FAMILY MEDICAL CENTER OF CARTHAGE, LLC (NPI# 1114249836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114249836 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICAL CENTER OF CARTHAGE, LLC |
| Practice Address |
1632 Missouri Ave Carthage MO 64836-3059 |
| Mailing Address |
Po Box 10887 Springfield MO 65808-0887 |
| Practice Telephone | 4177736154 |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |
| Authorized Official Name | MR. MICHAEL TUCKER (OWNER) |
| Authorized Official Telephone | 4177736154 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1632 MISSOURI AVE |
| City | CARTHAGE |
| State | MO |
| Zip Code | 64836-3059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962943548 | Ivy Littles | Social Worker | 1632 Missouri Ave, Carthage, MO 64836-3059 | 2017-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043871908 | Cura Personalis, (care for The Whole Person), LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11650 Bobwhite Road, Carthage, MO 64836 | 2019-06-21 |
| 1477098531 | Grace Theios, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6031 County Road 105, Carthage, MO 64836 | 2016-12-28 |
| 1386095255 | Ozark Tri County Healthcare Consortium | Dentist | 215 E 3rd Street, Carthage, MO 64836 | 2016-06-22 |
| 1861668972 | Allison D. O'dell | Social Worker | 2411 Fairlawn Drive, Carthage, MO 64836 | 2008-05-08 |
| 1619142064 | Earl L Kirn | Social Worker | 2411 Fairlawn Ave, Carthage, MO 64836 | 2008-04-28 |
| 1235283912 | Mark F Saladin | Dentist | 1604 Missouri Avenue, Carthage, MO 64836 | 2007-01-22 |
| 1962570465 | Carthage Counseling LLC | Community/Behavioral Health | 2411 Fairlawn Dr, Carthage, MO 64836 | 2006-12-01 |
| 1023191665 | Wal-mart Stores East, Lp | Technician/Technologist | 2705 Grand Ave., Carthage, MO 64836 | 2006-10-24 |
| 1356437180 | Jannette Eldred | Social Worker | 1500 South Case Steet, Carthage, MO 64836 | 2006-10-05 |
| 1144251646 | Peter Richardson | Family Medicine | 719 W Centennial, Carthage, MO 64836 | 2006-07-05 |
| Find all providers in zip 64836 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922042662 | Robert L Deucher | Internal Medicine | 334 Mill Creek Rd Ste D, Carthage, NC 28327-6506 | 2006-06-15 |
| 1831169788 | Aaron G Wesp | Internal Medicine | 630 Locust St, Carthage, IL 62321-1459 | 2006-01-24 |
| 1225538614 | Carthage Hospital, LLC | Internal Medicine | 409 Cottage Rd, Carthage, TX 75633-1466 | 2018-02-13 |
| 1467711408 | Jessica Sharleen Lavender | Internal Medicine | 1100 Highway 16 E, Carthage, MS 39051 | 2012-05-11 |
| 1376856161 | Gerald J Akpassa Md Pa | Internal Medicine | 4054 Nw Loop, Carthage, TX 75633-3346 | 2010-07-21 |
| 1245541358 | Smith County Memorial Hospital LLC | Internal Medicine | 158 Hospital Dr, Carthage, TN 37030-1083 | 2010-06-24 |
| 1952593881 | Jerome F Cuyler | Internal Medicine | 3 Bridge Street, Suite 3, Carthage, NY 13619-1333 | 2007-08-14 |
| 1932271947 | East Texas Medical Center Carthage | Internal Medicine | 409 Cottage Rd, Carthage, TX 75633-1466 | 2006-11-14 |
| 1104851948 | Amjad G Sheikh | Internal Medicine | 1001 West St, Carthage, NY 13619-9703 | 2006-07-11 |
| 1619900321 | Andrea A Moman | Internal Medicine | 1100 Highway 16 E, Carthage, MS 39051-4222 | 2006-07-08 |
| Find all providers in CARTHAGE | ||||
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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.