SOUTHEAST MISSOURI HOSPITAL PHYSICIANS, LLC (NPI# 1700350543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700350543 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST MISSOURI HOSPITAL PHYSICIANS, LLC |
| Practice Address |
624 Old Saint Marys Rd Perryville MO 63775-1837 |
| Mailing Address |
1701 Lacey St Cape Girardeau MO 63701-5230 |
| Practice Telephone | 5735473232 |
| Practice Fax Number | 5735473231 |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |
| Authorized Official Name | KRISTA BERRY (CFO) |
| Authorized Official Telephone | 5733316028 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Southeast Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558311522 | Southeast Missouri Hospital Physicians, LLC | Nurse Anesthetist, Certified Registered | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2006-05-11 |
| Street Address |
624 OLD SAINT MARYS RD |
| City | PERRYVILLE |
| State | MO |
| Zip Code | 63775-1837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891726782 | Kathleen M. Arnzen | Nurse Practitioner | 624 Old Saint Marys Rd, Suite A, Perryville, MO 63775-1837 | 2006-07-06 |
| 1477105427 | Jennifer Diane Roth | Nurse Practitioner | 624 Old Saint Marys Rd, Perryville, MO 63775-1837 | 2019-07-10 |
| 1326593310 | Nikki Marie Malley | Nurse Practitioner | 624 Old Saint Marys Rd, Perryville, MO 63775-1837 | 2016-08-18 |
| 1477909372 | Professional Clinics, LLC | Clinic/Center | 624 Old Saint Marys Rd, Suite A, Perryville, MO 63775-1837 | 2016-05-10 |
| 1326346057 | Gena Marie Weinhold | Nurse Practitioner | 624 Old Saint Marys Rd, A, Perryville, MO 63775-1837 | 2011-03-03 |
| 1275837551 | Michael J Moldenhauer | Nurse Practitioner | 624 Old Saint Marys Rd, Suite A, Perryville, MO 63775-1837 | 2010-12-31 |
| 1154563559 | Professional Clinics LLC | Clinic/Center | 624 Old Saint Marys Rd, Suite A, Perryville, MO 63775-1837 | 2009-03-31 |
| 1427195122 | Gayla Ann Dace | Nurse Practitioner | 624 Old Saint Marys Rd, Suite A, Perryville, MO 63775-1837 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144949 | New Life Mission Inn - Missouri | Clinic/Center | 114 W. South, Perryville, MO 63775 | 2020-11-02 |
| 1881211829 | Sarah Jo Cross | Social Worker | 406 S Spring St, Ste 2, Perryville, MO 63775 | 2020-06-25 |
| 1902461908 | Health Care Pharmacy of Perryville, LLC | Pharmacy | 628 N Old St Marys Rd, Perryville, MO 63775 | 2019-05-06 |
| 1710437603 | Danielle Renee Hoeckele | Chiropractor | 1516 Edgemont Blvd Ste 100, Perryville, MO 63775 | 2016-10-04 |
| 1487024956 | Sherry Ann Goshen | Social Worker | 12 N Kings Hwy, Perryville, MO 63775 | 2015-09-28 |
| 1669801353 | Derek Adelman | Physical Therapy Assistant | 206 Hospital Lane, Ste 100, Perryville, MO 63775 | 2013-11-04 |
| 1407158678 | Perry County Memorial Hospital | Ambulance | 434 N West Street, Perryville, MO 63775 | 2010-11-22 |
| 1699928358 | East Missouri Action Agency, Inc. | Clinic/Center | 519 Old St Mary's Rd, Perryville, MO 63775 | 2008-10-28 |
| 1013171115 | Air Evac Ems Inc. | Ambulance | 4801 N Highway 51, Perryville, MO 63775 | 2008-07-17 |
| 1245457241 | Robert Schremp | Physical Therapist | 150 S. Mount Auburn Road, Cape Girardeau, MO 63775 | 2007-04-19 |
| Find all providers in zip 63775 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124539648 | Access Medical Clinic Arkansas LLC | Clinic/Center | 1016 North Fourche Avenue, Perryville, AR 72126 | 2017-10-24 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1477909372 | Professional Clinics, LLC | Clinic/Center | 624 Old Saint Marys Rd, Suite A, Perryville, MO 63775-1837 | 2016-05-10 |
| 1154563559 | Professional Clinics LLC | Clinic/Center | 624 Old Saint Marys Rd, Suite A, Perryville, MO 63775-1837 | 2009-03-31 |
| 1467557488 | Perry County Health System | Clinic/Center | 212 Hospital Ln, Suite 101, Perryville, MO 63775-1276 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| 1831515907 | Marble Hill Medical Clinic, LLC | Clinic/Center | 307 Broadway St., Marble Hill, MO 63764-8321 | 2014-03-12 |
| Find all providers with the same taxonomy | ||||
| City | PERRYVILLE |
| Zip Code | 63775 |
Please comment or provide details below to improve the information on SOUTHEAST MISSOURI HOSPITAL PHYSICIANS, LLC.
| 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.