OZARKS MEDICAL CENTER (NPI# 1750646246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750646246 |
| Entity Type | Organization |
| Organization Name | OZARKS MEDICAL CENTER |
| Other Organization Name | OZARKS MEDICAL CENTER UROLOGY CLINIC |
| Practice Address |
181 N Kentucky Ave West Plains MO 65775-2089 |
| Mailing Address |
Po Box 1100 West Plains MO 65775-1100 |
| Practice Telephone | 4172558337 |
| Mailing Telephone | 4172576782 |
| Mailing Fax Number | 4172575947 |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2014-02-18 |
| Authorized Official Name | MR. THOMAS W KELLER (PRESIDENT AND CEO) |
| Authorized Official Telephone | 4172569111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Ozarks Medical Center Urology Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1427526565 | Ozarks Medical Center | Clinic/Center | 201 West High Street, Suite 2, Willow Springs, MO 65793 | 2018-11-07 |
| 1124514476 | Ozarks Medical Center | Clinic/Center | 201 West High Street, Suite 2, Willow Springs, MO 65793 | 2018-07-10 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| 1750680146 | Ozarks Medical Center | Internal Medicine | 1115 Alaska St Ste 215, West Plains, MO 65775-2014 | 2011-03-24 |
| 1326213406 | Ozarks Medical Center | Ambulance | Hc 1 Box 31, Gainesville, MO 65655-9601 | 2008-04-29 |
| 1871768952 | Ozarks Medical Center | Ambulance | 203 Front St, Thayer, MO 65791-1220 | 2008-04-29 |
| 1679600936 | Ozarks Medical Center | Clinic/Center | 172 Hwy 62 East, Suite 1, Salem, AR 72576 | 2007-02-27 |
| 1649306002 | Ozarks Medical Center | Clinic/Center | 260 S Main Street, Mammoth Spring, AR 72554-7466 | 2007-02-27 |
| 1730215195 | Ozarks Medical Center | Clinic/Center | 1375 Nettleton Avenue, Thayer, MO 65791 | 2007-02-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | OZARKS MEDICAL CENTER | 1100 Kentucky Ave, West Plains, MO 65775-2029 |
| Street Address |
181 N KENTUCKY AVE |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775-2089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447260930 | Mark L. Dake | Dentist | 181 N Kentucky Ave, West Plains, MO 65775-2089 | 2006-08-08 |
| 1417511551 | Meagan Elise Jones | Nurse Practitioner | 181 N Kentucky Ave, West Plains, MO 65775-2089 | 2019-04-24 |
| 1114421476 | Sheila Jo Marler | Nurse Practitioner | 181 N Kentucky Ave, West Plains, MO 65775-2089 | 2018-03-21 |
| 1437510252 | Christy Russell | Nurse Practitioner | 181 N Kentucky Ave, Suite 200, West Plains, MO 65775-2089 | 2016-03-08 |
| 1083071039 | Charlotte Ann Collins | Social Worker | 181 N Kentucky Ave, West Plains, MO 65775-2089 | 2016-01-21 |
| 1427459346 | Rachel Woods | Social Worker | 181 N Kentucky Ave, West Plains, MO 65775-1826 | 2014-09-10 |
| 1447482120 | David Justin Sander | Dentist | 181 N Kentucky Ave, Suite 300, West Plains, MO 65775-2089 | 2009-08-14 |
| 1447497573 | Donna Simmons Skelly | Social Worker | 181 N Kentucky Ave, West Plains, MO 65775-2089 | 2009-01-12 |
| 1891954699 | K Madalyn Hicks | Nurse Practitioner | 181 N Kentucky Ave, Suite 100, West Plains, MO 65775-2089 | 2008-06-06 |
| 1265636260 | Elizabeth A. Hykes | Social Worker | 181 N Kentucky Ave, West Plains, MO 65775-2089 | 2007-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
| 1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
| 1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
| 1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
| 1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
| 1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| Find all providers in zip 65775 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336247899 | Walter R Holloway | Urology | 181 N Kentucky St Ste 200, West Plains, MO 65775-2089 | 2006-09-20 |
| 1124188172 | Urology Center of West Plains | Urology | 181 N Kentucky St Ste 200, West Plains, MO 65775-2089 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699408 | Garth Sherman | Urology | 1 Hospital Dr # Mc301, Columbia, MO 65201-5276 | 2019-06-27 |
| 1902326622 | Alexander Anderson | Urology | 1 Hospital Drive University of Missouri Mc404, Columbia, MO 65212-0001 | 2017-06-23 |
| 1649633736 | Jack Campbell | Urology | 3101 Belinda Ct, Columbia, MO 65203-3848 | 2016-04-05 |
| 1962834390 | Midwest Urology Center, PC | Urology | 1905 W 32nd St Ste 302, Joplin, MO 64804-1512 | 2013-08-08 |
| 1932463940 | Brandi Dawn Miller | Urology | 1965 S Fremont Ave Ste 370, Springfield, MO 65804-2284 | 2012-06-25 |
| 1437412582 | Andrew T Blackburne | Urology | 11155 Dunn Rd Ste 309e, Saint Louis, MO 63136 | 2012-06-22 |
| 1699049395 | Harry L. Ellis | Urology | 5034 S Glenhaven Ave, Springfield, MO 65804-7804 | 2012-02-28 |
| 1083902852 | Gurdarshan S Sandhu | Urology | 607 South New Ballas Road, Suite 3100, Saint Louis, MO 63141 | 2011-07-14 |
| 1457672446 | Christopher D Jaeger | Urology | 112 Piper Hill Dr Ste 12, Saint Peters, MO 63376-1690 | 2010-06-14 |
| 1538486816 | Centerpoint Medical Specialists LLC | Urology | 725 Nw State Route 7, Suite C, Blue Springs, MO 64014-2426 | 2010-04-27 |
| Find all providers with the same taxonomy | ||||
| City | WEST PLAINS |
| Zip Code | 65775 |
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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.