PC MEDICAL CENTERS LLC (NPI# 1619581287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619581287 |
Entity Type | Organization |
Organization Name | PC MEDICAL CENTERS LLC |
Practice Address |
5 Doctors Park Cape Girardeau MO 63703-4927 |
Practice Telephone | 5733359188 |
Practice Fax Number | 5733351838 |
Mailing Telephone | 5733359188 |
Mailing Fax Number | 5733351838 |
Enumeration Date | 2020-09-01 |
Last Update Date | 2020-09-01 |
Authorized Official Name | DR. GREGORY W PURSLEY (OWNER) |
Authorized Official Telephone | 5735871223 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
Street Address |
5 DOCTORS PARK |
City | CAPE GIRARDEAU |
State | MO |
Zip Code | 63703-4927 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265563464 | Shawie Edwin Noffel | Dentist | 5 Doctors Park, Cape Girardeau, MO 63703-4927 | 2007-03-08 |
1376674580 | David Feuerhahn | Dentist | 5 Doctors Park, Cape Girardeau, MO 63703-4927 | 2007-03-08 |
1235260472 | Noffel-feuerhahn, Ddd, Center for Orthodontics PC | Clinic/Center | 5 Doctors Park, Cape Girardeau, MO 63703-4927 | 2007-03-08 |
1528104668 | Gregory W Pursley Dc LLC | Chiropractor | 5 Doctors Park, Cape Girardeau, MO 63703-4927 | 2007-01-29 |
1194883975 | Greg Pursley | Chiropractor | 5 Doctors Park, Cape Girardeau, MO 63703-4927 | 2006-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
Find all providers in zip 63703 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790305654 | Remedy Health LLC | General Practice | 37 Doctors Park Ste 3, Cape Girardeau, MO 63703-4903 | 2020-04-21 |
1477818318 | Wound Care of Cape Girardeau LLC | General Practice | 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | 2012-07-06 |
1871893743 | Medstop One Diagnostics LLC | General Practice | 3065 William St, Ste 211, Cape Girardeau, MO 63703-6393 | 2010-10-26 |
1942261052 | Carlos A Rivas | General Practice | 3065 William St, Suite 209, Cape Girardeau, MO 63703-6393 | 2006-03-29 |
1316918949 | Premier Family Physicians, Lc | General Practice | 8 Doctors Park, Cape Girardeau, MO 63703-4928 | 2006-01-31 |
1558362822 | Edward J Doyle | General Practice | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2005-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760001598 | Md Sarefin Zaman | General Practice | 2715 W 76 Country Blvd Ste 103, Branson, MO 65616-2344 | 2020-04-12 |
1437707551 | Home Docs Medical Associates, LLC | General Practice | 7584 Olive Blvd Ste 204, University City, MO 63130-1600 | 2019-09-02 |
1912462912 | Thomas George Brett | General Practice | 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 | 2019-02-04 |
1295208403 | Sme Kentucky Psc | General Practice | 5728 Pergola Dr Apt 207, Columbia, MO 65201-2897 | 2019-01-10 |
1821579798 | Healthy Schools Missouri LLC | General Practice | 3675 S Noland Rd Ste 200, Independence, MO 64055-3369 | 2018-08-28 |
1902300825 | Landmark Medical of Missouri PC | General Practice | 312 Sw Greenwich Dr # 315, Lees Summit, MO 64082-4408 | 2018-03-23 |
1740784214 | Bridge Integrative Medicine LLC | General Practice | 305 Nw Englewood Ct Ste 200, Kansas City, MO 64118 | 2018-03-20 |
1093218224 | Andrew Jason Doppelt | General Practice | 200 E Southampton Dr Ste 104, Columbia, MO 65203-3032 | 2018-03-14 |
1114427606 | Khrystal Robinson | General Practice | 902 E Reed St, Hayti, MO 63851-1243 | 2018-02-20 |
1235648551 | Robert Calaluce | General Practice | 140 Walter Williams Hall, Columbia, MO 65211-1200 | 2017-09-29 |
Find all providers with the same taxonomy |
City | CAPE GIRARDEAU |
Zip Code | 63703 |
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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.