| Sgoh Acquisition Inc | |
|
1540 E Evergreen St Springfield MO 65803-4300 | |
| (417) 823-2900 | |
| (417) 886-2774 |
| Full Name | Sgoh Acquisition Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1540 E Evergreen St, Springfield, Missouri |
| Authorized Official Name and Position | Paul Taylor (CEO) |
| Authorized Official Contact | 4178372000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sgoh Acquisition Inc 1540 E Evergreen St Springfield MO 65803-4300 Ph: (417) 823-2900 | Sgoh Acquisition Inc 1540 E Evergreen St Springfield MO 65803-4300 Ph: (417) 823-2900 |
| NPI Number | 1114924768 |
|---|---|
| Provider Enumeration Date | 06/28/2005 |
| Last Update Date | 07/16/2024 |
| Medicare PECOS PAC ID | 5092616276 |
|---|---|
| Medicare Enrollment ID | O20040205000647 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114924768 | NPI | - | NPPES |
| 540564408 | Medicaid | MO | |
| CR0762 | Other | MO | RR MEDICARE |
| 121295105 | Medicaid | AR | |
| 010564409 | Medicaid | MO |
| Provider Name | Jackie S Beene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841296548 PECOS PAC ID: 9537050034 Enrollment ID: I20040323001705 |
| Provider Name | Sheila Hutson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306986757 PECOS PAC ID: 8921092933 Enrollment ID: I20040413000500 |
| Provider Name | Ward M Lawson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083619506 PECOS PAC ID: 6507766862 Enrollment ID: I20040730000773 |
| Provider Name | Margaret H Welker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437118296 PECOS PAC ID: 2062462419 Enrollment ID: I20050125000102 |
| Provider Name | Fernando Cavero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669545711 PECOS PAC ID: 8224082482 Enrollment ID: I20050310000209 |
| Provider Name | Coral L Couchenour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538169131 PECOS PAC ID: 7214966753 Enrollment ID: I20050805000043 |
| Provider Name | Craig L Pendergrass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700835469 PECOS PAC ID: 9537159801 Enrollment ID: I20050808000189 |
| Provider Name | Suckhong Brian Kim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922041839 PECOS PAC ID: 2163452970 Enrollment ID: I20050820000130 |
| Provider Name | Gregoria Villaruel-kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588649651 PECOS PAC ID: 0941233837 Enrollment ID: I20050912000995 |
| Provider Name | Krista L Koinzan Boyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811950900 PECOS PAC ID: 4880614908 Enrollment ID: I20051202000604 |
| Provider Name | Linda C Burdett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639154677 PECOS PAC ID: 3173545886 Enrollment ID: I20051222000049 |
| Provider Name | John J Magnuson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770689747 PECOS PAC ID: 9931117603 Enrollment ID: I20060323000046 |
| Provider Name | John S Carpenter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083792451 PECOS PAC ID: 4981604592 Enrollment ID: I20070105000002 |
| Provider Name | Robert D Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538168133 PECOS PAC ID: 0941254312 Enrollment ID: I20070613000688 |
| Provider Name | Robin L Cavero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750456224 PECOS PAC ID: 4385736255 Enrollment ID: I20070823000035 |
| Provider Name | Robert L Sweeten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164509766 PECOS PAC ID: 6204810286 Enrollment ID: I20071023000135 |
| Provider Name | Carrie E Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093908691 PECOS PAC ID: 2264521871 Enrollment ID: I20071205000199 |
| Provider Name | Frederick M Faust |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346350162 PECOS PAC ID: 6406927979 Enrollment ID: I20080611000703 |
| Provider Name | Charles Watt |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1134124324 PECOS PAC ID: 1951349083 Enrollment ID: I20081107000729 |
| Provider Name | Robert W Powers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881699072 PECOS PAC ID: 7315034428 Enrollment ID: I20081112000030 |
| Provider Name | Patrick Macmillan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073604690 PECOS PAC ID: 7214097906 Enrollment ID: I20081126000092 |
| Provider Name | William Mckay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265417331 PECOS PAC ID: 7315985447 Enrollment ID: I20081205000103 |
