HANNIBAL CLINIC OPERATIONS, L.L.C. (NPI# 1447239157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447239157 |
| Entity Type | Organization |
| Organization Name | HANNIBAL CLINIC OPERATIONS, L.L.C. |
| Other Organization Name | HANNIBAL CLINIC @ MONROE CITY |
| Practice Address |
400 N Main St Monroe City MO 63456-1318 |
| Mailing Address |
100 Medical Dr Hannibal MO 63401-6877 |
| Practice Telephone | 5737354541 |
| Practice Fax Number | 5737352143 |
| Mailing Telephone | 5732215250 |
| Mailing Fax Number | 5732313824 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | MR. RANDY JOBE (ADMINISTRATOR) |
| Authorized Official Telephone | 5732313172 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | PTAN | 000013771 | 01 |
| Other Name | Type Code |
|---|---|
| Hannibal Clinic @ Monroe City | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174757504 | Hannibal Clinic Operations, L.L.C. | Family Medicine | 401 E Highway 19, Center, MO 63436-1044 | 2009-05-13 |
| 1962481663 | Hannibal Clinic Operations, L.L.C. | Family Medicine | 1811 S Main St, Palmyra, MO 63461-1961 | 2006-01-11 |
| 1477532182 | Hannibal Clinic Operations, L.L.C. | Podiatrist | 821 Highway 24 and 36 E, Monroe City, MO 63456-1470 | 2006-01-11 |
| 1215916911 | Hannibal Clinic Operations, L.L.C. | Family Medicine | 710 Business Highway 61 South, Bowling Green, MO 63334-5239 | 2006-01-11 |
| 1336611581 | Hannibal Clinic Operations, L.L.C. | Family Medicine | 109 East St, Clarence, MO 63437-1902 | 2018-12-28 |
| 1720450216 | Hannibal Clinic Operations, L.L.C. | Clinic/Center | 100 Medical Dr, Hannibal, MO 63401-6877 | 2015-10-23 |
| 1831294396 | Hannibal Clinic Operations, L.L.C. | Family Medicine | 425 N Galloway Rd, Vandalia, MO 63382-1259 | 2006-09-13 |
| 1780663401 | Hannibal Clinic Operations, L.L.C. | Internal Medicine | 5985 Hospital Dr, Hannibal, MO 63401 | 2006-01-11 |
| Street Address |
400 N MAIN ST |
| City | MONROE CITY |
| State | MO |
| Zip Code | 63456-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851321202 | Rodney Lynn Yager | Family Medicine | 400 N Main St, Monroe City, MO 63456-1318 | 2006-07-03 |
| 1295717684 | William E. Rice | Family Medicine | 400 N Main St, Monroe City, MO 63456-1318 | 2005-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063758118 | Advance Hannibal Regional Hospital, LLC | Physical Therapist | 821 Bus Hwy 24 West, Monroe City, MO 63456 | 2012-12-18 |
| 1376772962 | Karen J Grawe | Nurse Practitioner | 821 Business Hwy 24 West, Monroe City, MO 63456 | 2009-07-06 |
| 1326186792 | Gateway Pharmacy | Durable Medical Equipment & Medical Supplies | 10 Mark Twain Center, Monroe City, MO 63456 | 2007-02-01 |
| 1821148024 | Jaclyn Miller | Physical Therapy Assistant | 821 Hwy 24 E, Monroe City, MO 63456 | 2007-01-11 |
| 1013005727 | Dean Richard Hull | Dentist | 204 Winter Street, Monroe City, MO 63456 | 2006-10-10 |
| 1982619508 | Gateway Pharmacy of Monroe City | Pharmacy | 1110 Highway 24/36 E Suite 28, Monroe City, MO 63456 | 2006-07-30 |
| 1962448472 | Gosney Pharmacy Inc | Pharmacy | 911 Highway 24/36 East, Monroe City, MO 63456 | 2006-06-22 |
| 1023001799 | Monroe City Manor Care Center, Inc | Skilled Nursing Facility | 1010 Highway 24 and 36 E, Monroe City, MO 63456-1116 | 2005-08-26 |
| 1770605958 | A&g Company Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 305 West Summer Street, Monroe City, MO 63456-1316 | 2007-04-06 |
| 1487775615 | A&g Company Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 310 N Main St, Monroe City, MO 63456-1316 | 2007-04-03 |
| Find all providers in zip 63456 | ||||
| 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 |
|---|---|---|---|---|
| 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 | MONROE CITY |
| Zip Code | 63456 |
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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.