| Marshall Orthopedic And Sports Medicine | |
|
2305 S 65 Highway Marshall MO 65340-3702 | |
| (660) 831-3553 | |
| (660) 831-3325 |
| Full Name | Marshall Orthopedic And Sports Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 2305 S 65 Highway, Marshall, Missouri |
| Authorized Official Name and Position | Nancy Harris (CFO) |
| Authorized Official Contact | 6608867231 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marshall Orthopedic And Sports Medicine 2305 S 65 Highway Marshall MO 65340-3702 Ph: (660) 831-3553 | Marshall Orthopedic And Sports Medicine 2305 S 65 Highway Marshall MO 65340-3702 Ph: (660) 831-3553 |
| NPI Number | 1285650176 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 03/05/2024 |
| Medicare PECOS PAC ID | 2567351570 |
|---|---|
| Medicare Enrollment ID | O20080708000234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285650176 | NPI | - | NPPES |
| 506916709 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Wallace E Ralston |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972556447 PECOS PAC ID: 0941272819 Enrollment ID: I20040811000239 |
| Provider Name | Clinton Frederick Pickett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447226790 PECOS PAC ID: 5092774976 Enrollment ID: I20041006000946 |
| Provider Name | Christopher J Sporleder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013907815 PECOS PAC ID: 3274439203 Enrollment ID: I20041104000597 |
| Provider Name | Brenda K Dodds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467455568 PECOS PAC ID: 6608814553 Enrollment ID: I20050420001247 |
| Provider Name | Richard A White |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1770536856 PECOS PAC ID: 4981656048 Enrollment ID: I20050422000015 |
| Provider Name | Kelly Lynn Ross |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053384818 PECOS PAC ID: 5193750313 Enrollment ID: I20050927000817 |
| Provider Name | Carrie Ann Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770504219 PECOS PAC ID: 6406853167 Enrollment ID: I20061023000407 |
| Provider Name | Mary Ann T Coatney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649351693 PECOS PAC ID: 6800993379 Enrollment ID: I20100225000828 |
| Provider Name | Hope Irene Tinker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619091311 PECOS PAC ID: 3072505650 Enrollment ID: I20100907000553 |
| Provider Name | Theresa A Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629102025 PECOS PAC ID: 6608065776 Enrollment ID: I20110105001206 |
| Provider Name | Leann Elizabeth Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992006399 PECOS PAC ID: 7911182621 Enrollment ID: I20110422000243 |
| Provider Name | Megan L Shepard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033401328 PECOS PAC ID: 7416133681 Enrollment ID: I20110524000476 |
| Provider Name | David L John |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568424174 PECOS PAC ID: 1052346830 Enrollment ID: I20170406001920 |
| Provider Name | Christina Corinne Kirkendoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194237586 PECOS PAC ID: 7416215819 Enrollment ID: I20171212002153 |
| Provider Name | Patricia Lynn Klinger Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497306773 PECOS PAC ID: 6709213549 Enrollment ID: I20200217004455 |
| Provider Name | Heidi L Leimkuehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750043725 PECOS PAC ID: 2466844782 Enrollment ID: I20220119001059 |
| Provider Name | Kurt W Schroer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104288646 PECOS PAC ID: 3072841485 Enrollment ID: I20220119002335 |
Marshall Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2305 South 65 Highway, Building A, Marshall, MO 65340 Phone: 660-886-7800 Fax: 660-831-3328 | |
Mid-missouri Family Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 78 S. Jefferson, Marshall, MO 65340 Phone: 660-831-1175 | |
Katy Trail - Marshall School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 313 E Eastwood St, Marshall, MO 65340 Phone: 660-886-7100 | |
Mid Missouri Family Health At Fitzgibbon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4 N Jefferson Ave, Marshall, MO 65340 Phone: 660-831-1175 Fax: 660-831-1195 | |
D. J. Fahnestock, D. C., P. C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 269 S Jefferson Ave, Marshall, MO 65340 Phone: 660-886-6903 Fax: 660-886-6904 | |
Ulbrich Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2301 S Highway 65, Suite 2, Marshall, MO 65340 Phone: 660-631-3386 | |
Missouri Valley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 E College St, Marshall, MO 65340 Phone: 660-831-4000 |