JOHN FITZGIBBON MEMORIAL HOSPITAL, INC. (NPI# 1710904347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710904347 |
| Entity Type | Organization |
| Organization Name | JOHN FITZGIBBON MEMORIAL HOSPITAL, INC. |
| Other Organization Name | MARSHALL SURGICAL ASSOCIATES |
| Practice Address |
2305 South 65 Highway, Building A Marshall MO 65340-3702 |
| Practice Telephone | 6608866692 |
| Practice Fax Number | 6608313355 |
| Mailing Telephone | 6608866692 |
| Mailing Fax Number | 6608313355 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2013-11-06 |
| Authorized Official Name | RONALD A OTT (PRESIDENT & CEO) |
| Authorized Official Telephone | 6608867431 |
| Is Organization Subpart | Y |
| Parent Organization Name | JOHN FITZGIBBON MEMORIAL HOSPITAL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261Q00000X | Clinic/Center | 27-54 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1710904347 | 05 | |
| MO | 506916709 | 05 |
| Other Name | Type Code |
|---|---|
| Marshall Surgical Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780131771 | John Fitzgibbon Memorial Hospital, Inc. | Chiropractor | 2305 South 65 Highway Building A, Marshall, MO 65340-3702 | 2016-09-07 |
| 1922032549 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 815 E. Broadway Street, Brunswick, MO 65236-1468 | 2006-07-10 |
| 1134752140 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 4 N Jefferson Ave, Marshall, MO 65340-2148 | 2020-02-18 |
| 1780077065 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 2305 South 65 Highway, Marshall, MO 65340-3702 | 2015-03-11 |
| 1073748786 | John Fitzgibbon Memorial Hospital, Inc. | Registered Nurse | 2305 South 65 Highway, Marshall, MO 65340-3702 | 2009-05-26 |
| 1831351345 | John Fitzgibbon Memorial Hospital, Inc. | Medicare Defined Swing Bed Unit | 2305 South 65 Highway, Marshall, MO 65340-3702 | 2008-06-26 |
| 1316140494 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 600 W Morrison St, Suite 5, Fayette, MO 65248-1075 | 2007-06-07 |
| 1215059985 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 2305 S Highway 65, Marshall, MO 65340-3702 | 2007-04-04 |
| 1285779330 | John Fitzgibbon Memorial Hospital, Inc. | Psychiatry & Neurology | 2305 South 65 Highway, Building A, Marshall, MO 65340-3702 | 2007-02-20 |
| 1942220751 | John Fitzgibbon Memorial Hospital, Inc. | Hospice Care, Community Based | 2305 South 65 Highway, Marshall, MO 65340-3702 | 2006-07-21 |
| Street Address |
2305 SOUTH 65 HIGHWAY, BUILDING A |
| City | MARSHALL |
| State | MO |
| Zip Code | 65340-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467455568 | Brenda K Dodds | Nurse Practitioner | 2305 South 65 Highway, Building A, Marshall, MO 65340-3702 | 2005-05-23 |
| 1033401328 | Megan Leigh Shepard | Registered Nurse | 2305 South 65 Highway, Building A, Marshall Women's Center, Marshall, MO 65340-3702 | 2011-05-05 |
| 1457575813 | John Brian Brizendine | Surgery | 2305 South 65 Highway, Building A, Marshall, MO 65340-3702 | 2007-04-13 |
| 1285779330 | John Fitzgibbon Memorial Hospital, Inc. | Psychiatry & Neurology | 2305 South 65 Highway, Building A, Marshall, MO 65340-3702 | 2007-02-20 |
| 1366558082 | William J Campbell | Social Worker | 2305 South 65 Highway, Building A, Marshall, MO 65340-3702 | 2006-08-23 |
| 1396767349 | Sonal Patel Brizendine | Family Medicine | 2305 South 65 Highway, Building A, Marshall, MO 65340-3702 | 2006-07-25 |
| 1245252303 | Mary Carolyn Fahrmeier | Psychiatry & Neurology | 2305 South 65 Highway, Building A, Marshall, MO 65340-3702 | 2006-07-24 |
| 1437175320 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 2305 South 65 Highway, Building A, Marshall, MO 65340-3702 | 2006-07-14 |
