MARY M. BURCH (NPI# 1780025775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780025775 |
| Entity Type | Individual |
| Full Name | MARY M. BURCH |
| Credential | FNP-BC |
| Practice Address |
1150 Us Highway 60 E Republic MO 65738-1580 |
| Mailing Address |
Po Box 4046 Springfield MO 65808-4046 |
| Practice Telephone | 4177322255 |
| Practice Fax Number | 4177322166 |
| Mailing Telephone | 4177322255 |
| Mailing Fax Number | 4177322166 |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2012006255 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437702602 | Mary Margaret Burch | Family Medicine | 1401 Dresden Dr Ne Ste 200, Brookhaven, GA 30319-3579 | 2019-07-17 |
| 1912361916 | Mary Burch | Occupational Therapist | 3140 Cahaba Heights Rd, Vestavia, AL 35243-5243 | 2016-04-06 |
| 1629453527 | Mary Katherine Burch | Pharmacist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2015-07-21 |
| 1770922098 | Mary Rose Burch | Nurse Practitioner | 1501 Trousdale Dr, 4th Floor, Burlingame, CA 94010-4506 | 2013-06-19 |
| 1326117581 | Mary Katherine Burch | Nurse Practitioner | 11652 Studt Ave, Saint Louis, MO 63141-7025 | 2006-11-06 |
| 1174593446 | Mary Janell Burch | Family Medicine | 601 W Mckennon St, Clarksville, AR 72830-3523 | 2006-01-26 |
| 1609853324 | Mary Catherine Burch | Nurse Practitioner | 15 Riverbend Dr Sw, Ste 100, Rome, GA 30161-6065 | 2005-12-22 |
| Street Address |
1150 US HIGHWAY 60 E |
| City | REPUBLIC |
| State | MO |
| Zip Code | 65738-1580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407873755 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1150 Us Highway 60 E, Republic, MO 65738-1580 | 2006-07-16 |
| 1962003921 | Justin Eric Teeter | Pharmacist | 1150 Us Highway 60 E, Republic, MO 65738-1580 | 2020-11-05 |
| 1144820176 | Melody Kirby | Pharmacist | 1150 Us Highway 60 E, Republic, MO 65738-1580 | 2020-10-28 |
| 1871019158 | Clara Jane Rollins | Nurse Practitioner | 1150 Us Highway 60 E, Republic, MO 65738-1580 | 2017-08-17 |
| 1073751442 | Regional Services | Nurse Practitioner | 1150 Us Highway 60 E, Republic, MO 65738-1580 | 2009-01-23 |
| 1497836985 | Wal-mart Stores East, Lp | Technician/Technologist | 1150 Us Highway 60 E, Republic, MO 65738-1580 | 2006-10-18 |
| 1487664843 | Rachelle Lea Hare | Optometrist | 1150 Us Highway 60 E, Republic, MO 65738-1580 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215585922 | Lawana Kay Patterson | Technician | 1702 East New Madrid, Republic, MO 65738 | 2019-08-27 |
| 1497219059 | Samantha J Steed | Chiropractor | 530 E Hadley St, Republic, MO 65738 | 2019-01-29 |
| 1962643338 | Dave Bremer | Physical Therapist | 5030 S Westwood Dr, Republic, MO 65738 | 2009-03-16 |
| 1689704918 | Kevin Edward Medlin | Dentist | 834 S Illinois Ave, Republic, MO 65738 | 2007-03-06 |
| 1437284023 | Teresa Ann Davidson | Occupational Therapist | 1983 S Fr 69, Republic, MO 65738 | 2007-02-22 |
| 1144303363 | Marcia L Preston | Dentist | 604 East Elm, Republic, MO 65738 | 2006-10-23 |
| 1801908355 | David Kent Budd | Dentist | 1093 Us Highway 60 E, Republic, MO 65738 | 2006-08-31 |
| 1124011630 | Jonathan K Armstrong | Chiropractor | 851 S Colorado, Republic, MO 65738 | 2005-08-30 |
| 1861970816 | Matthew Charles Mcnitt | Pharmacist | 1173 E Hines St, Republic, MO 65738 | 2018-08-01 |
| 1194237826 | Alexandria Paige Holmes | Optometrist | 612 E Elm St, Republic, MO 65738 | 2017-11-03 |
| Find all providers in zip 65738 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609494814 | Amy Sue Ridenour | Nurse Practitioner | 429 N Douglas Dr, Republic, MO 65738-9525 | 2020-07-14 |
| 1952700783 | Elizabeth A. Mullings | Nurse Practitioner | 1150 Us Highway 60 East, Republic, MO 65738-1580 | 2014-08-18 |
| 1922198688 | Kathryn A. Herfkens-ampleman | Nurse Practitioner | 332 S Main Ave, Republic, MO 65738-1861 | 2006-10-13 |
| 1477654796 | Teresa Ann Sondermann | Nurse Practitioner | 820 S Illinois Ave, Republic, MO 65738-1177 | 2006-09-26 |
| 1922103019 | Teresa F Davis | Nurse Practitioner | 6753 W Old Sanders Rd, Republic, MO 65738-9471 | 2006-09-13 |
| 1114536315 | Lester E Cox Medical Centers | Nurse Practitioner | 1 Tiger Dr, Republic, MO 65738-1578 | 2020-07-24 |
| 1003459132 | Mary Booth | Nurse Practitioner | 332 S Main Ave, Republic, MO 65738-1861 | 2019-10-22 |
| 1831676287 | Anthony James Alexander | Nurse Practitioner | 820 S Illinois Ave, Republic, MO 65738-1177 | 2018-07-27 |
| 1871019158 | Clara Jane Rollins | Nurse Practitioner | 1150 Us Highway 60 E, Republic, MO 65738-1580 | 2017-08-17 |
| 1952598427 | Jeannette Arlene Bauer | Nurse Practitioner | 36 Klondike Rd, Republic, WA 99166-9701 | 2007-09-28 |
| Find all providers in REPUBLIC | ||||
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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.