SALLY J ELLEBRACHT-GERKE (NPI# 1235168097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235168097 |
| Entity Type | Individual |
| Full Name | SALLY J ELLEBRACHT-GERKE |
| Credential | M.D. |
| Practice Address |
17110 Highway 87 Boonville MO 65233-2939 |
| Practice Telephone | 6606727005 |
| Practice Fax Number | 6608823147 |
| Mailing Telephone | 6606727005 |
| Mailing Fax Number | 6608823147 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2013-04-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2001014617 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 209200401 | 05 |
| Street Address |
17110 HIGHWAY 87 |
| City | BOONVILLE |
| State | MO |
| Zip Code | 65233-2939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750788022 | Aneisa Lynn Sherrill-mattox | Social Worker | 413 E Spring Street, Boonville, MO 65233 | 2014-12-02 |
| 1427216555 | Boonville Residential LLC | Assisted Living Facility | 600 Rankin Mill Lane, Boonville, MO 65233 | 2008-05-27 |
| 1851593479 | Cooper County Ambulance District | Ambulance | 17651 B Highway, Boonville, MO 65233 | 2007-06-05 |
| 1538181409 | Dancing Horizon Health Foundation, Inc. | Family Medicine | 2400 Boonslick Drive, Boonville, MO 65233 | 2006-07-23 |
| 1588697965 | Dialysis Clinic Inc. | Clinic/Center | 600 Rankin Mill Ln, Boonville, MO 65233 | 2006-07-08 |
| 1295767275 | Boonville No 1 Inc | Skilled Nursing Facility | 1450 W Ashley Rd, Boonville, MO 65233 | 2006-07-07 |
| 1730178864 | Pinnacle Regional Hospital, LLC | General Acute Care Hospital | 17651 B Hwy, Boonville, MO 65233 | 2005-10-20 |
| 1710477187 | Ashlyn Elizabeth Sappington | Dental Hygienist | 1115 Main St, Boonville, MO 65233 | 2018-05-11 |
| 1083825988 | Harold K Hombs | Dentist | 1115 Main, Boonville, MO 65233 | 2007-05-24 |
| 1548480601 | Pinnacle Regional Hospital, LLC | Medicare Defined Swing Bed Unit | 17651 B Hwy, Boonville, MO 65233 | 2007-04-30 |
| Find all providers in zip 65233 | ||||
| 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 |
|---|---|---|---|---|
| 1174633622 | Todd M Podkowka | Family Medicine | 6483 Cone Rd, Boonville, NY 13309-3311 | 2006-08-30 |
| 1538181409 | Dancing Horizon Health Foundation, Inc. | Family Medicine | 2400 Boonslick Drive, Boonville, MO 65233 | 2006-07-23 |
| 1346293370 | Leyte B Asuncion | Family Medicine | 1115 E Main St, Boonville, IN 47601-2415 | 2006-05-19 |
| 1659331155 | James S. Mooney | Family Medicine | 920 Millis Ave, Boonville, IN 47601-6606 | 2006-03-27 |
| 1568449304 | Anderson Valley Health Center | Family Medicine | 13500 Airport Road, Boonville, CA 95415 | 2005-12-22 |
| 1215918867 | Lori Fuqua | Family Medicine | 3277 Liberty Blvd # A, Boonville, IN 47601-9659 | 2005-11-10 |
| 1427057793 | John Michael Ward | Family Medicine | 306 Main St, Boonville, MO 65233-1566 | 2005-07-19 |
| 1780160366 | Pinnacle Regional Hospital, LLC | Family Medicine | 17651 B Hwy, Boonville, MO 65233-2839 | 2018-07-17 |
| 1225359573 | Aaron Joseph Whiting | Family Medicine | 606 E Spring St, Boonville, MO 65233-1523 | 2010-06-21 |
| 1538328620 | Bhargavi Mandipalle | Family Medicine | 1116 Millis Ave, Ste 101, Boonville, IN 47601-2292 | 2008-06-04 |
| Find all providers in BOONVILLE | ||||
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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.