DEXTER HOSPITAL LLC (NPI# 1073656153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073656153 |
| Entity Type | Organization |
| Organization Name | DEXTER HOSPITAL LLC |
| Other Organization Name | DEXTER CHILDRENS CLINIC |
| Practice Address |
1300 N One Mile Rd Suite 2 Dexter MO 63841-1042 |
| Mailing Address |
Po Box 368 Dexter MO 63841-0368 |
| Practice Telephone | 5736246442 |
| Mailing Telephone | 5736243165 |
| Mailing Fax Number | 5736243157 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SUE WILLIAMS (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 5736241640 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MO | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| DEXTER CHILDRENS CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427350594 | Dexter Hospital LLC | Family Medicine | 2025 W Bus Hwy 60, Dexter, MO 63841 | 2010-11-23 |
| 1326108226 | Dexter Hospital LLC | Internal Medicine | 1003 Highway 25 North, Bloomfield, MO 63825 | 2006-12-11 |
| 1710056213 | Dexter Hospital LLC | Family Medicine | 1525 W Business Hwy 60, Dexter, MO 63841 | 2006-11-07 |
| 1629132790 | Dexter Hospital LLC | Surgery | 1300 N One Mile Rd, Suite 7, Dexter, MO 63841 | 2006-12-21 |
| 1780745414 | Dexter Hospital LLC | Surgery | 1300 N One Mile Rd, Suite 5, Dexter, MO 63841 | 2006-12-13 |
| Street Address |
1300 N ONE MILE RD SUITE 2 |
| City | DEXTER |
| State | MO |
| Zip Code | 63841-1042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801891015 | Southeast Health Center of Stoddard County, LLC | Home Health | 1300 N One Mile Rd, Suite 7, Dexter, MO 63841-1042 | 2005-06-15 |
| 1083848923 | Stoddard County Family Care LLC | Clinic/Center | 1300 N One Mile Rd, Dexter, MO 63841-1042 | 2009-05-06 |
| 1528273117 | Stacey Grays | Nurse Practitioner | 1300 N One Mile Rd, Dexter, MO 63841-1042 | 2007-05-14 |
| 1649399031 | Jean Brown | Nurse Practitioner | 1300 N One Mile Rd, Suite 1, Dexter, MO 63841-1042 | 2007-03-28 |
| 1629111729 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 1300 N One Mile Rd, Dexter, MO 63841-1042 | 2007-02-15 |
| 1629132790 | Dexter Hospital LLC | Surgery | 1300 N One Mile Rd, Suite 7, Dexter, MO 63841 | 2006-12-21 |
| 1780745414 | Dexter Hospital LLC | Surgery | 1300 N One Mile Rd, Suite 5, Dexter, MO 63841 | 2006-12-13 |
| 1477613370 | Dexter Hosptial LLC | Internal Medicine | 1300 N One Mile Rd, Suite 1, Dexter, MO 63841 | 2006-12-11 |
| 1710047618 | Southeast Health Center of Stoddard County, LLC | Clinic/Center | 1300 N One Mile Rd, Suite 2, Dexter, MO 63841-1042 | 2006-12-11 |
| 1578528618 | Reza Jalal | Internal Medicine | 1300 N One Mile Rd, Suite 1, Dexter, MO 63841-1042 | 2006-04-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558941 | Christa Renee Mcbroom | Pharmacist | 2025 Business Hwy 60w, Dexter, MO 63841 | 2020-11-02 |
| 1306230107 | David Mulcahy | Pharmacist | 904 West Business Hwy 60, Dexter, MO 63841 | 2015-03-19 |
| 1285038935 | Clearwater In-home Care, Inc. | Technician | 1525 Business Highway 60, Suite C, Dexter, MO 63841 | 2014-10-09 |
| 1720404064 | William Simmons | Pharmacist | 904 W Business Highway 60, Dexter, MO 63841 | 2014-03-11 |
| 1134498736 | Susan Caroline Jones | Physical Therapist | 913 West Business Hwy 60, Dexter, MO 63841 | 2011-12-28 |
| 1427350594 | Dexter Hospital LLC | Family Medicine | 2025 W Bus Hwy 60, Dexter, MO 63841 | 2010-11-23 |
| 1992028112 | Hilda Fuwell's Residential Care LLC | Clinic/Center | 900 South One Mile Road, Dexter, MO 63841 | 2010-03-02 |
| 1508197047 | Super D Drugs Acquisition Co | Durable Medical Equipment & Medical Supplies | 907 West Business Hwy. 60, Dexter, MO 63841 | 2010-01-22 |
| 1215262183 | Ozark Wellness & Athletic Club | Physical Therapist | 1521 W Bus. Hwy. 60, Dexter, MO 63841 | 2009-10-12 |
| 1225268618 | Practice Tee, LLC | Family Medicine | 1523 W Business Hwy 60, Dexter, MO 63841 | 2009-07-20 |
| Find all providers in zip 63841 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374359 | Medical Health 360 Pllc | Pediatrics | 16955 County Route 59, Dexter, NY 13634-2027 | 2020-04-10 |
| 1295793305 | Paul William Turke | Pediatrics | 7444 Dexter Ann Arbor Rd Ste A, Dexter, MI 48130-1468 | 2006-05-01 |
| 1225225675 | Ferguson Medical Group Rural Health Center, Inc | Pediatrics | 115 E Business Us Highway 60, Dexter, MO 63841-1219 | 2007-10-01 |
| 1962467001 | Zulekha Safiya Jalal | Pediatrics | 1300 N One Mile Rd, Suite 2, Dexter, MO 63841-1042 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114537222 | Natalie Joan Wilson | Pediatrics | 1463 Us Hwy 61, Suite C, Festus, MO 63028-6302 | 2020-08-04 |
| 1538786413 | Melissa An | Pediatrics | 1 Childrens Pl Ste 3s36, Saint Louis, MO 63110-1002 | 2020-06-26 |
| 1033731500 | Jessica N Zeiss | Pediatrics | 981 Highway K, Rhineland, MO 65069-2214 | 2020-05-07 |
| 1538795547 | Virtualnicu | Pediatrics | 10 Warridge Dr, Saint Louis, MO 63124-1166 | 2020-03-21 |
| 1811528656 | Children's Mercy-cockerell and Mcintosh Pediatrics, Inc | Pediatrics | 205 Nw R D Mize Rd Ste 304, Blue Springs, MO 64014-2520 | 2020-01-30 |
| 1134780430 | Jane Reardon | Pediatrics | 8140 Ward Pkwy Ste 275, Kansas City, MO 64114-2032 | 2019-06-26 |
| 1174082887 | Kristen Steinmeyer | Pediatrics | 714 Peace Haven Ct, Saint Louis, MO 63125-5404 | 2019-03-13 |
| 1023574365 | Saint Francis Medical Center | Pediatrics | 2210 Barron Rd Ste 120, Poplar Bluff, MO 63901-1908 | 2019-02-12 |
| 1215402011 | Ayse Bahar Budan Caliskan | Pediatrics | Washington University, St. Louis Children's Hospital, One Children's Place, 4n1, St. Louis, MO 63110-1002 | 2018-10-08 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
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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.