I20150812009157 |
Provider Name | Danielle R Davidson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1417333543 PECOS PAC ID: 8820303266 Enrollment ID: I20150814012919 |
Provider Name | Jared D Emery |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1346655636 PECOS PAC ID: 5294042693 Enrollment ID: I20150917001118 |
Provider Name | Katherine Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528437936 PECOS PAC ID: 2264741933 Enrollment ID: I20151020000920 |
Provider Name | John M Derfelt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912377862 PECOS PAC ID: 1951610492 Enrollment ID: I20151022002197 |
Provider Name | Jacob L Baalman |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1831537570 PECOS PAC ID: 5496065021 Enrollment ID: I20161003001479 |
Provider Name | Summer D Morgan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770031593 PECOS PAC ID: 9436437779 Enrollment ID: I20161020002155 |
Provider Name | Bryan S Shearer |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1992048037 PECOS PAC ID: 8224355201 Enrollment ID: I20161108002288 |
Provider Name | Robert C Montana |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1649290370 PECOS PAC ID: 1850397282 Enrollment ID: I20170303001110 |
Provider Name | Melanie Reed |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1447610837 PECOS PAC ID: 2961700349 Enrollment ID: I20170327000199 |
Provider Name | Chukwudi Obiora Chiaghana |
---|---|
Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1417214529 PECOS PAC ID: 4688809478 Enrollment ID: I20170628000798 |
Provider Name | Nicholas Benjamin Camp |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1861753709 PECOS PAC ID: 3577705706 Enrollment ID: I20170706002212 |
Provider Name | Joshua B Pead |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1043315039 PECOS PAC ID: 9133433568 Enrollment ID: I20170929001700 |
Provider Name | Kenneth Fondren Starnes |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1851772065 PECOS PAC ID: 9032476270 Enrollment ID: I20171127001573 |
Provider Name | Jordan Lefevers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114432150 PECOS PAC ID: 8426316076 Enrollment ID: I20180103001621 |
Provider Name | Trevor Lynn Bond |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1811212202 PECOS PAC ID: 4082867346 Enrollment ID: I20180711001420 |
Provider Name | David Reavis |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1356837603 PECOS PAC ID: 2860749132 Enrollment ID: I20180717003893 |
Provider Name | Kasey King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710472444 PECOS PAC ID: 5395093488 Enrollment ID: I20180806003206 |
Provider Name | Jill A Parmley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356825384 PECOS PAC ID: 4082958236 Enrollment ID: I20181129001440 |
Provider Name | Kevin Kierl |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1992148407 PECOS PAC ID: 6103133640 Enrollment ID: I20181204003871 |
Provider Name | Emily Williams |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1174814727 PECOS PAC ID: 6305073792 Enrollment ID: I20181227001144 |
Provider Name | Alec M Watson |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1629455449 PECOS PAC ID: 1254610637 Enrollment ID: I20190109002918 |
Provider Name | Craig Allen Kennedy |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1356332555 PECOS PAC ID: 0941219687 Enrollment ID: I20190412001078 |
Provider Name | Travis Alexander Melton |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1821487455 PECOS PAC ID: 2567760812 Enrollment ID: I20190509000743 |
Provider Name | Samantha Jo Primm |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407412406 PECOS PAC ID: 8224362272 Enrollment ID: I20190625000829 |
Provider Name | Morgan Gilkerson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1669036075 PECOS PAC ID: 8921332933 Enrollment ID: I20190625003348 |
Provider Name | Kendrick R Maus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992367502 PECOS PAC ID: 4284969825 Enrollment ID: I20190718001012 |
Provider Name | Crystal Campbell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063066363 PECOS PAC ID: 3971833732 Enrollment ID: I20190923000886 |
Provider Name | Andrew Vincent Nicholes |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1093788747 PECOS PAC ID: 0840263125 Enrollment ID: I20200414003044 |
Provider Name | Christopher Livingstone Gibert |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1033141775 PECOS PAC ID: 2264335645 Enrollment ID: I20200421001092 |
Provider Name | Darian Arman |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1992236053 PECOS PAC ID: 3072851500 Enrollment ID: I20200605001144 |
Provider Name | Tara Moore |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1740608884 PECOS PAC ID: 6204121551 Enrollment ID: I20200731000295 |
Provider Name | Kyle W Helm |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861090748 PECOS PAC ID: 1355752221 Enrollment ID: I20201125000138 |
Provider Name | Michael Patlajan |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1467843136 PECOS PAC ID: 9638448004 Enrollment ID: I20210507000434 |
Provider Name | Joel M Schmidt |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1750765558 PECOS PAC ID: 9032511811 Enrollment ID: I20210716001271 |
Provider Name | Stuart Conner |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1568704088 PECOS PAC ID: 3274852686 Enrollment ID: I20210817002231 |
Provider Name | Evan J Clark |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1154819951 PECOS PAC ID: 4688009574 Enrollment ID: I20210820000146 |
Provider Name | Cody Baker |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1750842944 PECOS PAC ID: 6103151899 Enrollment ID: I20211004000337 |
