EDMENT, LLC (NPI# 1407047178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407047178 |
| Entity Type | Organization |
| Organization Name | EDMENT, LLC |
| Other Organization Name | LAKE OZARK EAR, NOSE & THROAT |
| Practice Address |
5780 Highway 54 Suite 113 Osage Beach MO 65065-3043 |
| Practice Telephone | 5733482775 |
| Practice Fax Number | 5733481284 |
| Mailing Telephone | 5733482775 |
| Mailing Fax Number | 5733481284 |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2010-05-21 |
| Authorized Official Name | DR. ERICH DANIEL MERTENSMEYER (OWNER) |
| Authorized Official Telephone | 5733482775 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
2003013945 | MO | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lake Ozark Ear, Nose & Throat | Doing Business As Name - Organization |
| Street Address |
5780 HIGHWAY 54 SUITE 113 |
| City | OSAGE BEACH |
| State | MO |
| Zip Code | 65065-3043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437778859 | Suzanne Marie Harris | Social Worker | 1191 State Highway Kk, Suite 101, Osage Beach, MO 65065 | 2020-04-15 |
| 1982172342 | Arrowhead Retirement Operations LLC | Skilled Nursing Facility | 6100 Arrowhead Drive, Osage Beach, MO 65065 | 2018-11-05 |
| 1245723337 | William T Mcfail | Counselor | 1191 State Hwy Kk, Suite 101, Osage Beach, MO 65065 | 2018-06-13 |
| 1588102263 | Jennifer Kiske | Physical Therapist | 5780 Osage Beach Parkway, Ste 220, Osage Beach, MO 65065 | 2017-02-02 |
| 1700207586 | Brenda Renee Spies | Pharmacist | 4252 Osage Beach Parkway, Osage Beach, MO 65065 | 2013-12-23 |
| 1154668465 | Paige Hedgpath Od, PC | Optometrist | 4645g Osage Beach Parkway, Osage Beach, MO 65065 | 2013-01-07 |
| 1649548330 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 300 Kestrel Lane, Lake Ozark, MO 65065 | 2011-12-08 |
| 1437399821 | Melissa Nicole Morgan | Physical Therapy Assistant | 5177 Vicus Castri, Osage Beach, MO 65065 | 2009-02-25 |
| 1730330911 | Raymond Don Baker | Preventive Medicine | 5476 Stone Ledge Cir, Osage Beach, MO 65065 | 2008-10-06 |
| 1457514259 | Lake Family Dentistry | Dentist | 1037 Palisades Blvd Ste 9, Osage Beach, MO 65065 | 2008-07-02 |
| Find all providers in zip 65065 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558661116 | Willis H Hoyt IIi | Otolaryngology | 1055 Ozark Care Dr, Suite A, Osage Beach, MO 65065-3016 | 2010-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194876805 | Edgar N Kemp IIi | Otolaryngology | 1605 South Baltimore, Suite B, Kirksville, MO 63501 | 2007-01-16 |
| 1336209675 | Richard Hyrum Woodland | Otolaryngology | 1602 N 2nd, Clinton, MO 64735-1192 | 2006-12-09 |
| 1629161864 | Kelly Douglas Burchett | Otolaryngology | 1605 South Baltomore, Suite B, Kirksville, MO 63501 | 2006-10-02 |
| 1023120110 | James Mead Gaunt | Otolaryngology | 1710 S Lafayette Ave, Sedalia, MO 65301-7542 | 2006-08-31 |
| 1457331324 | Kent Douglas Mcintire | Otolaryngology | 1331 W 32nd St, Joplin, MO 64804 | 2006-01-18 |
| 1457351033 | Frank W Shagets | Otolaryngology | 620 W 32nd St, Suite B, Joplin, MO 64804-2549 | 2005-07-26 |
| 1407490105 | Ear Nose Throat Medical Service | Otolaryngology | 4800 Mexico Rd Ste 103, Saint Peters, MO 63376-1666 | 2019-11-05 |
| 1730539974 | Talon Maningas D.o. LLC | Otolaryngology | 620 W 32nd St Ste B, Joplin, MO 64804-2528 | 2016-06-19 |
| 1609244193 | Heather A Curtis | Otolaryngology | 6500 Hospital Dr, Hannibal, MO 63401-6890 | 2015-09-14 |
| 1730469693 | Martin Ear Nose & Throat Clinic | Otolaryngology | 37 Doctors Park, Suite 1, Cape Girardeau, MO 63703-4956 | 2011-08-24 |
| Find all providers with the same taxonomy | ||||
| City | OSAGE BEACH |
| Zip Code | 65065 |
Please comment or provide details below to improve the information on EDMENT, LLC.
| 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.