NORTHWEST FAMILY HEALTH, INC. (NPI# 1215150735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215150735 |
Entity Type | Organization |
Organization Name | NORTHWEST FAMILY HEALTH, INC. |
Other Organization Name | DEKALB HEALTH SERVICES |
Practice Address |
1007 S Polk St Maysville MO 64469-4030 |
Practice Telephone | 8164492123 |
Practice Fax Number | 8164492125 |
Mailing Telephone | 8164492123 |
Mailing Fax Number | 8164492125 |
Enumeration Date | 2007-04-11 |
Last Update Date | 2012-12-19 |
Authorized Official Name | DR. FRED KIEHL (PRESIDENT) |
Authorized Official Telephone | 8164492123 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 593197007 | 05 | |
RAILROAD MEDICARE PTAN | DB1347 | 01 | |
MEDICARE PTAN | P900000 | 01 |
Other Name | Type Code |
---|---|
Dekalb Health Services | Doing Business As Name - Organization |
Street Address |
1007 S POLK ST |
City | MAYSVILLE |
State | MO |
Zip Code | 64469-4030 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689646358 | Frederick D Kiehl | Family Medicine | 1007 S Polk St, Maysville, MO 64469-4030 | 2006-02-06 |
1093188807 | Cameron Regional Medical Center Inc | Clinic/Center | 1007 S Polk St, Maysville, MO 64469-4030 | 2015-11-03 |
1881009538 | Srivani Chunchulu | Internal Medicine | 1007 S Polk St, Maysville, MO 64469-4030 | 2014-06-20 |
1477525152 | Elisa Eh Vinyard | Family Medicine | 1007 S Polk St, Maysville, MO 64469-4030 | 2006-02-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285682633 | N & R of Maysville, LLC | Skilled Nursing Facility | 1201 S Polk St, Maysville, MO 64469-4028 | 2006-05-05 |
1063606408 | Ginger R Neill Bundy | Occupational Therapy Assistant | 1201 S Polk St, Maysville, MO 64469-4028 | 2007-08-29 |
1164638409 | Bristol Care, Inc. | Assisted Living Facility | 604 S Polk St, Maysville, MO 64469-4033 | 2007-05-15 |
1952327108 | Randolph Medical Plus LLC | Pharmacy | 301 S Polk St, Maysville, MO 64469-4037 | 2006-07-14 |
1245569383 | Dekalb County Reorganized School District R-i | Local Education Agency (LEA) | 601 W Main St, Maysville, MO 64469-8231 | 2009-12-21 |
1477550937 | Dekalb Clinton Ambulance District No 1 | Ambulance | 261 Se Offutt Rd, Po 501, Maysville, MO 64469-9149 | 2005-06-30 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366648644 | Maysville Family Practice, Inc | Family Medicine | 14 Homer Street, Maysville, GA 30558-1738 | 2007-06-25 |
1245399559 | Ross Medical Associates Psc | Family Medicine | 910 Kenton Station Drive, Maysville, KY 41056 | 2006-12-06 |
1346320363 | Gary Stephen Kinsey | Family Medicine | 4 N Main St, Maysville, GA 30558-1702 | 2006-10-16 |
1659477180 | Shawn Kathleen Ross | Family Medicine | 910 Kenton Station Dr, Maysville, KY 41056 | 2006-09-15 |
1548291230 | Audrey Spencer | Family Medicine | 910 Kenton Station Rd, Suite D, Maysville, KY 41056-9658 | 2006-07-05 |
1689646358 | Frederick D Kiehl | Family Medicine | 1007 S Polk St, Maysville, MO 64469-4030 | 2006-02-06 |
1215936612 | Phillip Harrell Yunker | Family Medicine | 1 W Mcdonald Pkwy, Ste 1-c, Maysville, KY 41056-1164 | 2005-07-18 |
1477551596 | Nancy Guttman | Family Medicine | 927 Kenton Station Dr, Maysville, KY 41056-9609 | 2005-07-12 |
1497304273 | April Flannery Baker | Family Medicine | 620 Parker Rd, Maysville, KY 41056-9620 | 2019-09-05 |
1760893275 | Meadowview Physician Practice, LLC | Family Medicine | 991 Medical Park Dr, Maysville, KY 41056-8764 | 2014-05-19 |
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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.