FARMINGTON CLINIC COMPANY LLC (NPI# 1417287897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417287897 |
| Entity Type | Organization |
| Organization Name | FARMINGTON CLINIC COMPANY LLC |
| Other Organization Name | MINERAL AREA UROLOGY |
| Practice Address |
1101 Weber Rd Suite 303 Farmington MO 63640-3352 |
| Mailing Address |
Po Box 504354 Saint Louis MO 63150-0001 |
| Practice Telephone | 5737568880 |
| Practice Fax Number | 5737568881 |
| Mailing Telephone | 5737568880 |
| Mailing Fax Number | 5737568881 |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |
| Authorized Official Name | MR. DANIEL S SLIPKOVICH (CEO) |
| Authorized Official Telephone | 6157643049 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MINERAL AREA UROLOGY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427245240 | Farmington Clinic Company LLC | Obstetrics & Gynecology | 1216 Weber Road, Farmington, MO 63640-3325 | 2007-09-25 |
| 1427244482 | Farmington Clinic Company LLC | Orthopaedic Surgery | Post Office Box 504354, St. Louis, St. Louis, MO 63150-0001 | 2007-09-24 |
| 1740389881 | Farmington Clinic Company LLC | Family Medicine | 1101 Weber Rd Ste 204, Farmington, MO 63640-3300 | 2006-09-22 |
| 1063517613 | Farmington Clinic Company LLC | Clinic/Center | 309 Garrett St, Fredericktown, MO 63645-1084 | 2006-09-14 |
| 1023113917 | Farmington Clinic Company LLC | Family Medicine | 1103 Weber Rd Ste 202, Farmington, MO 63640-3302 | 2006-09-14 |
| 1023065489 | Farmington Clinic Company LLC | Family Medicine | 764 Weber Rd, Farmington, MO 63640-3317 | 2006-05-30 |
| 1063742443 | Farmington Clinic Company LLC | Orthopaedic Surgery | 1101 Weber Rd, Suite 203, Farmington, MO 63640-3352 | 2010-01-06 |
| 1669661856 | Farmington Clinic Company LLC | Pediatrics | 1103 Weber Rd Ste 202, Farmington, MO 63640-3302 | 2007-10-24 |
| 1841399979 | Farmington Clinic Company LLC | Family Medicine | 1212 Weber Rd, Farmington, MO 63640-3325 | 2006-09-22 |
| 1750480885 | Farmington Clinic Company LLC | Family Medicine | 1101 Weber Rd, Suite 101, Farmington, MO 63640-3326 | 2006-09-22 |
| Street Address |
1101 WEBER RD SUITE 303 |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-3352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076377 | Daleco Inc | Pharmacy | 1101 Weber Rd, Farmington, MO 63640-3352 | 2005-07-07 |
| 1073900874 | Kimberly Herbst | Pharmacist | 1101 Weber Rd, Farmington, MO 63640-3352 | 2015-04-20 |
| 1386921195 | Farmington Clinic Company, LLC | Family Medicine | 1101 Weber Rd, Suite 302, Farmington, MO 63640-3352 | 2011-11-08 |
| 1316223944 | Farmington Clinic Company, LLC | Family Medicine | 1101 Weber Rd, Suite 302, Farmington, MO 63640-3352 | 2011-10-27 |
| 1841574779 | Community Orthopedics & Sports Medicine, PC | Orthopaedic Surgery | 1101 Weber Rd, Suite 203, Farmington, MO 63640-3352 | 2011-10-11 |
| 1063742443 | Farmington Clinic Company LLC | Orthopaedic Surgery | 1101 Weber Rd, Suite 203, Farmington, MO 63640-3352 | 2010-01-06 |
| 1366600165 | Danielle Redecker | Pharmacist | 1101 Weber Rd, Suite 100, Farmington, MO 63640-3326 | 2008-05-28 |
| 1417128372 | Cardiology Diagnostics, Ltd. | Internal Medicine | 1101 Weber Rd, Suite 105, Farmington, MO 63640-3326 | 2008-03-19 |
| 1548459472 | Coleman Medical Clinic | Family Medicine | 1101 Weber Rd, Suite 303, Farmington, MO 63640-3326 | 2007-10-16 |
| 1750480885 | Farmington Clinic Company LLC | Family Medicine | 1101 Weber Rd, Suite 101, Farmington, MO 63640-3326 | 2006-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164681326 | Jane A Suh | Urology | 21 Bradford Walk, Farmington, CT 06032-4530 | 2008-06-03 |
| 1003296534 | San Juan Regional Medical Center Inc | Urology | 2700 Farmington Ave, Building E, Suite 1, Farmington, NM 87401-4559 | 2015-05-29 |
| 1508279100 | Christian Edward Bartels | Urology | 270 Farmington Ave, Suite 352, Farmington, CT 06032-1909 | 2014-06-11 |
| 1457604001 | Hartford Healthcare Medical Group, Inc. | Urology | 399 Farmington Ave, Ste. 200, Farmington, CT 06032-1936 | 2012-10-19 |
| 1346520228 | Hartford Clinical Associates, PC | Urology | 399 Farmington Ave, Suite 200, Farmington, CT 06032-1936 | 2011-08-23 |
| 1376839837 | Richard Batstone Md Pa | Urology | 126 Middle St, Farmington, ME 04938-6937 | 2011-06-23 |
| 1811287782 | Daniel Brooks Mannas | Urology | 2700 Farmington Ave, Bldg E Ste 1, Farmington, NM 87401-4559 | 2011-04-13 |
| 1871813964 | Christopher Warren Taylor | Urology | 2700 Farmington Ave, Building E, Suite 1, Farmington, NM 87401-4559 | 2010-06-11 |
| 1578883559 | Gillian Wolff | Urology | 270 Farmington Ave, Farmington, CT 06032-1994 | 2010-06-02 |
| 1518106004 | James F Burpee | Urology | 2300 E 30th St, Bldg B Suite 106, Farmington, NM 87401-8990 | 2009-02-06 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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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.