ADVANCED MEDICAL HOUSE CALL AND TELEMEDICINE, L.L.C.


Address: 624 W Lockling St, Brookfield, MO 64628-2003
Phone: 6602684006

ADVANCED MEDICAL HOUSE CALL AND TELEMEDICINE, L.L.C. (NPI# 1083088058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083088058
Entity Type Organization
Organization Name ADVANCED MEDICAL HOUSE CALL AND TELEMEDICINE, L.L.C.
Other Organization Name ADVANCED MEDICAL EXPRESS CLINIC
Practice Address 624 W Lockling St
Brookfield
MO 64628-2003
Mailing Address Po Box 224
Brookfield
MO 64628-0224
Practice Telephone 6602684006
Practice Fax Number 6602589006
Mailing Telephone 6605309992
Mailing Fax Number 6605309992
Enumeration Date 2015-11-13
Last Update Date 2018-05-03
Authorized Official Name MICHAEL PAUL HOLTZ (OWNER/CEO/PROVIDER)
Authorized Official Telephone 6602684006
Authorized Official Credential FNP-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QP2300X Clinic/Center
Specialization: Primary Care
2014033136 MO Ambulatory Health Care Facilities
Y 363LF0000X Nurse Practitioner
Specialization: Family
2014033136 MO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GROUP NPI DBA ADVANCED MEDICAL EXPRESS CLINIC 1083088058 01
INDIVIDUAL NPI MICHAEL HOLTZ FNP-C 1518369024 01
GROUP NPI ADVANCED MEDICAL HOUSE CALL AND TELEMEDICINE, LLC 1083088058 01
INDIVIDUAL NPI COLLAB. PHYS. TERRY THRASHER DO 1962492223 01

Other Provider/Organization Names

Other Name Type Code
Advanced Medical Express Clinic Doing Business As Name - Organization

Office Location

Street Address 624 W LOCKLING ST
City BROOKFIELD
State MO
Zip Code 64628-2003

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518369024 Michael Paul Holtz Nurse Practitioner 624 W Lockling St, Brookfield, MO 64628-2003 2014-09-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548821747 Shirley L Arnold Nurse Practitioner 624 West Lockling Avenue, Brookfield, MO 64628 2019-06-27
1861761611 Kristen Marie Butterfield Physical Therapist 116 East Pratt, Brookfield, MO 64628 2011-12-23
1588933386 Jacey Lynne Mohr Physical Therapy Assistant 116 E Pratt, Brookfield, MO 64628 2011-12-22
1497841902 Thomas Ervin Pitts Dentist 121 E Brooks St, Brookfield, MO 64628 2006-10-04
1902909559 Hutchinson Clinic Inc Allergy & Immunology 624 W Lockling Ave, Brookfield, MO 64628 2006-09-07
1447257373 Minerva C Concepcion-rivera Internal Medicine 125 East Lockling Avenue, Brookfield, MO 64628 2005-07-07
1992702823 Pepito C Rivera Surgery 130 East Lockling Avenue, Brookfield, MO 64628 2005-07-07
1104322866 Rebecca Frieda Krc Emergency Medicine 130 E Lockling St, Brookfield, MO 64628 2018-04-02
1427251750 General John J. Pershing Memorial Hospital Dietitian, Registered 130 E Lockling St, Brookfield, MO 64628 2007-06-06
1407874126 General John J Pershing Memorial Hospital Association Home Health 130 E Lockling Ave, Brookfield, MO 64628-0408 2006-07-18
Find all providers in zip 64628

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871122556 Mary Kofigah Nurse Practitioner 21150 W. Capital Dr., Brookfield, WI 53072 2020-04-05
1295373223 Joan Marie Bennett Nurse Practitioner 125 N Executive Dr Ste 100, Brookfield, WI 53005-6070 2019-12-20
1548821747 Shirley L Arnold Nurse Practitioner 624 West Lockling Avenue, Brookfield, MO 64628 2019-06-27
1306366620 Tara Hanlon Nurse Practitioner 14 Shamrock Drive, Brookfield, CT 06804 2017-06-27
1518369024 Michael Paul Holtz Nurse Practitioner 624 W Lockling St, Brookfield, MO 64628-2003 2014-09-16
1235392218 Bohdan Kontsevyy Nurse Practitioner 3631 Forest Ave Unit P, Brookfield, IL 60513-2262 2008-07-09
1487606794 Leann Walker Nurse Practitioner 1350 Sunny Slope Road, Sunnyslope Primary Care Clinic, Brookfield, WI 53005 2006-05-16
1225644909 Romy A Desai Nurse Practitioner 9139 Broadway Ave, Brookfield, IL 60513-1303 2020-09-18
1457969156 Stefanie Renee Malesevich Nurse Practitioner 16650 W Bluemound Rd Ste 200, Brookfield, WI 53005-5959 2020-07-19
1508482563 Eula Lewis Nurse Practitioner 9139 Broadway Ave, Brookfield, IL 60513-1303 2020-06-24
Find all providers in BROOKFIELD

Competitor

Search similar providers

City BROOKFIELD
Zip Code 64628

Improve Information

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Dataset Information

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.

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