| Provider Name | William J Howitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306834288 PECOS PAC ID: 5294896528 Enrollment ID: I20081205000126 |
| Provider Name | Thomas E Dahlberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013013093 PECOS PAC ID: 6406919604 Enrollment ID: I20090114000594 |
| Provider Name | Karen L Madsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023252756 PECOS PAC ID: 5496805178 Enrollment ID: I20090618000497 |
| Provider Name | Steven R Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639168230 PECOS PAC ID: 9537211610 Enrollment ID: I20090721000477 |
| Provider Name | Arthur Joe Cohn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215932488 PECOS PAC ID: 8325086440 Enrollment ID: I20091118000282 |
| Provider Name | Janiece R Bridges |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184758617 PECOS PAC ID: 1456260991 Enrollment ID: I20110628000580 |
| Provider Name | Bonnie L Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669744504 PECOS PAC ID: 7618137290 Enrollment ID: I20120320000478 |
| Provider Name | Nidal Dabbasi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609867464 PECOS PAC ID: 8921270232 Enrollment ID: I20120320000805 |
| Provider Name | Jana Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497028344 PECOS PAC ID: 9234374950 Enrollment ID: I20130401000243 |
| Provider Name | Tisha K Joplin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295074615 PECOS PAC ID: 2062650161 Enrollment ID: I20130531000358 |
| Provider Name | Cassidy Nichole Giebler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841530474 PECOS PAC ID: 9032359088 Enrollment ID: I20130716000119 |
| Provider Name | Tracy Lowry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407122179 PECOS PAC ID: 6103067657 Enrollment ID: I20130725000201 |
| Provider Name | Kiana Rachelle Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669883849 PECOS PAC ID: 4082839634 Enrollment ID: I20140715002184 |
| Provider Name | David Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023076619 PECOS PAC ID: 8022911726 Enrollment ID: I20140929000269 |
| Provider Name | Nancy Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346208527 PECOS PAC ID: 5698678399 Enrollment ID: I20140929001228 |
| Provider Name | Joshua D Merriman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558779710 PECOS PAC ID: 7012137631 Enrollment ID: I20141002002055 |
| Provider Name | Ashley M Lilienkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427446202 PECOS PAC ID: 7012233133 Enrollment ID: I20150309002314 |
| Provider Name | Christopher M Ward |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245631340 PECOS PAC ID: 0648599795 Enrollment ID: I20150512001422 |
| Provider Name | Jerald D Forsyth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558451948 PECOS PAC ID: 1456662436 Enrollment ID: I20150617000998 |
| Provider Name | Ammar Taha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992032577 PECOS PAC ID: 1850538968 Enrollment ID: I20150731014411 |
| Provider Name | Jill D Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851744718 PECOS PAC ID: 5092000760 Enrollment ID: I20160819000048 |
| Provider Name | Kory Dee Miskin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215376058 PECOS PAC ID: 0941441018 Enrollment ID: I20161121001212 |
| Provider Name | Margaret L Kleiboeker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427593920 PECOS PAC ID: 8325320344 Enrollment ID: I20170126000521 |
| Provider Name | Tiffany Renee Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619491024 PECOS PAC ID: 2961773395 Enrollment ID: I20170803001979 |
| Provider Name | Justin Ellis Costello |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215235916 PECOS PAC ID: 5799054326 Enrollment ID: I20170914002374 |
| Provider Name | Amberlyn Casie Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184135113 PECOS PAC ID: 6800162660 Enrollment ID: I20171023000754 |
| Provider Name | Charity Hs Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225542863 PECOS PAC ID: 4880951193 Enrollment ID: I20171121002904 |
| Provider Name | Katrina Lea Selsor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073020673 PECOS PAC ID: 8820357320 Enrollment ID: I20180108002431 |
| Provider Name | Nancy M Willis-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144206673 PECOS PAC ID: 0446351464 Enrollment ID: I20180405001954 |
