PHYSICIAN GROUPS LC (NPI# 1033236948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033236948 |
Entity Type | Organization |
Organization Name | PHYSICIAN GROUPS LC |
Other Organization Name | MEDICAL ARTS ALLERGY CLINIC |
Practice Address |
301 West Washington Street Suite 5 Farmington MO 63640-1921 |
Mailing Address |
670 Mason Ridge Center Dr Suite 300 Saint Louis MO 63141-8573 |
Practice Telephone | 5737561744 |
Mailing Telephone | 3149967644 |
Mailing Fax Number | 3149967658 |
Enumeration Date | 2007-03-23 |
Last Update Date | 2008-01-07 |
Authorized Official Name | RAYMOND P DAVIDSON II (PRESIDENT) |
Authorized Official Telephone | 3142862028 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Medical Arts Allergy Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144357278 | Physician Groups Lc | Family Medicine | 1110 Wolfrum Rd, Weldon Spring, MO 63304-7796 | 2007-02-27 |
1427114990 | Physician Groups Lc | Clinic/Center | 1103 W Liberty, Farmington, MO 63640-1921 | 2006-12-29 |
1770650020 | Physician Groups Lc | Clinic/Center | 6 Jungermann Road, Suite 108, Saint Peters, MO 63376 | 2006-11-30 |
1679640007 | Physician Groups Lc | Clinic/Center | 3528 Patterson Rd, Florissant, MO 63031-1311 | 2006-11-29 |
1285664268 | Physician Groups Lc | Clinic/Center | 670 Mason Ridge Center Dr, Suite 300, Saint Louis, MO 63141-8573 | 2006-07-04 |
1750562542 | Physician Groups Lc | Obstetrics & Gynecology | 1 Barnes Jewish Hospital Plz, Ste. 16312, Saint Louis, MO 63110-1003 | 2007-11-20 |
1790978757 | Physician Groups Lc | Internal Medicine | 2 Progress Point Ct, Suite 101c, O Fallon, MO 63368-2208 | 2007-08-23 |
1043403009 | Physician Groups Lc | Obstetrics & Gynecology | 70 Jungermann Cir, Suite 101, Saint Peters, MO 63376-1622 | 2007-08-23 |
1598958787 | Physician Groups Lc | Colon & Rectal Surgery | 11155 Dunn Rd, Ste. 312e Bldg. 1, Saint Louis, MO 63136-6150 | 2007-08-22 |
1316130503 | Physician Groups Lc | Orthopaedic Surgery | 2630 Highway K, O Fallon, MO 63368-6624 | 2007-08-22 |
Street Address |
301 WEST WASHINGTON STREET SUITE 5 |
City | FARMINGTON |
State | MO |
Zip Code | 63640-1921 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
Find all providers in zip 63640 |
Taxonomy Code | 207KA0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
Specialization | Allergy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801089057 | Physician Groups Lc | Allergy & Immunology | 301 N Washington St, Suite 5, Farmington, MO 63640-1751 | 2007-08-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891009361 | David L Straub, M.d.,p.c. | Allergy & Immunology | 706 W 26th St, Joplin, MO 64804-1918 | 2010-07-27 |
1033346267 | Allergy and Asthma Consultants of The Ozarks, Ltd | Allergy & Immunology | 407a E Russell Ave Ste 3, Warrensburg, MO 64093-1266 | 2009-06-15 |
1205063500 | Allergy and Asthma Consultants of The Ozarks, Ltd | Allergy & Immunology | 601 W Nifong Blvd Ste 2b, Columbia, MO 65203-6804 | 2009-06-15 |
1275714743 | St Louis Allergy Consultants Inc | Allergy & Immunology | 621 S New Ballas Rd Ste 368, Saint Louis, MO 63141-8232 | 2007-11-26 |
1427189950 | Allergy and Asthma Consultants, PC | Allergy & Immunology | 711 Old Ballas Rd., Suite 100, St. Louis, MO 63141-7068 | 2007-03-08 |
1265599591 | Lawrence Paul Landwehr | Allergy & Immunology | 407 A. East Russell Avenue, Suite 3, Warrensburg, MO 64093 | 2007-01-03 |
1629132683 | Tipu Sultan | Allergy & Immunology | 11585 W Florissant Ave, Florissant, MO 63033-6740 | 2006-12-21 |
1376658534 | Allergy and Asthma Consultants of The Ozark,ltd | Allergy & Immunology | 1233 Jefferson St, Jefferson City, MO 65109-2469 | 2006-08-20 |
1407960776 | Michael Lewis Loren | Allergy & Immunology | 4963 Ne Goodview Cir, Suite A, Lees Summit, MO 64064-1998 | 2006-08-17 |
1174596860 | Laura A Esswein | Allergy & Immunology | 10024 Watson Rd, Saint Louis, MO 63126-1829 | 2006-02-11 |
Find all providers with the same taxonomy |
City | FARMINGTON |
Zip Code | 63640 |
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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.