WAYNE MEDICAL CENTER LLC (NPI# 1083775860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083775860 |
| Entity Type | Organization |
| Organization Name | WAYNE MEDICAL CENTER LLC |
| Practice Address |
Rr 4 Box 4515 Piedmont MO 63957-9417 |
| Practice Telephone | 5732234233 |
| Practice Fax Number | 5732232136 |
| Mailing Telephone | 5732234233 |
| Mailing Fax Number | 5732232136 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2012-01-20 |
| Authorized Official Name | DR. DAVID ANDREW GAYLE (MEMBER) |
| Authorized Official Telephone | 5732234233 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
263933 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 595929902 | 05 |
| Street Address |
RR 4 BOX 4515 |
| City | PIEDMONT |
| State | MO |
| Zip Code | 63957-9417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992792329 | David Andrew Gayle | Family Medicine | Rr 4 Box 4515, Piedmont, MO 63957 | 2005-09-30 |
| 1750702916 | Shana Winchester | Registered Nurse | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2013-12-13 |
| 1912154998 | Rhonda K Adams | Nurse Practitioner | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2008-08-21 |
| 1689831505 | Clearwater Health Resources Inc | Durable Medical Equipment & Medical Supplies | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2008-05-19 |
| 1437372315 | Robert Gayle | Pharmacist | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2007-04-10 |
| 1861615056 | James Richard Gronski | Pharmacist | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2007-04-10 |
| 1558305789 | Samuel W Ferreri | Family Medicine | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2006-06-16 |
| 1932148558 | Mary Hutchison | Social Worker | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2006-06-06 |
| 1932185691 | Kimberly A Haley | Nurse Practitioner | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2005-12-15 |
| 1679558530 | Tina R Mccorkell | Nurse Practitioner | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2005-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624323 | Toney Drug & Wellness, LLC | Pharmacy | #1 Hals Plaza Dr, Piedmont, MO 63957 | 2019-11-19 |
| 1700432838 | April Dawn Gibson | Behavior Technician | 306 North 2nd Street, Piedmont, MO 63957 | 2019-08-14 |
| 1457844748 | Town and Country Super Market Inc | Pharmacy | #7 Hal's Plaza, Piedmont, MO 63957 | 2018-06-11 |
| 1528588522 | Ashley Dawn Janecek | Case Manager/Care Coordinator | 306 N Second St, Piedmont, MO 63957 | 2017-06-21 |
| 1649587031 | Joseph Michael Toney | Family Medicine | #1 Hals Plaza Drive, Piedmont, MO 63957 | 2010-09-07 |
| 1184825770 | Clearwater Ambulance District | Ambulance | 117 B, Piedmont, MO 63957 | 2007-05-30 |
| 1629129457 | Roy Eugene Winters | Pharmacist | #1hals Plaza, Piedmont, MO 63957 | 2007-01-16 |
| 1386655322 | Toneys Drug & Wellness, LLC | Pharmacy | 1 Hal's Plaza Drive, Piedmont, MO 63957 | 2006-08-11 |
| 1407880099 | Michael P Toney | Family Medicine | #1 Hal's Plaza Drive, Piedmont, MO 63957 | 2006-07-10 |
| 1972549053 | Poplar Bluff Regional Medical Center LLC | Clinic/Center | #1 Hal's Plaza, Piedmont, MO 63957 | 2006-06-20 |
| Find all providers in zip 63957 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972549053 | Poplar Bluff Regional Medical Center LLC | Clinic/Center | #1 Hal's Plaza, Piedmont, MO 63957 | 2006-06-20 |
| 1083238935 | Floyd Cherokee Medical Center LLC | Clinic/Center | 32 Roundtree Dr, Piedmont, AL 36272-5892 | 2020-06-05 |
| 1063649606 | Potomac Valley Hospital of W Va, Inc | Clinic/Center | 122 Ashfield St, Piedmont, WV 26750-1300 | 2009-06-22 |
| 1114901527 | Wayne Medical Center, L.L.C. | Clinic/Center | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2005-11-30 |
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| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
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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.