HANNIBAL REGIONAL HOSPITAL (NPI# 1508155888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508155888 |
| Entity Type | Organization |
| Organization Name | HANNIBAL REGIONAL HOSPITAL |
| Other Organization Name | HANNIBAL REGIONAL MEDICAL GROUP VISION INSTITUE |
| Practice Address |
1 Northport Plz Hannibal MO 63401-2269 |
| Mailing Address |
Po Box 1239 6500 Hospital Drive Hannibal MO 63401-1239 |
| Practice Telephone | 5732212646 |
| Practice Fax Number | 5732214479 |
| Mailing Telephone | 5734065888 |
| Mailing Fax Number | 5734065889 |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |
| Authorized Official Name | ROGER J DIX (CFO) |
| Authorized Official Telephone | 5732481300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Hannibal Regional Medical Group Vision Institue | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073532560 | Hannibal Regional Hospital | Clinic/Center | 401 East Hwy 19, Center, MO 63436 | 2006-07-18 |
| 1174585103 | Hannibal Regional Hospital | Specialist/Technologist | 188a Medical Dr, Hannibal, MO 63401-6877 | 2006-04-05 |
| 1225382435 | Hannibal Regional Hospital | Clinic/Center | 3145 Highway 61, Suite A, Hannibal, MO 63401-6588 | 2012-11-09 |
| 1922356765 | Hannibal Regional Hospital | Internal Medicine | 714 Medical Park Dr, Mexico, MO 65265-3726 | 2012-08-28 |
| 1245510221 | Hannibal Regional Hospital | Clinic/Center | 3650 Stardust Dr, Hannibal, MO 63401-2480 | 2011-08-23 |
| 1841579356 | Hannibal Regional Hospital | Eyewear Supplier (Equipment, not the service) | 101 E Washington St, Pittsfield, IL 62363-1436 | 2011-08-15 |
| 1871892158 | Hannibal Regional Hospital | Eyewear Supplier (Equipment, not the service) | 1 Northport Plz, Hannibal, MO 63401-2269 | 2011-03-25 |
| 1417273749 | Hannibal Regional Hospital | Eyewear Supplier (Equipment, not the service) | 175 Shinn Ln, Hannibal, MO 63401-6754 | 2010-04-12 |
| 1861632226 | Hannibal Regional Hospital | Optometrist | 175 Shinn Ln, Hannibal, MO 63401-6754 | 2009-02-25 |
| 1457409518 | Hannibal Regional Hospital | General Acute Care Hospital | 6000 Hospital Drive, Hannibal, MO 63401 | 2007-01-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HANNIBAL REGIONAL HOSPITAL | 6000 Hospital Dr, Hannibal, MO 63401-6887 |
| Street Address |
1 NORTHPORT PLZ |
| City | HANNIBAL |
| State | MO |
| Zip Code | 63401-2269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326087602 | Robert Francis Munsch | Ophthalmology | 1 Northport Plz, Hannibal, MO 63401-2269 | 2006-06-05 |
| 1871892158 | Hannibal Regional Hospital | Eyewear Supplier (Equipment, not the service) | 1 Northport Plz, Hannibal, MO 63401-2269 | 2011-03-25 |
| 1982821252 | Robert F. Munsch, M.d. P.C. | Clinic/Center | 1 Northport Plz, Hannibal, MO 63401-2269 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981064 | Amanda Lynn Jennings | Nurse Practitioner | Hannibal Clinic, 100 Medical Drive, Hannibal, MO 63401 | 2019-09-13 |
| 1316452295 | Hannibal Regional Healthcare System, Inc | Hospice Care, Community Based | 6401 Hwy Mm, Hannibal, MO 63401 | 2017-12-13 |
| 1932614351 | Sidney M Johnson | Counselor | 1221 Broadway St, Hannibal, MO 63401 | 2017-12-07 |
| 1316467210 | Jessica Baker | Counselor | 4355 Paris Gravel Road, Hannibal, MO 63401 | 2017-06-21 |
| 1346787066 | Hands Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Settlerstrail, Hannibal, MO 63401 | 2017-01-20 |
| 1134571672 | Pamela Barrigar | Social Worker | 4600 Mcmasters Ave, Hannibal, MO 63401 | 2016-07-08 |
| 1639540677 | Jessica Murfin | Speech-Language Pathologist | 544 N Veterans Rd, Hannibal, MO 63401 | 2015-10-16 |
| 1366835639 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 8965 Highway 36 Ste 3, Hannibal, MO 63401 | 2015-03-11 |
| 1639324254 | Hannibal Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 118 Steam Boat Bend, Hannibal, MO 63401 | 2008-11-24 |
| 1780856112 | Barbara Belle Smith | Social Worker | 3700 Hwy Mm, Hannibal, MO 63401 | 2008-03-26 |
| Find all providers in zip 63401 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457763658 | Amy J. Knickerbocker, LLC | Optometrist | 7 Oak Ridge Pond Rd, Hannibal, MO 63401-6539 | 2014-05-22 |
| 1578517306 | Amy Joanne Knickerbocker | Optometrist | 3650 Stardust Drive, Hannibal, MO 63401 | 2006-05-19 |
| 1013966076 | Kenneth R Mueller | Optometrist | 215 Progress Rd, Hannibal, MO 63401-6637 | 2006-05-08 |
| 1104883560 | Kent Randall Wolber | Optometrist | 175 Shinn Ln, Hannibal, MO 63401-6754 | 2006-04-28 |
| 1548232481 | Matthew Joseph Bowman | Optometrist | 3201 Highway 61, Hannibal, MO 63401-6578 | 2006-02-05 |
| 1356687412 | Elizabeth Marie Monroe | Optometrist | 215 Progress Rd, Hannibal, MO 63401-6637 | 2012-12-18 |
| 1861632226 | Hannibal Regional Hospital | Optometrist | 175 Shinn Ln, Hannibal, MO 63401-6754 | 2009-02-25 |
| 1043485949 | Paul Tracy Od | Optometrist | 3650 Stardust Dr, Hannibal, MO 63401-2480 | 2008-04-23 |
| 1881606200 | Cathryn Lorraine Ahearn | Optometrist | 100 Medical Dr, Hannibal, MO 63401-6877 | 2006-08-13 |
| 1962441220 | Marshall Vernon Munch | Optometrist | 175 Shinn Ln, Hannibal, MO 63401 | 2006-06-05 |
| Find all providers in HANNIBAL | ||||
Please comment or provide details below to improve the information on HANNIBAL REGIONAL HOSPITAL.
| 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.