Provider Name | Jessica Renee Engle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346993714 PECOS PAC ID: 1052706587 Enrollment ID: I20220321001551 |
Provider Name | Joshua Hartman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871581306 PECOS PAC ID: 7618043183 Enrollment ID: I20220412002172 |
Provider Name | Kevin H Liljenquist |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1952041790 PECOS PAC ID: 6507246832 Enrollment ID: I20220705001826 |
Provider Name | Chad D Law |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417307083 PECOS PAC ID: 9537565320 Enrollment ID: I20220718002030 |
Provider Name | Leah R. Joyner |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1942761762 PECOS PAC ID: 4385978261 Enrollment ID: I20220726001637 |
Provider Name | Jeffery A Gross |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1992238380 PECOS PAC ID: 1951637644 Enrollment ID: I20220726002986 |
Provider Name | Nathaniel C Rider |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1629539390 PECOS PAC ID: 8628303310 Enrollment ID: I20220728001676 |
Provider Name | Cameron Hess |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1184152746 PECOS PAC ID: 6204108608 Enrollment ID: I20220811000756 |
Provider Name | Sreedhar Reddy Mitta |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1902455504 PECOS PAC ID: 5496085227 Enrollment ID: I20220818002608 |
Provider Name | Andrew Russell |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326509365 PECOS PAC ID: 1052648169 Enrollment ID: I20220819002310 |
Provider Name | Theresa Baughman |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1992455174 PECOS PAC ID: 1759764848 Enrollment ID: I20220823002098 |
Provider Name | Alexandrea H Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467172957 PECOS PAC ID: 3678959780 Enrollment ID: I20220927002470 |
Provider Name | Kelly Lynn Hook |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548995038 PECOS PAC ID: 7911383724 Enrollment ID: I20221003000525 |
Provider Name | Carrie J Bailey |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730529546 PECOS PAC ID: 4981969557 Enrollment ID: I20221014000413 |
Provider Name | Derek B Douglas |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1902307762 PECOS PAC ID: 6901202951 Enrollment ID: I20221027001672 |
Provider Name | Michael Robert Tobin |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1548725013 PECOS PAC ID: 1254750763 Enrollment ID: I20221208002863 |
Provider Name | Karlee Ann Heilig |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1851099311 PECOS PAC ID: 8921466897 Enrollment ID: I20230626000329 |
Provider Name | Ashley Davis |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1154056034 PECOS PAC ID: 5193185395 Enrollment ID: I20230719004138 |
Provider Name | Jaron Richard Nielson |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1992332035 PECOS PAC ID: 5395107635 Enrollment ID: I20230817002644 |
Provider Name | Heather R Heady |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801477070 PECOS PAC ID: 9335557859 Enrollment ID: I20230926001978 |
Provider Name | Jessica K Stadler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427634500 PECOS PAC ID: 6305240573 Enrollment ID: I20231222001994 |
Provider Name | Peter J Bates |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063844496 PECOS PAC ID: 3577797521 Enrollment ID: I20240103000751 |
Provider Name | Vincent Call |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1699111245 PECOS PAC ID: 3274888730 Enrollment ID: I20240213002070 |
Provider Name | Jeffrey Stephens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336451269 PECOS PAC ID: 4183880271 Enrollment ID: I20240311002829 |
Provider Name | Harrison A Daniel |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1245868991 PECOS PAC ID: 6103213186 Enrollment ID: I20240513000973 |
Provider Name | Daniel Dittus |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1154770469 PECOS PAC ID: 1557644416 Enrollment ID: I20240626002193 |
Provider Name | Seagal Dauglas |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1477016467 PECOS PAC ID: 9436539418 Enrollment ID: I20240626003745 |
Provider Name | Nadeem El-kouri |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1760002513 PECOS PAC ID: 1658765318 Enrollment ID: I20240627001726 |
Provider Name | Michael Sarwinski |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1730109810 PECOS PAC ID: 7517910326 Enrollment ID: I20240719000674 |
Provider Name | Lesli Coomes |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1285205658 PECOS PAC ID: 3971905845 Enrollment ID: I20241230002421 |
Provider Name | Jonathan Riddle |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1407421217 PECOS PAC ID: 7113307885 Enrollment ID: I20250222000204 |
Mccune-brooks Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3125 Dr Russell Smith Way, Carthage, MO 64836 Phone: 416-358-8121 Fax: 417-237-7240 | |
The Counseling Center Of Carthage Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 626 W Centennial Ave, Carthage, MO 64836 Phone: 417-358-1220 Fax: 417-358-1947 | |
Carthage Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2411 Fairlawn Dr, Carthage, MO 64836 Phone: 417-359-8093 Fax: 417-359-8094 | |
Bykota Church Ministries Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 430 W Elk St, Carthage, MO 64836 Phone: 417-358-3991 Fax: 417-358-7876 | |
Carthage Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 341 S Main St Ste 2, Carthage, MO 64836 Phone: 417-438-4595 | |
Consultation Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 W 52nd St, Carthage, MO 64836 Phone: 417-358-5047 |