QUINCY PHYSICIANS & SURGEONS CLINIC, SC (NPI# 1790158087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790158087 |
| Entity Type | Organization |
| Organization Name | QUINCY PHYSICIANS & SURGEONS CLINIC, SC |
| Other Organization Name | QUINCY MEDICAL GROUP |
| Practice Address |
100 Medical Dr Hannibal MO 63401-6877 |
| Mailing Address |
1025 Maine St Quincy IL 62301-4038 |
| Practice Telephone | 5732313861 |
| Mailing Telephone | 2172226550 |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |
| Authorized Official Name | DAN EVANS (CHAIRMAN OF THE BOARD) |
| Authorized Official Telephone | 2172226550 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Quincy Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1144462490 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 1000 Central Street, Labelle, MO 63447 | 2009-04-01 |
| 1467426585 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 405 E State, Pleasant Hill, IL 62366-0427 | 2006-02-15 |
| 1356315899 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 320 North Madison, Pittsfield, IL 62363-1412 | 2006-02-13 |
| 1902870439 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 1100 E Outer Rd S Ste 4, Canton, MO 63435-1702 | 2006-02-13 |
| 1639711120 | Quincy Physicians & Surgeons Clinic, Sc | Clinical Medical Laboratory | 320 N Madison St, Pittsfield, IL 62363-1412 | 2019-10-16 |
| 1215497730 | Quincy Physicians & Surgeons Clinic, Sc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1025 Maine St, Quincy, IL 62301-4096 | 2019-03-21 |
| 1508356098 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 1603 Morgan St Ste 3, Keokuk, IA 52632-3433 | 2018-05-10 |
| 1851608780 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 1025 Maine St, Quincy, IL 62301-4038 | 2010-09-14 |
| Street Address |
100 MEDICAL DR |
| City | HANNIBAL |
| State | MO |
| Zip Code | 63401-6877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841299161 | Bryson Roy Mchardy Jr. | Pediatrics | 100 Medical Dr, Hannibal, MO 63401-6877 | 2005-07-19 |
| 1164023644 | Kelli Eagan | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2020-11-02 |
| 1174002232 | Stacy L Johnson | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2018-08-09 |
| 1770096513 | Jennifer Sue Myers | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2017-11-15 |
| 1629581947 | Mitzi Buckman | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2017-11-08 |
| 1568975183 | Kristin Bradshaw | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2017-11-06 |
| 1902316607 | Patsy J Hudson | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2017-10-07 |
| 1164959862 | Alexis Niemann Kirner | Audiologist | 100 Medical Dr, Hannibal, MO 63401 | 2017-05-12 |
| 1477914885 | Janae Suzann Robertson | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2016-03-11 |
| 1942668819 | Lauren N. Brandenburger | Nurse Practitioner | 100 Medical Dr, Hannibal, MO 63401-6877 | 2016-02-05 |
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| 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 | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740480631 | Essilor Laboratories of America | Eyewear Supplier (Equipment, not the service) | 900 Lyon St, Hannibal, MO 63401-4233 | 2007-07-19 |
| 1194893123 | Northport Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 3 Northport Plz, Hannibal, MO 63401-2269 | 2006-11-30 |
| 1215378963 | International Eyecare Center, Inc. | Eyewear Supplier (Equipment, not the service) | 3201 Highway 61, Suite A, Hannibal, MO 63401-6578 | 2013-07-10 |
| 1871892158 | Hannibal Regional Hospital | Eyewear Supplier (Equipment, not the service) | 1 Northport Plz, Hannibal, MO 63401-2269 | 2011-03-25 |
| 1417273749 | Hannibal Regional Hospital | Eyewear Supplier (Equipment, not the service) | 175 Shinn Ln, Hannibal, MO 63401-6754 | 2010-04-12 |
| 1124205166 | International Eyecare Center, Inc | Eyewear Supplier (Equipment, not the service) | 215 Progress Rd, Hannibal, MO 63401-6637 | 2008-01-22 |
| 1730372087 | Hannibal Vision Center, Inc. | Eyewear Supplier (Equipment, not the service) | 413 Broadway, Hannibal, MO 63401-4407 | 2007-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1942842208 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2111 Missouri Blvd, Jefferson City, MO 65109-4773 | 2019-10-08 |
| 1306346630 | Murphy Watson Burr Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 707 N 36th St Ste A, Saint Joseph, MO 64506-3080 | 2018-02-13 |
| 1467965830 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 304 N Euclid Ave, Saint Louis, MO 63108-1210 | 2017-11-08 |
| 1942727037 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 307 Nichols Rd, Kansas City, MO 64112-1526 | 2017-08-29 |
| 1619408291 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1600 Nw 88th St, Kansas City, MO 64155 | 2017-03-24 |
| 1033660279 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 8505 North Church Road, Kansas City, MO 64157-0000 | 2016-10-24 |
| 1659829505 | Eyedeology Vision Center LLC | Eyewear Supplier (Equipment, not the service) | 3629 N Lindbergh Blvd, Saint Ann, MO 63074-2106 | 2016-09-20 |
| 1477009397 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 80 West County Center, St. Louis, MO 63131-3701 | 2016-08-31 |
| 1851847396 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 12597 Olive Blvd., Creve Coeur, MO 63141-6311 | 2016-08-25 |
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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.