MCPHERSON MEDICAL & DIAGNOSTIC, LLC (NPI# 1497189864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497189864 |
| Entity Type | Organization |
| Organization Name | MCPHERSON MEDICAL & DIAGNOSTIC, LLC |
| Other Organization Name | GIDEON MEDICAL CENTER-MMD |
| Practice Address |
100 N Main St Gideon MO 63848-9253 |
| Mailing Address |
Po Box 12545 Belfast ME 04915-4016 |
| Practice Telephone | 5734483800 |
| Mailing Telephone | 5734483800 |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2019-10-03 |
| Authorized Official Name | PAULA J ANDERSON (OFFICE ADMINISTRATOR) |
| Authorized Official Telephone | 5736952181 |
| Is Organization Subpart | Y |
| Parent Organization Name | MCPHERSON MEDICAL & DIAGNOSTIC, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | R9E31 | MO | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Gideon Medical Center-MMD | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619518032 | Mcpherson Medical & Diagnostic, LLC | Clinic/Center | 110 Us Hwy 61 N, Ste B, Hayti, MO 63851 | 2019-10-07 |
| 1073154019 | Mcpherson Medical & Diagnostic, LLC | Clinic/Center | 223 S 3rd St, Hayti, MO 63851-1617 | 2019-10-01 |
| Street Address |
100 N MAIN ST |
| City | GIDEON |
| State | MO |
| Zip Code | 63848-9253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326589300 | Labone LLC | Clinical Medical Laboratory | 100 N Main St, Gideon, MO 63848-9253 | 2017-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346718418 | Gideon Pharmacy LLC | Pharmacy | 111 N Main St., Gideon, MO 63848 | 2018-11-07 |
| 1184892366 | Community Wide In Home LLC | Technician | 106 Lunbeck Street, Gideon, MO 63848 | 2008-02-11 |
| 1447381694 | Overturf Health Mart | Durable Medical Equipment & Medical Supplies | Hwy 162, Gideon, MO 63848 | 2007-03-08 |
| 1255992897 | Laurell A Conder | Nurse Practitioner | 100 Main St, Gideon, MO 63848 | 2019-06-25 |
| 1124518451 | Pemiscot County Memorial Hospital | Clinic/Center | 100 S Main Street, Gideon, MO 63848 | 2018-05-11 |
| 1225565948 | Tiffany Nelson | Nurse Practitioner | 100 North Main Street, Gideon, MO 63848 | 2017-05-12 |
| 1053702118 | Gideon Pharmacy LLC | Pharmacy | 111 Main Street, Gideon, MO 63848 | 2015-02-11 |
| 1700931458 | Super D Drugs Acquisition Co. | Pharmacy | 100 Main St, Gideon, MO 63848 | 2007-01-24 |
| 1518384429 | Liza Hartman | Occupational Therapist | 400 South Main St, Gideon, MO 63848-0227 | 2014-03-28 |
| 1043223282 | Steele Family Rural Health Clinic, LLC | Family Medicine | 100 Main Street, Gideon, MO 63848-3086 | 2006-08-15 |
| Find all providers in zip 63848 | ||||
| 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 |
|---|---|---|---|---|
| 1407919897 | Steele Family Rural Health Clinic, LLC | Family Medicine | 135 South Main, Gideon, MO 63848-9253 | 2006-12-18 |
| 1043223282 | Steele Family Rural Health Clinic, LLC | Family Medicine | 100 Main Street, Gideon, MO 63848-3086 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596877 | Stephanie R Nicholson | Family Medicine | 4500 S Park Ave, Sedalia, MO 65301-8525 | 2020-10-21 |
| 1053919514 | Kelli Lichte | Family Medicine | 601 S 13 Hwy, Lexington, MO 64067-1511 | 2020-10-15 |
| 1053927228 | Cox- Monett Hospital, Inc. | Family Medicine | 1000 E Hwy 60, Monett, MO 65708 | 2020-09-22 |
| 1104432806 | Jefferson Medical Group | Family Medicine | 807 E Broadway St, Brunswick, MO 65236-1468 | 2020-09-17 |
| 1124633995 | Continuum Family Care LLC | Family Medicine | 2336 S Main St, Maryville, MO 64468-3622 | 2020-09-09 |
| 1326652579 | Linda Diane Watson | Family Medicine | 338 Emerson Rd Apt 104, High Ridge, MO 63049-2530 | 2020-09-04 |
| 1447868005 | Brittany Mechelle Waterworth | Family Medicine | 3700 I 70 Dr Se Ste 106, Columbia, MO 65201-6587 | 2020-07-20 |
| 1013542828 | Johns Healthcare Services LLC | Family Medicine | 2001 Independence St Ste A, Cape Girardeau, MO 63703-5805 | 2020-03-12 |
| 1972133460 | Fnp4jc, LLC | Family Medicine | 215 North Street, Waynesville, MO 65583 | 2020-01-23 |
| 1568092732 | Scotland County Memorial Hospital | Family Medicine | 55682 State Highway 6, Edina, MO 63537-4267 | 2020-01-16 |
| Find all providers with the same taxonomy | ||||
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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.