INTERNAL MEDICINE ASSOCIATES OF SOUTHEAST MISSOURI LLC


Address: 225 Physicians Park, Suite 400, Poplar Bluff, MO 63901-3956
Phone: 5737275500

INTERNAL MEDICINE ASSOCIATES OF SOUTHEAST MISSOURI LLC (NPI# 1629022215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629022215
Entity Type Organization
Organization Name INTERNAL MEDICINE ASSOCIATES OF SOUTHEAST MISSOURI LLC
Other Organization Name PHYSICIANS PARK PRIMARY CARE
Practice Address 225 Physicians Park
Suite 400
Poplar Bluff
MO 63901-3956
Practice Telephone 5737275500
Practice Fax Number 5737780581
Mailing Telephone 5737275500
Mailing Fax Number 5737780581
Enumeration Date 2006-05-19
Last Update Date 2008-11-14
Authorized Official Name DR. F. MICHAEL CALDWELL (PHYSICIAN)
Authorized Official Telephone 5737275500
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 505183400 05

Other Provider/Organization Names

Other Name Type Code
Physicians Park Primary Care Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1144451063 Internal Medicine Associates of Southeast Missouri LLC Clinic/Center 225 Physicians Park, Poplar Bluff, MO 63901-3956 2009-07-28
1629208848 Internal Medicine Associates of Southeast Missouri LLC Clinic/Center 223 Physicians Park, Poplar Bluff, MO 63901-3956 2009-07-22
1598718355 Internal Medicine Associates of Southeast Missouri LLC Clinic/Center 225 Physicians Park, Suite 400, Poplar Bluff, MO 63901-3956 2006-05-19

Office Location

Street Address 225 PHYSICIANS PARK
SUITE 400
City POPLAR BLUFF
State MO
Zip Code 63901-3956

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710965371 Gilbert D Smith Family Medicine 225 Physicians Park, Suite 400, Poplar Bluff, MO 63901-3956 2006-01-04
1376008334 Zachary L Ferguson Physician Assistant 225 Physicians Park, Poplar Bluff, MO 63901-3935 2019-02-04
1316486202 Vanessa Adams Nurse Practitioner 225 Physicians Park, Ste 203, Poplar Bluff, MO 63901-3935 2017-02-13
1134589625 Ssm Neurosciences, Inc. Neurological Surgery 225 Physicians Park, Suite 102, Poplar Bluff, MO 63901-3935 2016-02-26
1275991861 Southern Care and Comfort In Home Agency, LLC In Home Supportive Care 225 Physicians Park, Suite 301, Poplar Bluff, MO 63901-3935 2016-02-10
1215305941 Christian Bowers Nurse Practitioner 225 Physicians Park, Suites 400 & 104, Poplar Bluff, MO 63901-3935 2015-09-11
1730586777 Mark Gerard Smith Physical Therapist 225 Physicians Park, Suite 101, Poplar Bluff, MO 63901-3956 2014-11-19
1689096919 Saint Francis Medical Center Internal Medicine 225 Physicians Park, Ste 400, Poplar Bluff, MO 63901-3956 2014-01-06
1386998318 Black River Medical Group, LLC Surgery 225 Physicians Park, Suite 204, Poplar Bluff, MO 63901-3956 2012-10-29
1609157403 Joyce A Barklow Nurse Practitioner 225 Physicians Park, Suite 203, Poplar Bluff, MO 63901-3956 2011-09-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568076701 Alternative Sleep Solution Dentist 2700 Kanell Blvd., Poplar Bluff, MO 63901 2020-09-04
1285271239 Front Door Wellness LLC Physical Therapist Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 2019-12-09
1104470368 Andrew Akindutire Dentist 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 2019-07-26
1780195966 Midwest Equipment Srv Systems LLC Technician, Pathology 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 2017-10-16
1801259387 Richard Justin Huber Technician, Other 3005 Warrior Ln, Poplar Bluff, MO 63901 2016-04-01
1699136275 Donja Kirkland Recreation Therapist 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 2016-03-10
1760866867 Bio-medical Applications of Missouri, Inc. Clinic/Center 3050 Tucker Road, Poplar Bluff, MO 63901 2015-07-17
1407246390 Lisa Marie Payne Physical Therapist 4358c Highway Pp, Poplar Bluff, MO 63901 2015-01-29
1700202488 Missouri Dental Professionals, Richard Straus, Dmd, PC Dentist 1602 W. Harper Street, Poplar Bluff, MO 63901 2014-03-05
1932521648 Essential Family Healthcare, LLC Clinic/Center 1369 North Westwood Blvd., Poplar Bluff, MO 63901 2014-01-15
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023523933 First Medical Group, LLC Internal Medicine 3050 Tucker Rd, Poplar Bluff, MO 63901-7527 2017-12-14
1750469763 Haven Hills Medical Clinic Internal Medicine 1611 Lurlyn Road, Poplar Bluff, MO 63901 2006-11-01
1023128840 Philma Balite Opinaldo Internal Medicine 225 Physicians Parkway, Suite 303, Poplar Bluff, MO 63901 2006-08-30
1356305684 Tirso J Aldana Internal Medicine 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 2006-04-13
1700882016 Stephen A Segall Internal Medicine 1879 N Westwood Blvd, Poplar Bluff, MO 63901-2833 2005-06-22
1689110611 Prachi Avinash Pophali Internal Medicine 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 2017-01-14
1588118020 Abhishek Ambarisha Bhandiwad Internal Medicine 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 2016-08-13
1780065615 Velmathy Ponnambalam Internal Medicine 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 2015-06-16
1689096919 Saint Francis Medical Center Internal Medicine 225 Physicians Park, Ste 400, Poplar Bluff, MO 63901-3956 2014-01-06
1053659904 Southeasthealth Hospital Holdings, LLC Internal Medicine 2002 Kanell Blvd, Poplar Bluff, MO 63901-4045 2013-01-28
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Competitor

Search similar providers

City POPLAR BLUFF
Zip Code 63901

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Dataset Information

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.

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