MERCY CLINIC SPRINGFIELD COMMUNITIES (NPI# 1053346270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053346270 |
| Entity Type | Organization |
| Organization Name | MERCY CLINIC SPRINGFIELD COMMUNITIES |
| Other Organization Name | MERCY CLINIC GENERAL SURGERY-BERRYVILLE |
| Practice Address |
211 Carter St Berryville AR 72616-4303 |
| Mailing Address |
Po Box 505164 Saint Louis MO 63150-5164 |
| Practice Telephone | 8704233338 |
| Practice Fax Number | 8704237330 |
| Mailing Telephone | 4178294620 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2013-10-29 |
| Authorized Official Name | MR. STUART G. STANGELAND (SENIOR VICE PRESIDENT/COO) |
| Authorized Official Telephone | 4178206556 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | E3867 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 500268008 | 05 | |
| AR | 131369004 | 05 |
| Other Name | Type Code |
|---|---|
| MERCY CLINIC GENERAL SURGERY-BERRYVILLE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659785657 | Mercy Clinic Springfield Communities | Radiology | 11701 Bee Cave Pkwy, Suite 213, Bee Cave, TX 78738-6466 | 2014-06-17 |
| 1770612590 | Mercy Clinic Springfield Communities | Nurse Practitioner | 120 Hospital Dr Ste 350, Lebanon, MO 65536-9253 | 2007-03-05 |
| 1952437675 | Mercy Clinic Springfield Communities | Family Medicine | 18598 Business 13, Branson West, MO 65737 | 2007-02-26 |
| 1811065477 | Mercy Clinic Springfield Communities | Family Medicine | 9138 O'banion St, Birch Tree, MO 65438 | 2006-12-01 |
| 1538195508 | Mercy Clinic Springfield Communities | Family Medicine | 1 Park Dr, Suite C, Holiday Island, AR 72631-9216 | 2006-06-23 |
| 1053347807 | Mercy Clinic Springfield Communities | Family Medicine | 100 Medical Cir, Green Forest, AR 72638-3802 | 2006-06-23 |
| 1740226091 | Mercy Clinic Springfield Communities | Family Medicine | 207 Carter St, Berryville, AR 72616-4303 | 2006-06-22 |
| 1881636884 | Mercy Clinic Springfield Communities | Psychologist | 1312 E Lark St, Springfield, MO 65804-7351 | 2006-06-12 |
| 1124069877 | Mercy Clinic Springfield Communities | Obstetrics & Gynecology | 613 Orchard Dr, Berryville, AR 72616-5013 | 2006-06-10 |
| 1245277631 | Mercy Clinic Springfield Communities | Internal Medicine | 3231 S National Ave Ste 220, Springfield, MO 65807 | 2006-06-02 |
| Street Address |
211 CARTER ST |
| City | BERRYVILLE |
| State | AR |
| Zip Code | 72616-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902862634 | Roger Casady | Surgery | 211 Carter St, Berryville, AR 72616-4303 | 2006-04-21 |
| 1235248220 | William K.. Flake | Surgery | 211 Carter St, Berryville, AR 72616-4303 | 2006-08-30 |
| 1073548855 | Lawrence Monroe George | Surgery | 211 Carter St, Berryville, AR 72616-4303 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811470784 | Ltc of Berryville, LLC | Skilled Nursing Facility | 500 Hammond Avenue, Berryville, AR 72616 | 2018-09-07 |
| 1700200144 | Jason Spener Mabry | Pharmacist | 1006 West Trimble Ave, Berryville, AR 72616 | 2014-02-05 |
| 1659706554 | Roxanne Garrison | Physical Therapy Assistant | 705 College Street, Carroll County Learning Center, Berryville, AR 72616 | 2013-09-10 |
| 1780978007 | Mcneal Chiropractic Ctr, Inc | Chiropractor | 601 Orchard Drive, Berryville, AR 72616 | 2011-06-03 |
| 1700176542 | Ida Linda Trice | Psychologist | 122 Rose, Berryville, AR 72616 | 2011-04-13 |
| 1649364142 | Lyman Gray Squires Jr. | Optometrist | 105 S. Springfield St., Berryville, AR 72616 | 2006-10-02 |
| 1063520955 | Jim D Blanchard | Dentist | 201 Rice St, Berryville, AR 72616 | 2006-08-29 |
| 1194833236 | Rebecca Leigh Zeleny | Social Worker | 208 Hwy 62 W, Berryville, AR 72616 | 2006-08-28 |
| 1811923741 | Kim Arehart Knapp | Genetic Counselor, MS | 208 Hwy 62 West, Berryville, AR 72616 | 2006-06-23 |
| 1972921252 | Tyler Worth Troutman | Hospitalist | 214 Carter St, Berryville, AR 72616 | 2014-04-03 |
| Find all providers in zip 72616 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497786859 | St. John's Clinic, Inc. | Surgery | 203 Rice St, Berryville, AR 72616-4388 | 2006-07-05 |
| 1902862634 | Roger Casady | Surgery | 211 Carter St, Berryville, AR 72616-4303 | 2006-04-21 |
| 1164635272 | Milo Nelson Warner | Surgery | 214 Carter St, Berryville, AR 72616-4303 | 2007-05-07 |
| 1235248220 | William K.. Flake | Surgery | 211 Carter St, Berryville, AR 72616-4303 | 2006-08-30 |
| 1073548855 | Lawrence Monroe George | Surgery | 211 Carter St, Berryville, AR 72616-4303 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962981928 | Baptist Heath Services | Surgery | 1500 Dodson Ave Ste 250, Fort Smith, AR 72901 | 2018-08-10 |
| 1932697877 | Nachtigal and Nachtigal General and Vascular Surgery, Pllc | Surgery | 230 Highway 5 N Ste 10, Mountain Home, AR 72653-3013 | 2018-04-26 |
| 1982108056 | Anthony T Manning Md Pllc | Surgery | 525 Western Ave Ste 203, Conway, AR 72034-4980 | 2018-03-22 |
| 1952840555 | Arkansas Health Group | Surgery | 1703 N Buerkle St Ste 4, Stuttgart, AR 72160-3153 | 2017-02-15 |
| 1295154789 | Nolan R Bruce | Surgery | 4301 W Markham St # 520-1, Little Rock, AR 72205-7101 | 2014-04-10 |
| 1164846887 | Northwest Arkansas Breast Care Specialists, Ltd. | Surgery | 701 S Horsebarn Rd, Suite 100, Rogers, AR 72758-8737 | 2014-02-17 |
| 1265867493 | James W. Slezak, Jr., M.d., P.a. | Surgery | 116 Woodcliff Rd, Springdale, AR 72764-3691 | 2013-09-06 |
| 1366888711 | Raj Patel | Surgery | 4100 Outpatient Cirlce, 616, Little Rock, AR 72205 | 2013-05-13 |
| 1386987766 | Rebecca Empting Bittenbinder | Surgery | 400 Jack Stephens Dr Fl 2, Little Rock, AR 72205 | 2013-04-03 |
| 1164763918 | Cynthia J Amram | Surgery | 3015 E Joyce Blvd, Fayetteville, AR 72703-4526 | 2013-03-04 |
| Find all providers with the same taxonomy | ||||
| City | BERRYVILLE |
| Zip Code | 72616 |
Please comment or provide details below to improve the information on MERCY CLINIC SPRINGFIELD COMMUNITIES.
| 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.