HANNIBAL CLINIC OPERATIONS, L.L.C. (NPI# 1780663401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780663401 |
| Entity Type | Organization |
| Organization Name | HANNIBAL CLINIC OPERATIONS, L.L.C. |
| Other Organization Name | JAMES E. CARY CANCER CENTER |
| Practice Address |
5985 Hospital Dr Hannibal MO 63401 |
| Mailing Address |
100 Medical Dr Hannibal MO 63401-6877 |
| Practice Telephone | 5734065800 |
| Practice Fax Number | 5732313706 |
| Mailing Telephone | 5732215250 |
| Mailing Fax Number | 5732313706 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | MR. RANDY JOBE (ADMINISTRATOR) |
| Authorized Official Telephone | 5732313172 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 500221007 | 05 |
| Other Name | Type Code |
|---|---|
| James E. Cary Cancer Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174757504 | Hannibal Clinic Operations, L.L.C. | Family Medicine | 401 E Highway 19, Center, MO 63436-1044 | 2009-05-13 |
| 1962481663 | Hannibal Clinic Operations, L.L.C. | Family Medicine | 1811 S Main St, Palmyra, MO 63461-1961 | 2006-01-11 |
| 1477532182 | Hannibal Clinic Operations, L.L.C. | Podiatrist | 821 Highway 24 and 36 E, Monroe City, MO 63456-1470 | 2006-01-11 |
| 1215916911 | Hannibal Clinic Operations, L.L.C. | Family Medicine | 710 Business Highway 61 South, Bowling Green, MO 63334-5239 | 2006-01-11 |
| 1336611581 | Hannibal Clinic Operations, L.L.C. | Family Medicine | 109 East St, Clarence, MO 63437-1902 | 2018-12-28 |
| 1720450216 | Hannibal Clinic Operations, L.L.C. | Clinic/Center | 100 Medical Dr, Hannibal, MO 63401-6877 | 2015-10-23 |
| 1831294396 | Hannibal Clinic Operations, L.L.C. | Family Medicine | 425 N Galloway Rd, Vandalia, MO 63382-1259 | 2006-09-13 |
| 1447239157 | Hannibal Clinic Operations, L.L.C. | Internal Medicine | 400 N Main St, Monroe City, MO 63456-1318 | 2006-01-11 |
| Street Address |
5985 HOSPITAL DR |
| City | HANNIBAL |
| State | MO |
| Zip Code | 63401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881682177 | Joseph M Bean | Radiology | 5985 Hospital Dr, Hannibal, MO 63401-0551 | 2005-10-11 |
| 1235357013 | Mary Ruth Ripper | Counselor | 5985 Hospital Dr, Hannibal, MO 63401-6886 | 2007-04-24 |
| 1932188695 | Arif A Bari | Internal Medicine | 5985 Hospital Dr, Hannibal, MO 63401 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981064 | Amanda Lynn Jennings | Nurse Practitioner | Hannibal Clinic, 100 Medical Drive, Hannibal, MO 63401 | 2019-09-13 |
| 1316452295 | Hannibal Regional Healthcare System, Inc | Hospice Care, Community Based | 6401 Hwy Mm, Hannibal, MO 63401 | 2017-12-13 |
| 1932614351 | Sidney M Johnson | Counselor | 1221 Broadway St, Hannibal, MO 63401 | 2017-12-07 |
| 1316467210 | Jessica Baker | Counselor | 4355 Paris Gravel Road, Hannibal, MO 63401 | 2017-06-21 |
| 1346787066 | Hands Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Settlerstrail, Hannibal, MO 63401 | 2017-01-20 |
| 1134571672 | Pamela Barrigar | Social Worker | 4600 Mcmasters Ave, Hannibal, MO 63401 | 2016-07-08 |
| 1639540677 | Jessica Murfin | Speech-Language Pathologist | 544 N Veterans Rd, Hannibal, MO 63401 | 2015-10-16 |
| 1366835639 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 8965 Highway 36 Ste 3, Hannibal, MO 63401 | 2015-03-11 |
| 1639324254 | Hannibal Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 118 Steam Boat Bend, Hannibal, MO 63401 | 2008-11-24 |
| 1780856112 | Barbara Belle Smith | Social Worker | 3700 Hwy Mm, Hannibal, MO 63401 | 2008-03-26 |
| Find all providers in zip 63401 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497071971 | Kristen Deppermann Strasser | Internal Medicine | 6500 Hospital Dr, Suite 1c, Hannibal, MO 63401-6890 | 2010-04-09 |
| 1932188695 | Arif A Bari | Internal Medicine | 5985 Hospital Dr, Hannibal, MO 63401 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1538564620 | Bader Alahmari | Internal Medicine | 660 South Euclid Avenue Campus Box 8007, St Louis, MO 63110 | 2014-10-31 |
| 1235480708 | James Michael Epstein | Internal Medicine | 12008 Heatherdane Dr, Saint Louis, MO 63131-3119 | 2012-09-25 |
| 1285920694 | Zhineng Jayson Yang | Internal Medicine | 2529 Glenn Hendren Dr Ste G30, Liberty, MO 64068-9610 | 2011-06-23 |
| 1477782092 | Tamara V Hopkins, Md, LLC | Internal Medicine | 2009 Saint Marys Blvd Ste A, Jefferson City, MO 65109-1509 | 2009-07-02 |
| 1457591463 | David Douglas Westhoff | Internal Medicine | 3605 Missouri Blvd, Jefferson City, MO 65109-7111 | 2009-03-03 |
| 1629224357 | Vinay Gupta | Internal Medicine | 110 Ne Saint Lukes Blvd Ste 500, Lees Summit, MO 64086-6075 | 2008-08-13 |
| 1942456058 | Anuj Shrestha | Internal Medicine | 2310 Holmes St Ste 500, Kansas City, MO 64108-2602 | 2008-08-09 |
| 1154580777 | Skaggs Community Hospital Association | Internal Medicine | 525 Branson Landing Blvd Ste 101, Branson, MO 65616-2052 | 2008-06-09 |
| 1326235797 | Getinet Degu Ayalew | Internal Medicine | 12277 De Paul Dr Ste 100, Bridgeton, MO 63044-2577 | 2007-10-01 |
| Find all providers with the same taxonomy | ||||
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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.