PERRY COUNTY HEALTH SYSTEM (NPI# 1447489182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447489182 |
| Entity Type | Organization |
| Organization Name | PERRY COUNTY HEALTH SYSTEM |
| Other Organization Name | PERRY COUNTY ORTHOPEDICS & SPORTS MEDICINE |
| Practice Address |
206 Hospital Ln Suite 202 Perryville MO 63775-1276 |
| Practice Telephone | 5737683364 |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2009-07-02 |
| Authorized Official Name | MR. PATRICK CARRON (PRESIDENT / CEO) |
| Authorized Official Telephone | 5735472536 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PERRY COUNTY ORTHOPEDICS & SPORTS MEDICINE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1942294046 | Perry County Health System | Home Health | 2 Circle Dr, Perryville, MO 63775-1248 | 2005-09-02 |
| 1306336086 | Perry County Health System | General Acute Care Hospital | 434 N West St, Perryville, MO 63775 | 2018-05-17 |
| 1114327954 | Perry County Health System | Clinic/Center | 1508 Edgemont Blvd, Perryville, MO 63775-1231 | 2014-08-29 |
| 1740427889 | Perry County Health System | Surgery | 212 Hospital Ln, Suite 202, Perryville, MO 63775-1276 | 2009-01-12 |
| 1245360213 | Perry County Health System | Ambulance | 434 N West St, Perryville, MO 63775-1359 | 2007-03-07 |
| 1467557488 | Perry County Health System | Clinic/Center | 212 Hospital Ln, Suite 101, Perryville, MO 63775-1276 | 2006-09-14 |
| 1285738732 | Perry County Health System | Medicare Defined Swing Bed Unit | 434 N West St, Perryville, MO 63775-1359 | 2006-09-12 |
| 1619921160 | Perry County Health System | Clinic/Center | 206 Hospital Ln, Perryville, MO 63775-1276 | 2006-05-20 |
| 1982699328 | Perry County Health System | General Acute Care Hospital | 434 N West St, Perryville, MO 63775-1359 | 2005-09-13 |
| Street Address |
206 HOSPITAL LN SUITE 202 |
| City | PERRYVILLE |
| State | MO |
| Zip Code | 63775-1276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801889183 | Robert Wright Brodie | Physician Assistant | 206 Hospital Ln, Suite 202, Perryville, MO 63775-1276 | 2005-08-23 |
| 1992190011 | Kirsten Johnston | Physical Therapy Assistant | 206 Hospital Ln, Perryville, MO 63775-1276 | 2015-04-06 |
| 1942618210 | Valerie Bugger | Occupational Therapist | 206 Hospital Ln, Suite 100, Perryville, MO 63775-1276 | 2014-07-30 |
| 1447689419 | Deborah Hayden | Occupational Therapist | 206 Hospital Ln, Suite 100, Perryville, MO 63775-1276 | 2013-11-11 |
| 1306171053 | Mid America Rehab | Clinic/Center | 206 Hospital Ln, Suite 100, Perryville, MO 63775-1276 | 2009-10-14 |
| 1861685463 | Joseph Bernard Byrne | Orthopaedic Surgery | 206 Hospital Ln, Sutie 202, Perryville, MO 63775-1276 | 2007-08-27 |
| 1619921160 | Perry County Health System | Clinic/Center | 206 Hospital Ln, Perryville, MO 63775-1276 | 2006-05-20 |
| 1093799777 | Craig A Frayer | Obstetrics & Gynecology | 206 Hospital Ln, Suite 201, Perryville, MO 63775-1276 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144949 | New Life Mission Inn - Missouri | Clinic/Center | 114 W. South, Perryville, MO 63775 | 2020-11-02 |
| 1881211829 | Sarah Jo Cross | Social Worker | 406 S Spring St, Ste 2, Perryville, MO 63775 | 2020-06-25 |
| 1902461908 | Health Care Pharmacy of Perryville, LLC | Pharmacy | 628 N Old St Marys Rd, Perryville, MO 63775 | 2019-05-06 |
| 1710437603 | Danielle Renee Hoeckele | Chiropractor | 1516 Edgemont Blvd Ste 100, Perryville, MO 63775 | 2016-10-04 |
| 1487024956 | Sherry Ann Goshen | Social Worker | 12 N Kings Hwy, Perryville, MO 63775 | 2015-09-28 |
| 1669801353 | Derek Adelman | Physical Therapy Assistant | 206 Hospital Lane, Ste 100, Perryville, MO 63775 | 2013-11-04 |
| 1407158678 | Perry County Memorial Hospital | Ambulance | 434 N West Street, Perryville, MO 63775 | 2010-11-22 |
| 1699928358 | East Missouri Action Agency, Inc. | Clinic/Center | 519 Old St Mary's Rd, Perryville, MO 63775 | 2008-10-28 |
| 1013171115 | Air Evac Ems Inc. | Ambulance | 4801 N Highway 51, Perryville, MO 63775 | 2008-07-17 |
| 1245457241 | Robert Schremp | Physical Therapist | 150 S. Mount Auburn Road, Cape Girardeau, MO 63775 | 2007-04-19 |
| Find all providers in zip 63775 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184018632 | Christopher Amundsen | Orthopaedic Surgery | 448 State Highway 248, Branson, MO 65616 | 2015-03-23 |
| 1033326137 | Luke S Choi | Orthopaedic Surgery | 14285 N. Outer Forty Rd, Suite 200, Chesterfield, MO 63195-0000 | 2007-05-17 |
| 1134344922 | Scott Geoffrey Kaar | Orthopaedic Surgery | U21 S. New Ballas Rd, Ste 3005 B, St Louis, MO 63141 | 2007-04-16 |
| 1467533372 | Gpaletta Orthopedic Consulting, LLC | Orthopaedic Surgery | 14825 S. Outer Forty Rd, Suite 200, Chesterfield, MO 63017 | 2006-10-18 |
| 1013015106 | Allen G Adams | Orthopaedic Surgery | 904 Edmond St, Saint Joseph, MO 64501-2702 | 2006-09-20 |
| 1891728051 | Jody T Jachna | Orthopaedic Surgery | 400 1st Capitol Dr Ste 100, Saint Charles, MO 63301-2881 | 2006-07-09 |
| 1487623260 | Douglas W Kiburz | Orthopaedic Surgery | 2301 S Ingram Ave, Sedalia, MO 65301-8121 | 2006-03-15 |
| 1497726566 | Crane Clinic for Sports Performance | Orthopaedic Surgery | 219 Chesterfield Towne Ctr, Chesterfield, MO 63005-1257 | 2006-01-27 |
| 1124009212 | Christopher M Miller | Orthopaedic Surgery | 3555 S National Ave, Springfield, MO 65807-7310 | 2005-11-07 |
| 1255958138 | Gina Marie Fasano | Orthopaedic Surgery | 54 Hospital Dr, Osage Beach, MO 65065-3050 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
| City | PERRYVILLE |
| Zip Code | 63775 |
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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.