MERCY CLINIC-SPRINGFIELD COMMUNITIES (NPI# 1619173846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619173846 |
| Entity Type | Organization |
| Organization Name | MERCY CLINIC-SPRINGFIELD COMMUNITIES |
| Other Organization Name | MERCY CLINIC-NIXA-EYE SPECIALISTS & OPTICAL SHOP |
| Practice Address |
940 W Mount Vernon St Suite 120 Nixa MO 65714-9609 |
| Mailing Address |
Po Box 2580 Springfield MO 65801-2580 |
| Practice Telephone | 4177245335 |
| Practice Fax Number | 4177245333 |
| Mailing Telephone | 4178294620 |
| Mailing Fax Number | 4178294316 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2012-02-07 |
| Authorized Official Name | DONN E. SORENSEN (SENIOR VICE PRESIDENT) |
| Authorized Official Telephone | 4178294264 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | R8G75 | MO | Allopathic & Osteopathic Physicians |
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | MO | Suppliers |
| Other Name | Type Code |
|---|---|
| Mercy Clinic-Nixa-Eye Specialists & Optical Shop | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053444000 | Mercy Clinic-springfield Communities | Family Medicine | 149 Rogers Ave, Summersville, MO 65571 | 2007-03-13 |
| 1811028723 | Mercy Clinic-springfield Communities | Family Medicine | 1605 Martin Springs Dr Ste 210, Rolla, MO 65401-3028 | 2007-03-09 |
| 1487783296 | Mercy Clinic-springfield Communities | Family Medicine | 1422 S Sam Houston Blvd, Houston, MO 65483 | 2007-03-05 |
| 1275660847 | Mercy Clinic-springfield Communities | Nurse Practitioner | 517 Coy Blvd, Forsyth, MO 65653-5083 | 2007-02-28 |
| 1245533223 | Mercy Clinic-springfield Communities | Family Medicine | 1065 State Highway 248, Suite 200, Branson, MO 65616-8398 | 2010-12-13 |
| 1083924294 | Mercy Clinic-springfield Communities | Nurse Practitioner | 1000 W Trimble Ave, Berryville, AR 72616-4603 | 2010-10-21 |
| 1104137876 | Mercy Clinic-springfield Communities | Clinic/Center | 22361 Oak Ridge Dr, Shell Knob, MO 65747-7822 | 2010-06-28 |
| 1659505576 | Mercy Clinic-springfield Communities | Durable Medical Equipment & Medical Supplies | 2135 S Fremont Ave, Springfield, MO 65804-2239 | 2009-05-06 |
| 1578735411 | Mercy Clinic-springfield Communities | Durable Medical Equipment & Medical Supplies | 511 Bee Creek Rd, Branson, MO 65616-7734 | 2008-04-01 |
| 1144498528 | Mercy Clinic-springfield Communities | Clinic/Center | 260 Terrace Rd, Branson, MO 65616-8909 | 2008-02-19 |
| Street Address |
940 W MOUNT VERNON ST SUITE 120 |
| City | NIXA |
| State | MO |
| Zip Code | 65714-9609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861438475 | Stacy L. Kanagawa | Pediatrics | 940 W Mount Vernon St, Suite 220, Nixa, MO 65714-9609 | 2006-06-21 |
| 1760852347 | Rebecca Taratuta | Nurse Practitioner | 940 W Mount Vernon St, Ste 100, Nixa, MO 65714-9618 | 2015-09-25 |
| 1508272618 | Elicia Sutton | Nurse Practitioner | 940 W Mount Vernon St, Nixa, MO 65714-9618 | 2014-07-09 |
| 1003187402 | St. John's Clinic, Inc. | Clinic/Center | 940 W Mount Vernon St, Nixa, MO 65714-9609 | 2012-01-18 |
| 1790077600 | Dustin Ryan Tompkins | Internal Medicine | 940 W Mount Vernon St, Suite 200, Nixa, MO 65714-9618 | 2011-05-10 |
| 1518150150 | St John's Regional Health Center | Pharmacist | 940 W Mount Vernon St, Suite 130, Nixa, MO 65714-9609 | 2007-08-27 |
