MOBERLY PHYSICIANS CORP (NPI# 1417013129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417013129 |
| Entity Type | Organization |
| Organization Name | MOBERLY PHYSICIANS CORP |
| Practice Address |
1513 Union Ave Suite 1600 Moberly MO 65270-9407 |
| Mailing Address |
7100 Commerce Way Suite 180 Brentwood TN 37027-2829 |
| Practice Telephone | 6602634770 |
| Practice Fax Number | 6602632228 |
| Mailing Telephone | 6154657000 |
| Mailing Fax Number | 6154653007 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2008-08-22 |
| Authorized Official Name | DEBBIE BREWER (DIRECTOR) |
| Authorized Official Telephone | 8778929813 |
| 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 | 505752204 | 05 |
| Street Address |
1513 UNION AVE SUITE 1600 |
| City | MOBERLY |
| State | MO |
| Zip Code | 65270-9407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255338349 | Samuel Livaudois Simpson | Pediatrics | 1513 Union Ave, Suite 2300, Moberly, MO 65270-9407 | 2005-07-05 |
| 1760855738 | Midwest Heart and Vein Center, LLC | Internal Medicine | 1513 Union Ave, Suite 2750, Moberly, MO 65270-9402 | 2015-11-12 |
| 1487869343 | James H Byland | Dentist | 1513 Union Ave, Suite 2100, Moberly, MO 65270-9407 | 2007-05-14 |
| 1083741755 | Kent E Johnson | Dentist | 1513 Union Ave, Suite 2100, Moberly, MO 65270-9407 | 2007-02-28 |
| 1669513594 | Moberly Professional Arts Pharmacy Inc. | Pharmacy | 1513 Union Ave, Moberly, MO 65270-9407 | 2007-02-12 |
| 1003967977 | Iqbal Akhtar Yar Khan | Psychiatry & Neurology | 1513 Union Ave, Suite 2800, Moberly, MO 65270-9402 | 2007-01-16 |
| 1659391084 | Jonathon Lee Fallis | Podiatrist | 1513 Union Ave, Suite 1400, Moberly, MO 65270 | 2006-07-20 |
| 1154341592 | Jonathon Fallis Dpm LLC | Podiatrist | 1513 Union Ave, Suite 1400, Moberly, MO 65270 | 2006-07-20 |
| 1568422673 | Housam Soukieh | Internal Medicine | 1513 Union Ave, Suite 1600, Moberly, MO 65270-9402 | 2006-03-23 |
| 1588644488 | Ameena Anees | Internal Medicine | 1513 Union Ave, Ste 1600, Moberly, MO 65270-9407 | 2006-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538628052 | Thomas Johnston | Physical Therapist | Thrive Physical Therapy, LLC, 417 E Urbandale Drive, Moberly, MO 65270 | 2019-03-14 |
| 1245709682 | Sam's Prescription Shop, Inc. | Durable Medical Equipment & Medical Supplies | 300 N. Morley Street, Moberly, MO 65270 | 2018-11-15 |
| 1639324585 | Trinidad J. Aguilera | General Practice | 5201 South Morley, Moberly, MO 65270 | 2008-11-19 |
| 1023270170 | Jessica Winn | Internal Medicine | 1513 Union Ave Ste 1500, Moberly, MO 65270 | 2008-06-30 |
| 1629237383 | Heather Ann Lavalley | Physical Therapy Assistant | 1346 S Morley, Moberly, MO 65270 | 2008-06-06 |
| 1265602429 | Mckenzie Prescription Center Inc | Hearing Aid Equipment | 643 N Morley St Ste A, Moberly, MO 65270 | 2008-03-04 |
| 1366624165 | Sharon Kay Steele | Military Hospital | 1510 Highway Jj Lot41, Moberly, MO 65270 | 2007-12-04 |
| 1932241536 | Christian S Tadrus | Pharmacist | 530 E. 24 Highway, (26-39586), Moberly, MO 65270 | 2007-02-12 |
| 1588700140 | Heartland Neurology, LLC | Psychiatry & Neurology | 300 N. Morley, Suite H, Moberly, MO 65270 | 2007-01-30 |
| 1164571519 | John James Oloughlin | Dentist | 1616 N Morely, Ste B, Moberly, MO 65270 | 2007-01-08 |
| Find all providers in zip 65270 | ||||
| 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 |
|---|---|---|---|---|
| 1790891885 | Thomas A Bragg | Family Medicine | 2100 Silva Ln, Suite A, Moberly, MO 65270-3600 | 2006-08-22 |
| 1962401430 | Randy A Foster | Family Medicine | 300 N Morley St, Suite G, Moberly, MO 65270-2334 | 2005-07-18 |
| 1982603452 | Forest Reginald Conley | Family Medicine | 1145 S Morley St, Moberly, MO 65270-1948 | 2005-07-18 |
| 1922360882 | Katy Farber Williams | Family Medicine | 1501 Union Ave, Suite A & B, Moberly, MO 65270-9469 | 2012-06-15 |
| 1881888329 | Conley Clinic LLC | Family Medicine | 1145 S Morley St, Ste 5, Moberly, MO 65270-1948 | 2007-08-28 |
| 1639377336 | Heather Marie Gessling | Family Medicine | 1501 Union Ave, Suite A and B, Moberly, MO 65270-9469 | 2007-07-05 |
| 1609986991 | Janet Baxter | Family Medicine | 1600 N Morley St, Moberly, MO 65270-3666 | 2006-08-30 |
| 1134137391 | Foster Family Medicine & Associates LLC | Family Medicine | 300 N Morley St, Moberly, MO 65270-2334 | 2006-08-04 |
| 1568403293 | Terry Thrasher,d.o. | Family Medicine | 630 N Morley St, Suite 105-107, Moberly, MO 65270-2556 | 2006-06-10 |
| 1881693323 | Philip Stitzer | Family Medicine | 1501 Union Ave, Suite C & D, Moberly, MO 65270-9469 | 2005-07-18 |
| Find all providers in MOBERLY | ||||
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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.