MERCY HOSPITAL CARTHAGE (NPI# 1558628222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558628222 |
| Entity Type | Organization |
| Organization Name | MERCY HOSPITAL CARTHAGE |
| Other Organization Name | MERCY MCCUNE BROOKS HOSPITAL |
| Practice Address |
1515 Hazel St Carthage MO 64836-2850 |
| Practice Telephone | 4173580188 |
| Mailing Telephone | 4173580188 |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |
| Authorized Official Name | MR. ROBERT COPELAND (CEO) |
| Authorized Official Telephone | 4173588121 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | MA3832 | 01 |
| Other Name | Type Code |
|---|---|
| Mercy McCune Brooks Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003201955 | Mercy Hospital Carthage | Psychiatry & Neurology | 3125 Dr Russell Smith Way, Carthage, MO 64836 | 2015-03-30 |
| 1912392861 | Mercy Hospital Carthage | Medicare Defined Swing Bed Unit | 3125 Dr Russell Smith Way, Carthage, MO 64836 | 2015-03-30 |
| 1447591573 | Mercy Hospital Carthage | Internal Medicine | 1515 Hazel St, Carthage, MO 64836-2850 | 2013-03-14 |
| 1861743627 | Mercy Hospital Carthage | Clinic/Center | 1515 Hazel St, Carthage, MO 64836-2850 | 2012-09-19 |
| 1285904342 | Mercy Hospital Carthage | Clinic/Center | 1911 Buena Vista Ave, Carthage, MO 64836 | 2012-01-06 |
| 1285904755 | Mercy Hospital Carthage | Ambulance | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2011-12-30 |
| 1992074959 | Mercy Hospital Carthage | Clinic/Center | 1515 Hazel St, Suite 101, Carthage, MO 64836 | 2011-12-21 |
| 1568731974 | Mercy Hospital Carthage | Home Health | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2011-12-14 |
| 1952679334 | Mercy Hospital Carthage | Medicare Defined Swing Bed Unit | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2011-12-13 |
| 1396012753 | Mercy Hospital Carthage | General Acute Care Hospital | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2011-11-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY HOSPITAL CARTHAGE | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 |
| Street Address |
1515 HAZEL ST |
| City | CARTHAGE |
| State | MO |
| Zip Code | 64836-2850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407817737 | Lydia W Keisler | Obstetrics & Gynecology | 1515 Hazel St, Suite 101, Carthage, MO 64836-2850 | 2006-03-28 |
| 1447591573 | Mercy Hospital Carthage | Internal Medicine | 1515 Hazel St, Carthage, MO 64836-2850 | 2013-03-14 |
| 1861743627 | Mercy Hospital Carthage | Clinic/Center | 1515 Hazel St, Carthage, MO 64836-2850 | 2012-09-19 |
| 1992074959 | Mercy Hospital Carthage | Clinic/Center | 1515 Hazel St, Suite 101, Carthage, MO 64836 | 2011-12-21 |
| 1013298983 | Melinda Sue Burchfield | Social Worker | 1515 Hazel St, Carthage, MO 64836-2850 | 2011-09-06 |
| 1215221809 | Mccune Brooks Hospital | Clinic/Center | 1515 Hazel St, Suite 101, Carthage, MO 64836-2850 | 2011-06-01 |
| 1346533569 | Mccune Brooks Hospital | Clinic/Center | 1515 Hazel St, Suite 204, Carthage, MO 64836-2850 | 2011-05-20 |
| 1629236948 | William G Herrington | Dentist | 1515 Hazel St, Suite 200, Carthage, MO 64836-2850 | 2008-05-23 |
| 1003081530 | Carthage Radiologosts | Radiology | 1515 Hazel St, Carthage, MO 64836-2850 | 2008-04-25 |
| 1578731063 | Linda Louise Lee | Counselor | 1515 Hazel St, Suite 201, Carthage, MO 64836-2850 | 2008-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043871908 | Cura Personalis, (care for The Whole Person), LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11650 Bobwhite Road, Carthage, MO 64836 | 2019-06-21 |
| 1477098531 | Grace Theios, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6031 County Road 105, Carthage, MO 64836 | 2016-12-28 |
| 1386095255 | Ozark Tri County Healthcare Consortium | Dentist | 215 E 3rd Street, Carthage, MO 64836 | 2016-06-22 |
| 1861668972 | Allison D. O'dell | Social Worker | 2411 Fairlawn Drive, Carthage, MO 64836 | 2008-05-08 |
| 1619142064 | Earl L Kirn | Social Worker | 2411 Fairlawn Ave, Carthage, MO 64836 | 2008-04-28 |
| 1235283912 | Mark F Saladin | Dentist | 1604 Missouri Avenue, Carthage, MO 64836 | 2007-01-22 |
| 1962570465 | Carthage Counseling LLC | Community/Behavioral Health | 2411 Fairlawn Dr, Carthage, MO 64836 | 2006-12-01 |
| 1023191665 | Wal-mart Stores East, Lp | Technician/Technologist | 2705 Grand Ave., Carthage, MO 64836 | 2006-10-24 |
| 1356437180 | Jannette Eldred | Social Worker | 1500 South Case Steet, Carthage, MO 64836 | 2006-10-05 |
| 1144251646 | Peter Richardson | Family Medicine | 719 W Centennial, Carthage, MO 64836 | 2006-07-05 |
| Find all providers in zip 64836 | ||||
| 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 |
|---|---|---|---|---|
| 1790211894 | Meagan White Smith | Family Medicine | 158 Hospital Dr Ste 500, Carthage, TN 37030-1083 | 2017-05-10 |
| 1821419961 | Govathoti Md Services Pllc | Family Medicine | 116 Woodmill Ln, Carthage, TX 75633-2861 | 2013-12-16 |
| 1346684487 | Medstaff PC | Family Medicine | 1129 W Fairview Ave, Carthage, MO 64836-3731 | 2013-04-19 |
| 1679917942 | Medstaff PC | Family Medicine | 1 Leggett Rd, Carthage, MO 64836-9649 | 2013-04-17 |
| 1821386525 | Morlee Burgess | Family Medicine | 133 Hospital Dr Ste 500, Carthage, TN 37030 | 2011-07-14 |
| 1295033595 | Staton Southern Medical, Pllc | Family Medicine | 131 Hospital Drive, Suite 2000, Carthage, TN 37030 | 2011-03-10 |
| 1003006065 | John F Nielsen M D Family Medicine Pa | Family Medicine | 702 Davis St Ste 4, Carthage, TX 75633-1461 | 2007-07-26 |
| 1669514592 | Family Practice Associates, P.c | Family Medicine | 40 Franklin Street, Suite 1, Carthage, NY 13619-1323 | 2007-02-14 |
| 1013086040 | Jim Jason Phillips | Family Medicine | 1410 W Panola St, Carthage, TX 75633-2348 | 2006-11-06 |
| 1215027529 | Roger Mackey Duke | Family Medicine | 131 Hilltop Dr, Carthage, TN 37030-1117 | 2006-10-15 |
| Find all providers in CARTHAGE | ||||
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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.