| Provider Name | Eugene Park Chung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528030525 PECOS PAC ID: 4486624160 Enrollment ID: I20180827002932 |
| Provider Name | Angela R Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356817589 PECOS PAC ID: 8426392937 Enrollment ID: I20181210001530 |
| Provider Name | Tara N Loveland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003389941 PECOS PAC ID: 8729325204 Enrollment ID: I20190122001729 |
| Provider Name | Kenneth Marcus Poemoceah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881652592 PECOS PAC ID: 8224931936 Enrollment ID: I20190124002831 |
| Provider Name | Jessica Burks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083188080 PECOS PAC ID: 7719225325 Enrollment ID: I20190206001514 |
| Provider Name | Joseph Adam Reighard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295938934 PECOS PAC ID: 6204174147 Enrollment ID: I20190219001068 |
| Provider Name | Amanda Lee Trevino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710450762 PECOS PAC ID: 9032450614 Enrollment ID: I20190409000301 |
| Provider Name | Audrey Hubler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831754720 PECOS PAC ID: 4688917727 Enrollment ID: I20190513002662 |
| Provider Name | Christine Marie Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154845246 PECOS PAC ID: 1850704511 Enrollment ID: I20210119002533 |
| Provider Name | Jessica N Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013522150 PECOS PAC ID: 9830504521 Enrollment ID: I20210210000861 |
| Provider Name | Amanda J Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659960979 PECOS PAC ID: 5698181857 Enrollment ID: I20210312001263 |
| Provider Name | Bonnie J Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235715962 PECOS PAC ID: 9234547704 Enrollment ID: I20210421002853 |
| Provider Name | Frederick Nicholas Day |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1275736340 PECOS PAC ID: 5193635779 Enrollment ID: I20210604000898 |
| Provider Name | Shanna Michelle Gilliland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740855709 PECOS PAC ID: 9335541549 Enrollment ID: I20210712000487 |
| Provider Name | Ryan Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609450782 PECOS PAC ID: 9436552924 Enrollment ID: I20210721001660 |
| Provider Name | Ra Y Suh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932404621 PECOS PAC ID: 9335535061 Enrollment ID: I20220406001429 |
| Provider Name | Taylor Lauren Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518602259 PECOS PAC ID: 0345637765 Enrollment ID: I20220503001037 |
| Provider Name | Julia Marie Eden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821733833 PECOS PAC ID: 8224425509 Enrollment ID: I20220505001158 |
| Provider Name | Lacy J Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376268755 PECOS PAC ID: 5890162978 Enrollment ID: I20221102000948 |
| Provider Name | Ashlea Ritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396464475 PECOS PAC ID: 7214313691 Enrollment ID: I20221212001059 |
| Provider Name | Shannon P Calhoun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598715278 PECOS PAC ID: 7911804398 Enrollment ID: I20230217001317 |
| Provider Name | Jason Robert Divito |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558604876 PECOS PAC ID: 4183981947 Enrollment ID: I20230217001411 |
| Provider Name | Jason E Grennan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457313314 PECOS PAC ID: 9830179092 Enrollment ID: I20230218000082 |
| Provider Name | David Scott Henley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770518128 PECOS PAC ID: 2769374032 Enrollment ID: I20230218000088 |
| Provider Name | Jonathan Jaksha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871555649 PECOS PAC ID: 3274632054 Enrollment ID: I20230218000114 |
| Provider Name | Steven Todd Mccormack |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023000338 PECOS PAC ID: 4183651987 Enrollment ID: I20230223000125 |
| Provider Name | Jarret Kuo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720228778 PECOS PAC ID: 0446495626 Enrollment ID: I20230223000253 |
| Provider Name | Jonathan Reed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588653075 PECOS PAC ID: 3577669928 Enrollment ID: I20230224000968 |
| Provider Name | Mohammed Quraishi |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1871545269 PECOS PAC ID: 8123030814 Enrollment ID: I20230224001081 |