| 1093731986 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 2305 South 65 Highway, Building A, Marshall, MO 65340-3702 | 2006-07-14 |
| 1194700054 | David A Carr | Obstetrics & Gynecology | 2305 South 65 Highway, Building A, Marshall, MO 65340-3702 | 2005-12-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791847 | Gerald D Robertson | Chiropractor | 1566 S Odell Ave, Marshall, MO 65340 | 2019-07-15 |
| 1659860765 | William L Pearman | Nurse Practitioner | Marshall Emergency Physicians, 2305 South Highway 65, Marshall, MO 65340 | 2018-05-03 |
| 1992204978 | Susan Elizabeth Lichtenberg | Speech-Language Pathologist | 860 W. Vest St., Marshall, MO 65340 | 2018-02-06 |
| 1568974616 | Falin Kay Larsen | Family Medicine | 2303 Us-65, Marshal, MO 65340 | 2017-10-30 |
| 1881132587 | Dana Zinn | Nurse Practitioner | 1547 Commerce Dr, Marshall, MO 65340 | 2017-02-02 |
| 1760877179 | Lifetime Dental Associates | Dentist | 2301 S. 65 Hwy, Suite 1, Marshall, MO 65340 | 2015-04-02 |
| 1780078949 | Glenda Cervantes | Interpreter | 1324 S Ellswort Ave, Marshall, MO 65340 | 2015-03-26 |
| 1174922173 | Michelle Stockman | Licensed Practical Nurse | 1004 S. Lincoln Ave, Marshall, MO 65340 | 2014-08-15 |
| 1730527722 | Lynn C Evans | Pharmacist | 941 S. Cherokee, Suite 1, Marshall, MO 65340 | 2013-06-12 |
| 1740589753 | Bethany Anne Harris | Social Worker | 1126 E. Hwy Ww, Marshall, MO 65340 | 2011-03-17 |
| Find all providers in zip 65340 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598952749 | King Chiropractic Clinic, Ltd. | Clinic/Center | 511 Locust St, Marshall, IL 62441-1459 | 2007-10-02 |
| 1134752140 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 4 N Jefferson Ave, Marshall, MO 65340-2148 | 2020-02-18 |
| 1780077065 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 2305 South 65 Highway, Marshall, MO 65340-3702 | 2015-03-11 |
| 1710320643 | A Pattern Health Clinic, Inc | Clinic/Center | 1674 S Odell Ave, Marshall, MO 65340-3365 | 2013-04-10 |
| 1215169917 | Progressive Chiropractic & | Clinic/Center | 1203 E Pinecrest Dr, Marshall, TX 75670-7355 | 2009-08-13 |
| 1629224514 | South Michigan Ophthalmology P C | Clinic/Center | 830 W Michigan Ave, Marshall, MI 49068-1446 | 2008-08-12 |
| 1558388173 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 2305 S 65 Highway, Marshall, MO 65340-3702 | 2006-07-17 |
| 1437175320 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 2305 South 65 Highway, Building A, Marshall, MO 65340-3702 | 2006-07-14 |
| 1285650176 | John Fitzgibbon Memorial Hospital Inc. | Clinic/Center | 2305 S 65 Highway, Marshall, MO 65340-3702 | 2006-07-14 |
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| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1447873914 | 2 for Him, LLC | Clinic/Center | 310 Route 66 E, Waynesville, MO 65583-2648 | 2020-05-19 |
| 1780204586 | Keep Well Now | Clinic/Center | 2405 Aspen Rd, Highlandville, MO 65669-8051 | 2020-04-21 |
| 1871112102 | Thrive St. Louis, Inc | Clinic/Center | 4331 Lindell Blvd, Saint Louis, MO 63108-2701 | 2020-04-16 |
| 1548893530 | Gateway Direct Primary Care Jv LLC | Clinic/Center | 1015 Corporate Square Dr Ste 101, Saint Louis, MO 63132-2938 | 2020-02-18 |
| 1033741202 | Olalani Holdings LLC | Clinic/Center | 950 Francis Pl Ste 217, Clayton, MO 63105-2465 | 2020-02-06 |
| 1124659180 | Eldon Family Chiropractic, LLC | Clinic/Center | 102 N Business Highway 54 E Ste D, Eldon, MO 65026-2041 | 2020-01-29 |
| 1619518032 | Mcpherson Medical & Diagnostic, LLC | Clinic/Center | 110 Us Hwy 61 N, Ste B, Hayti, MO 63851 | 2019-10-07 |
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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.