KIRKSVILLE CLINIC CORP (NPI# 1235453408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235453408 |
| Entity Type | Organization |
| Organization Name | KIRKSVILLE CLINIC CORP |
| Practice Address |
103 S 18th St Unionville MO 63565-1642 |
| Mailing Address |
Po Box 689022 Franklin TN 37068-9022 |
| Practice Telephone | 6609472300 |
| Practice Fax Number | 6609472307 |
| Mailing Telephone | 6154657585 |
| Mailing Fax Number | 6154653007 |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2012-06-27 |
| Authorized Official Name | BRIAN A PEOPLES (VICE PRESIDENT) |
| Authorized Official Telephone | 6154657585 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538155817 | Kirksville Clinic Corp | Nurse Practitioner | 1607 S Baltimore St, Kirksville, MO 63501-4536 | 2005-09-22 |
| Street Address |
103 S 18TH ST |
| City | UNIONVILLE |
| State | MO |
| Zip Code | 63565-1642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801832373 | Dawn A Fairley | Family Medicine | 103 S 18th St, Unionville, MO 63565-1642 | 2006-06-21 |
| 1437600657 | Putnam County Medical Home Clinics, LLC | Family Medicine | 103 S 18th St, Unionville, MO 63565-1642 | 2016-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457324519 | William A Heffron IIi | Chiropractor | 2808 Washington Street, Unionville, MO 63565 | 2006-02-09 |
| 1700085057 | Wa Heffron IIi Chiropractic Clinic Inc | Chiropractor | 2808 Washington Street, Unionville, MO 63565 | 2007-07-17 |
| 1063542330 | Putnam County Ambulance District | Ambulance | 2206 Putnam St, Unionville, MO 63565-1061 | 2007-03-06 |
| 1639385636 | Bristol Care, Inc. | Assisted Living Facility | 715 N 22nd St, Unionville, MO 63565-1142 | 2007-05-15 |
| 1609870195 | Putnam County Memorial Hospital | General Acute Care Hospital | 1926 Oak St, Unionville, MO 63565-1180 | 2005-06-13 |
| 1023631629 | David William Sinnwell | Pharmacist | 1926 Oak St, Unionville, MO 63565-1180 | 2020-05-19 |
| 1780213397 | Latisha Jo Richeson | Social Worker | 1926 Oak St, Unionville, MO 63565-1180 | 2020-04-06 |
| 1811455934 | Nathan Lynn Baughman | Nurse Practitioner | 1926 Oak St, Unionville, MO 63565-1180 | 2019-03-07 |
| 1871039917 | Elizabeth Allen | Nurse Practitioner | 1926 Oak St, Unionville, MO 63565-1180 | 2017-01-12 |
| 1629437926 | Alicia Vestal | Physical Therapy Assistant | 1926 Oak St, Unionville, MO 63565-1180 | 2016-02-15 |
| Find all providers in zip 63565 | ||||
| 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 |
|---|---|---|---|---|
| 1114242732 | John A. Lawson, Md, LLC | Internal Medicine | 10 School Street, Unionville, CT 06085-1030 | 2010-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053925537 | Jill Bryant | Internal Medicine | 2615 E 15th St, Joplin, MO 64804-1006 | 2020-09-02 |
| 1699385757 | Mark Steven Routburg | Internal Medicine | 509 Sgt Pepper Dr, Saint Peters, MO 63376-2441 | 2020-08-04 |
| 1063020626 | Mazin Hazim Kamil | Internal Medicine | 15 Remington Place Ct, Ballwin, MO 63021-6369 | 2020-07-20 |
| 1740808815 | Thai Quoc Nguyen | Internal Medicine | University Hospital Ma421 Med Sciences Bldg, Columbia, MO 65212-0001 | 2020-07-06 |
| 1649898784 | Peter Egwom | Internal Medicine | University Hospital One Hospital Drive Dc.043.00, Columbia, MO 65212-0001 | 2020-07-06 |
| 1851918346 | Maxwell Isaac | Internal Medicine | University Hospital 1 Hospital Drive Dc 043.00, Columbia, MO 65212-0001 | 2020-06-30 |
| 1285251983 | Shannon Ejiofor | Internal Medicine | University Hospital One Hospital Drive Dc043.00, Columbia, MO 65212-0001 | 2020-06-29 |
| 1336766278 | Jordan Stauffer | Internal Medicine | University Hospital One Hospital Dr, Columbia, MO 65212-0001 | 2020-06-26 |
| 1972120814 | Pak Ho Au | Internal Medicine | University Hospital One Hospital Dr Dc043.00, Columbia, MO 65212-0001 | 2020-06-26 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| Find all providers with the same taxonomy | ||||
| City | UNIONVILLE |
| Zip Code | 63565 |
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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.