| 1497899702 | Dominic T. Weskamp | Nurse Practitioner | 940 W Mount Vernon St, Suite 110, Nixa, MO 65714-9609 | 2007-02-19 |
| 1982770608 | Kristin L. Griffin | Internal Medicine | 940 W Mount Vernon St, Suite 210, Nixa, MO 65714-9609 | 2006-11-27 |
| 1457426751 | Guy F. Miller | Family Medicine | 940 W Mount Vernon St, Nixa, MO 65714-9609 | 2006-11-21 |
| 1255405023 | Scott R. Moose | Family Medicine | 940 W Mount Vernon St, Nixa, MO 65714-9609 | 2006-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895440 | Lester E Cox Medical Centers | Clinic/Center | 501 N Old Wilderness Road, Nixa, MO 65714 | 2020-09-10 |
| 1568941144 | Smith Management Services, LLC | Durable Medical Equipment & Medical Supplies | 105 S Ridgecrest Ave Ste 2, Nixa, MO 65714 | 2018-08-14 |
| 1942706692 | Phillip Marshal Guison | Chiropractor | 696 W Mount Vernon St, Nixa, MO 65714 | 2018-04-02 |
| 1831561554 | Gray Psychological Services LLC | Psychologist | 402 B W. Mt. Vernon Street, Ste 337, Nixa, MO 65714 | 2015-10-21 |
| 1053787317 | Nicole Blanchard | Speech-Language Pathologist | 1801 Quail Ln, Nixa, MO 65714 | 2015-08-20 |
| 1629410766 | Danielle Ranae Lee | Nurse Practitioner | 940 W Mount Vernon St Ste 210, Nixa, MO 65714 | 2013-07-17 |
| 1205197373 | Kelly Dove Dove | Dentist | 725 W Mt. Vernon St., Nixa, MO 65714 | 2012-06-05 |
| 1831473818 | Amy Susan Wells | Pharmacist | 106 N Massey, Nixa, MO 65714 | 2011-10-07 |
| 1013207612 | Ashley E Pritchett | Counselor | 402b Mt Vernon, #122, Nixa, MO 65714 | 2011-04-15 |
| 1760632400 | Jennifer Lynn Maloney | Counselor | 611a W. Mount Vernon Street, Nixa, MO 65714 | 2008-09-30 |
| Find all providers in zip 65714 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740206911 | Vision Clinic P C | Eyewear Supplier (Equipment, not the service) | 413 N Mccroskey St, Nixa, MO 65714-9330 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1942842208 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2111 Missouri Blvd, Jefferson City, MO 65109-4773 | 2019-10-08 |
| 1306346630 | Murphy Watson Burr Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 707 N 36th St Ste A, Saint Joseph, MO 64506-3080 | 2018-02-13 |
| 1467965830 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 304 N Euclid Ave, Saint Louis, MO 63108-1210 | 2017-11-08 |
| 1942727037 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 307 Nichols Rd, Kansas City, MO 64112-1526 | 2017-08-29 |
| 1619408291 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1600 Nw 88th St, Kansas City, MO 64155 | 2017-03-24 |
| 1033660279 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 8505 North Church Road, Kansas City, MO 64157-0000 | 2016-10-24 |
| 1659829505 | Eyedeology Vision Center LLC | Eyewear Supplier (Equipment, not the service) | 3629 N Lindbergh Blvd, Saint Ann, MO 63074-2106 | 2016-09-20 |
| 1477009397 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 80 West County Center, St. Louis, MO 63131-3701 | 2016-08-31 |
| 1851847396 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 12597 Olive Blvd., Creve Coeur, MO 63141-6311 | 2016-08-25 |
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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.