HANNIBAL CLINIC OPERATIONS, L.L.C. (NPI# 1477532182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477532182 |
| Entity Type | Organization |
| Organization Name | HANNIBAL CLINIC OPERATIONS, L.L.C. |
| Other Organization Name | MONROE CITY FAMILY PRACTICE |
| Practice Address |
821 Highway 24 and 36 E Monroe City MO 63456-1470 |
| Mailing Address |
100 Medical Dr Hannibal MO 63401-6877 |
| Practice Telephone | 5737352506 |
| Practice Fax Number | 5732313706 |
| Mailing Telephone | 5732215250 |
| Mailing Fax Number | 5732313706 |
| 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 | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Monroe City Family Practice | 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 |
| 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 |
| 1447239157 | Hannibal Clinic Operations, L.L.C. | Internal Medicine | 400 N Main St, Monroe City, MO 63456-1318 | 2006-01-11 |
| 1780663401 | Hannibal Clinic Operations, L.L.C. | Internal Medicine | 5985 Hospital Dr, Hannibal, MO 63401 | 2006-01-11 |
| Street Address |
821 HIGHWAY 24 AND 36 E |
| City | MONROE CITY |
| State | MO |
| Zip Code | 63456-1470 |
| 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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421696 | Kiera Margaret Benge-shea | Podiatrist | 12255 Depaul Drive, Ste 705, Bridgeton, MO 63055 | 2020-06-09 |
| 1972069359 | Dr Jeffrey Brooks PC | Podiatrist | 618 N New Ballas Rd Apt 409, Saint Louis, MO 63141-6767 | 2019-02-11 |
| 1619448453 | S Thomas Sehy D P M L L C | Podiatrist | 6651 Chippewa St Ste 316, Saint Louis, MO 63109-2532 | 2018-12-05 |
| 1902339104 | Jay J Moradia | Podiatrist | 621 S New Ballas Rd Ste 7005b, Saint Louis, MO 63141-8275 | 2017-04-05 |
| 1992185763 | Melanie Gonzalez | Podiatrist | 2406 E R.d. Mize Rd Ste. B, Independence, MO 64057-6405 | 2015-06-05 |
| 1255727525 | Mobile Podiatry of Kansas, LLC | Podiatrist | 1920 Salter Pl, Kirksville, MO 63501-5165 | 2015-04-13 |
| 1346645496 | Ronald Ethan Freilich | Podiatrist | 25107 Cherokee Ln, Jonesburg, MO 63351-2454 | 2014-10-31 |
| 1972922060 | Special Care Podiatry of Missouri, LLC | Podiatrist | 3714 Kidron St, Jackson, MO 63755-3345 | 2014-04-16 |
| 1003152273 | Foot Healers Holdings - St. Louis, LLC | Podiatrist | 8534 Eager Rd, Saint Louis, MO 63144-1435 | 2012-12-17 |
| 1073870234 | Richard Don Bushman | Podiatrist | 603 Claymont Estates Dr, Chesterfield, MO 63017-7061 | 2012-04-12 |
| 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.