MERCY CLINIC SPRINGFIELD COMMUNITIES (NPI# 1740226091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740226091 |
| Entity Type | Organization |
| Organization Name | MERCY CLINIC SPRINGFIELD COMMUNITIES |
| Other Organization Name | MERCY CLINIC-FAMILY MEDICINE BERRYVILLE |
| Practice Address |
207 Carter St Berryville AR 72616-4303 |
| Mailing Address |
Po Box 505164 Saint Louis MO 63150-5164 |
| Practice Telephone | 8704236661 |
| Practice Fax Number | 8704234374 |
| Mailing Telephone | 4178294620 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2013-10-10 |
| Authorized Official Name | STUART G. STANGELAND (SENIOR VICE PRESIDENT/COO) |
| Authorized Official Telephone | 4178206556 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | R6D08 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 128620002 | 05 | |
| MO | 501625800 | 05 | |
| AR | TRAVELERS/RR MEDICARE # | CR0464 | 01 |
| Other Name | Type Code |
|---|---|
| MERCY CLINIC-FAMILY MEDICINE BERRYVILLE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659785657 | Mercy Clinic Springfield Communities | Radiology | 11701 Bee Cave Pkwy, Suite 213, Bee Cave, TX 78738-6466 | 2014-06-17 |
| 1770612590 | Mercy Clinic Springfield Communities | Nurse Practitioner | 120 Hospital Dr Ste 350, Lebanon, MO 65536-9253 | 2007-03-05 |
| 1952437675 | Mercy Clinic Springfield Communities | Family Medicine | 18598 Business 13, Branson West, MO 65737 | 2007-02-26 |
| 1811065477 | Mercy Clinic Springfield Communities | Family Medicine | 9138 O'banion St, Birch Tree, MO 65438 | 2006-12-01 |
| 1538195508 | Mercy Clinic Springfield Communities | Family Medicine | 1 Park Dr, Suite C, Holiday Island, AR 72631-9216 | 2006-06-23 |
| 1053347807 | Mercy Clinic Springfield Communities | Family Medicine | 100 Medical Cir, Green Forest, AR 72638-3802 | 2006-06-23 |
| 1881636884 | Mercy Clinic Springfield Communities | Psychologist | 1312 E Lark St, Springfield, MO 65804-7351 | 2006-06-12 |
| 1124069877 | Mercy Clinic Springfield Communities | Obstetrics & Gynecology | 613 Orchard Dr, Berryville, AR 72616-5013 | 2006-06-10 |
| 1245277631 | Mercy Clinic Springfield Communities | Internal Medicine | 3231 S National Ave Ste 220, Springfield, MO 65807 | 2006-06-02 |
| 1164064168 | Mercy Clinic Springfield Communities | Internal Medicine | 613 Orchard Dr, Berryville, AR 72616-5013 | 2019-10-10 |
| Street Address |
207 CARTER ST |
| City | BERRYVILLE |
| State | AR |
| Zip Code | 72616-4303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134776388 | Johnnie Ruth Graham | Health Educator | 207 Carter St, Berryville, AR 72616-4303 | 2019-08-22 |
| 1164952412 | Jessica K Moschner | Registered Nurse | 207 Carter St, Berryville, AR 72616-4303 | 2017-06-19 |
| 1811421431 | Julia Horton-bertrand | Family Medicine | 207 Carter St, Berryville, AR 72616-4303 | 2017-04-20 |
| 1417307547 | Jonathan Fausett | Family Medicine | 207 Carter St, Berryville, AR 72616-4303 | 2016-06-20 |
| 1528446283 | Stewart Rowell | Family Medicine | 207 Carter St, Berryville, AR 72616-4303 | 2015-05-14 |
| 1336552348 | Richard Dean Turbeville Jr. | Family Medicine | 207 Carter St, Berryville, AR 72616-4303 | 2014-06-06 |
| 1194141267 | Cathy Barker-brown | Nurse Practitioner | 207 Carter St, Berryville, AR 72616-4303 | 2014-03-12 |
| 1568750941 | Shiva Prasad Tadakal | Family Medicine | 207 Carter St, Berryville, AR 72616-4303 | 2011-07-19 |
| 1548556905 | Mercy Health Northwest Arkansas Communities | Internal Medicine | 207 Carter St, Berryville, AR 72616-4303 | 2011-06-23 |
| 1386872646 | Christopher R Roberts | Family Medicine | 207 Carter St, Berryville, AR 72616-4303 | 2009-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811470784 | Ltc of Berryville, LLC | Skilled Nursing Facility | 500 Hammond Avenue, Berryville, AR 72616 | 2018-09-07 |
| 1700200144 | Jason Spener Mabry | Pharmacist | 1006 West Trimble Ave, Berryville, AR 72616 | 2014-02-05 |
| 1659706554 | Roxanne Garrison | Physical Therapy Assistant | 705 College Street, Carroll County Learning Center, Berryville, AR 72616 | 2013-09-10 |
| 1780978007 | Mcneal Chiropractic Ctr, Inc | Chiropractor | 601 Orchard Drive, Berryville, AR 72616 | 2011-06-03 |
| 1700176542 | Ida Linda Trice | Psychologist | 122 Rose, Berryville, AR 72616 | 2011-04-13 |
| 1649364142 | Lyman Gray Squires Jr. | Optometrist | 105 S. Springfield St., Berryville, AR 72616 | 2006-10-02 |
| 1063520955 | Jim D Blanchard | Dentist | 201 Rice St, Berryville, AR 72616 | 2006-08-29 |
| 1194833236 | Rebecca Leigh Zeleny | Social Worker | 208 Hwy 62 W, Berryville, AR 72616 | 2006-08-28 |
| 1811923741 | Kim Arehart Knapp | Genetic Counselor, MS | 208 Hwy 62 West, Berryville, AR 72616 | 2006-06-23 |
| 1972921252 | Tyler Worth Troutman | Hospitalist | 214 Carter St, Berryville, AR 72616 | 2014-04-03 |
| Find all providers in zip 72616 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376869586 | Berryville Medical Associates Plc | Family Medicine | 322 North Buckmarsh Street, Suite D, Berryville, VA 22611-1024 | 2010-04-13 |
| 1093818213 | Sherif Z Kaiser | Family Medicine | 115 S Church St, Berryville, VA 22611-1369 | 2006-09-06 |
| 1508969726 | Berryville Medical Associates, Plc | Family Medicine | 115 S Church Street, Berryville, VA 22611-1369 | 2006-09-06 |
| 1700842382 | Christine M Aiello | Family Medicine | 115 South Church Street, Berryville, VA 22611 | 2006-04-24 |
| 1093710113 | Jon Kevin Richter | Family Medicine | 206 S. Main, Berryville, AR 72616-4320 | 2005-06-15 |
| 1811421431 | Julia Horton-bertrand | Family Medicine | 207 Carter St, Berryville, AR 72616-4303 | 2017-04-20 |
| 1104357961 | North Arkansas Regional Medical Center Berryville Clinic | Family Medicine | 408 Orchard Dr, Berryville, AR 72616-4320 | 2017-03-23 |
| 1417307547 | Jonathan Fausett | Family Medicine | 207 Carter St, Berryville, AR 72616-4303 | 2016-06-20 |
| 1881079440 | Jomo Osborne | Family Medicine | 214 Carter St, Berryville, AR 72616-4303 | 2015-07-24 |
| 1528446283 | Stewart Rowell | Family Medicine | 207 Carter St, Berryville, AR 72616-4303 | 2015-05-14 |
| Find all providers in BERRYVILLE | ||||
| City | BERRYVILLE |
| Zip Code | 72616 |
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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.