| Provider Name | Karen Phillips |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801992813 PECOS PAC ID: 8729024161 Enrollment ID: I20230224001092 |
| Provider Name | Veronica Y Ruvo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740252725 PECOS PAC ID: 4183523855 Enrollment ID: I20230224001166 |
| Provider Name | Shannon L St Clair |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881030997 PECOS PAC ID: 3678714268 Enrollment ID: I20230224001226 |
| Provider Name | Stanley R Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003802968 PECOS PAC ID: 4082527205 Enrollment ID: I20230224001377 |
| Provider Name | Frank J Welte |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568676948 PECOS PAC ID: 6800933847 Enrollment ID: I20230225000380 |
| Provider Name | Jake Vrdoljak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619976230 PECOS PAC ID: 8527253400 Enrollment ID: I20230225000422 |
| Provider Name | Shawn Timothy Stone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891040689 PECOS PAC ID: 6103103569 Enrollment ID: I20230225000426 |
| Provider Name | Fang Yu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811159296 PECOS PAC ID: 9830214154 Enrollment ID: I20230227000124 |
| Provider Name | Stephanie Rose Davison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285319491 PECOS PAC ID: 1951769132 Enrollment ID: I20230620003040 |
| Provider Name | Ashley Weathers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629734934 PECOS PAC ID: 4688032808 Enrollment ID: I20230621000908 |
| Provider Name | Ashley Brooke Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205560661 PECOS PAC ID: 9931567179 Enrollment ID: I20230621001792 |
| Provider Name | Shannon Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952088130 PECOS PAC ID: 6901266717 Enrollment ID: I20230712000870 |
| Provider Name | Gladys Kabamba Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154045821 PECOS PAC ID: 9638539927 Enrollment ID: I20230718003457 |
| Provider Name | Harwinder K Dhanoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003594318 PECOS PAC ID: 4587024567 Enrollment ID: I20230721003168 |
| Provider Name | Michael A Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639958481 PECOS PAC ID: 3779937313 Enrollment ID: I20230929002375 |
| Provider Name | Kathryn Lynn Vanhooser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134558422 PECOS PAC ID: 5193175867 Enrollment ID: I20231220003380 |
| Provider Name | Justin Lee Cope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942930524 PECOS PAC ID: 1052856283 Enrollment ID: I20240712000353 |
| Provider Name | Julian E Lawson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639814163 PECOS PAC ID: 2961949854 Enrollment ID: I20240809000881 |
| Provider Name | Janice D Warrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699289355 PECOS PAC ID: 7719426436 Enrollment ID: I20240827000186 |
| Provider Name | Cale Cortlan Merkley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770051500 PECOS PAC ID: 7012457153 Enrollment ID: I20240904002672 |
| Provider Name | Sofia Rodriguez Hoces |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326874207 PECOS PAC ID: 9537600598 Enrollment ID: I20240918002894 |
| Provider Name | Susan Kay Matthews |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154691574 PECOS PAC ID: 1153852496 Enrollment ID: I20240927000750 |
James M. Carmichael, Dc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3108 S Fremont Ave, Springfield, MO 65804 Phone: 417-886-4910 Fax: 417-886-4910 | |
Regional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3525 S National Ave, #307, Springfield, MO 65807 Phone: 417-269-9220 Fax: 417-269-9229 | |
Lester E. Cox Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3800 S National Ave, #600, Springfield, MO 65807 Phone: 417-269-1499 Fax: 417-269-1459 | |
Regional Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1423 N Jefferson Ave, #k-100, Springfield, MO 65802 Phone: 417-269-3915 Fax: 417-269-3913 | |
Mercy Clinic Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2600 Fax: 417-820-2100 | |
Lester E Cox Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1429 W Sunshine St, Springfield, MO 65807 Phone: 417-269-2240 Fax: 417-269-2245 | |
Advocates For A Healthy Community, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1720 W Grand St Ste B, Springfield, MO 65802 Phone: 417-831-0150 Fax: 417-831-0155 |