SGOH ACQUISITION, INC. (NPI# 1326496100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326496100 |
| Entity Type | Organization |
| Organization Name | SGOH ACQUISITION, INC. |
| Other Organization Name | OCH JASPER COUNTY PEDIATRIC CLINIC |
| Practice Address |
2828 N National Ave Springfield MO 65803-4306 |
| Mailing Address |
1221 Oak St Carthage MO 64836-2028 |
| Practice Telephone | 4178374000 |
| Practice Fax Number | 4178754710 |
| Mailing Telephone | 4173599291 |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |
| Authorized Official Name | PAUL G TAYLOR (CEO) |
| Authorized Official Telephone | 4178374090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| OCH JASPER COUNTY PEDIATRIC CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1982254371 | Sgoh Acquisition, Inc. | Clinic/Center | 1355 Rocketdyne Rd, Neosho, MO 64850-3106 | 2019-09-17 |
| 1457808669 | Sgoh Acquisition, Inc. | Clinic/Center | 2485 N Main St, Jay, OK 74346-2201 | 2016-09-06 |
| 1801343405 | Sgoh Acquisition, Inc. | Clinic/Center | 109 N Broadway St, South West City, MO 64863-9417 | 2016-09-01 |
| 1063969665 | Sgoh Acquisition, Inc. | Clinic/Center | 104 E Main St, Anderson, MO 64831-4103 | 2016-09-01 |
| 1386191989 | Sgoh Acquisition, Inc. | Clinic/Center | 412 Us Highway 71, Suite J & I, Pineville, MO 64856-9310 | 2016-09-01 |
| 1811391717 | Sgoh Acquisition, Inc. | Clinic/Center | 155 Village Drive, Sparta, MO 65753-8104 | 2014-10-21 |
| 1104229186 | Sgoh Acquisition, Inc. | Clinic/Center | 327 E Airport Dr, Carthage, MO 64836-3402 | 2014-10-03 |
| 1386985521 | Sgoh Acquisition, Inc. | Clinic/Center | 125 Main St, Noel, MO 64854-9124 | 2013-03-13 |
| 1225338155 | Sgoh Acquisition, Inc. | Clinic/Center | 543 W Hubble Dr, Marshfield, MO 65706-1532 | 2010-10-26 |
| Street Address |
2828 N NATIONAL AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65803-4306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194721100 | Brendon Delport | Ophthalmology | 2828 N National Ave, Springfield, MO 65803-4306 | 2005-06-23 |
| 1669088746 | Katherine Burley | Social Worker | 2828 N National Ave, Springfield, MO 65803-4306 | 2020-09-23 |
| 1194211037 | Springfield Behavioral Hospital, LLC | Psychiatric Hospital | 2828 N National Ave, Springfield, MO 65803-4306 | 2018-07-03 |
| 1821524034 | Ozarks Community Hospital, Inc. | Psychiatric Hospital | 2828 N National Ave, Springfield, MO 65803-4306 | 2017-05-08 |
| 1184165490 | Ozarks New Hope | Clinic/Center | 2828 N National Ave, Springfield, MO 65803-4306 | 2017-03-20 |
| 1598117210 | Blaine Alan Carter | Pharmacist | 2828 N National Ave, Suite A, Springfield, MO 65803-4306 | 2016-07-06 |
| 1891160826 | Kristin Wargo Roeder | Dietitian, Registered | 2828 N National Ave, Springfield, MO 65803-4306 | 2015-12-02 |
| 1043683659 | Arthur Karl Mcfarland IIi | Pharmacist | 2828 N National Ave, Springfield, MO 65803-4306 | 2015-11-04 |
| 1003282864 | Michelle Spencer | Nurse Practitioner | 2828 N National Ave, Springfield, MO 65803-4306 | 2015-08-17 |
| 1023455714 | Laura D Clark | Nurse Practitioner | 2828 N National Ave, Springfield, MO 65803-4306 | 2013-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104448216 | Kathleen Gail Newell-lewis | Registered Nurse | 2345 E. Cherokee, Springfield, MO 65803 | 2020-05-12 |
| 1285145730 | Meghan Roetto | Social Worker | 2130 N Glenstone, Springfield, MO 65803 | 2017-10-23 |
| 1346751757 | John B Lehn | Pharmacist | 2625 N Kansas Expressway, Springfield, MO 65803 | 2017-10-12 |
| 1558805754 | Bhg Xliii, LLC | Clinic/Center | 2551 W Kearney St, Springfield, MO 65803 | 2016-12-07 |
| 1962856187 | Karissa Knight | Counselor | 2438 N Cottage, Springfield, MO 65803 | 2016-04-14 |
| 1417383290 | Walgreens | Community/Behavioral Health | 1525 W Kearny, Springfield, MO 65803 | 2013-09-24 |
| 1790123479 | Sarah Fontana | Dentist | 2241 N. Glenstone Ave., Springfield, MO 65803 | 2013-06-04 |
| 1942499587 | Jeci Mora Ramos Jr. | Hearing Instrument Specialist | 2133 N Nettleton, Springfield, MO 65803 | 2007-10-19 |
| 1598891012 | Dwight Richard Daugherty | Dentist | 3016 N Kentwood, Springfield, MO 65803 | 2007-02-26 |
| 1144388224 | Bradley Douglas Graf | Dentist | 1410 E Kearney, Suite A, Springfield, MO 65803 | 2006-12-04 |
| Find all providers in zip 65803 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639654809 | Bardstown Primary Care, Pllc | Clinic/Center | 102 W Depot St, Springfield, KY 40069-1159 | 2018-10-03 |
| 1508141961 | Spring View Hospital LLC | Clinic/Center | 79 Bobolink Dr, Springfield, KY 40069-1516 | 2011-10-18 |
| 1669565677 | Southeast Colorado Hospital District | Clinic/Center | 900 Church St, Springfield, CO 81073-1636 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 65803 |
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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.