MSO CLINICS, INC. (NPI# 1811317977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811317977 |
| Entity Type | Organization |
| Organization Name | MSO CLINICS, INC. |
| Practice Address |
2229 Mary Sherman Dr Sullivan IN 47882-7633 |
| Mailing Address |
Po Box 230 Sullivan IN 47882-0230 |
| Practice Telephone | 8122683318 |
| Practice Fax Number | 8122684017 |
| Mailing Telephone | 8122683318 |
| Mailing Fax Number | 8122684017 |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2018-04-03 |
| Authorized Official Name | MRS. MICHELLE FRANKLIN (CEO) |
| Authorized Official Telephone | 8122684311 |
| Authorized Official Credential | MSN |
| Is Organization Subpart | Y |
| Parent Organization Name | SULLIVAN COUNTY COMMUNITY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201246990C | 05 | |
| IN | MEDICARE PART B | IN2043 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881071108 | Mso Clinics, Inc. | Clinic/Center | 1602 N Upper 11 Street, Vincennes, IN 47591-4820 | 2015-05-06 |
| 1619396728 | Mso Clinics, Inc. | Clinic/Center | 2186 N Hospital Blvd #2, Sullivan, IN 47882-7523 | 2014-04-16 |
| 1699194704 | Mso Clinics, Inc. | Clinic/Center | 8685 Old Highway 41 South, Carlisle, IN 47838-8234 | 2014-04-16 |
| 1720524945 | Mso Clinics, Inc. | Clinic/Center | 8685 Old Highway 41 South, Carlisle, IN 47838 | 2017-01-11 |
| 1700256948 | Mso Clinics, Inc. | Clinic/Center | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2015-09-30 |
| 1154741296 | Mso Clinics, Inc. | Clinic/Center | 2200 N Section St, Sullivan, IN 47882-7523 | 2014-04-16 |
| 1063831527 | Mso Clinics, Inc. | Clinic/Center | 2200 N Section St, Sullivan, IN 47882-7523 | 2014-04-14 |
| Street Address |
2229 MARY SHERMAN DR |
| City | SULLIVAN |
| State | IN |
| Zip Code | 47882-7633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952304123 | Carl F. Conwell | Family Medicine | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2005-05-23 |
| 1447805965 | Sullivan County Community Hospital | Family Medicine | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2019-08-02 |
| 1073042131 | Jeanna Rennee Lisman | Nurse Practitioner | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2017-06-12 |
| 1700256948 | Mso Clinics, Inc. | Clinic/Center | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2015-09-30 |
| 1467884643 | Sullivan County Community Hospital | Clinic/Center | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2013-07-30 |
| 1316270747 | Union Associated Physicians Clinic, LLC | Otolaryngology | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2009-09-17 |
| 1053576405 | Terri Lee Brown | Nurse Practitioner | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2008-07-25 |
| 1427275353 | Jessy G. Woods | Internal Medicine | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2007-04-20 |
| 1174675789 | Kidney and Hypertension Center of In | Internal Medicine | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2007-01-17 |
| 1427119809 | Terre Haute Pulmonary & Pediatric Clinic, LLC | Internal Medicine | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659718336 | Neil Lynn Smith | Dentist | 118 S. Court St., Sullivan, IN 47882 | 2013-06-04 |
| 1184888000 | Mary Sherman Hospital | Hospice Care, Community Based | 817 North Section Street, Suite A, Sullivan, IN 47882 | 2008-07-10 |
| 1003838194 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 505 West Wolfe Street, Sullivan, IN 47882 | 2006-07-24 |
| 1255580593 | Daniel Choyce Callahan | Psychiatry & Neurology | 2204 N Section St, Sullivan, IN 47882 | 2008-09-11 |
| 1851394175 | Van Evanoff Jr. | Pain Medicine | 2204 N Section St, Suite B, Sullivan, IN 47882-0010 | 2005-05-31 |
| 1982780748 | Associated Physicians & Surgeons Clinic, LLC | Obstetrics & Gynecology | 2204 N Section St, Suite B, Sullivan, IN 47882-0010 | 2006-10-27 |
| 1871996199 | Sullivan Family Dentistry, LLC | Dentist | 2186 N Hospital Blvd., Suite 1, Sullivan, IN 47882-0468 | 2014-10-01 |
| 1487828455 | Kortni Reann Martindale | Speech-Language Pathologist | 368 W Indiana Ave, Sullivan, IN 47882-1117 | 2008-04-21 |
| 1831280585 | Southwest School Corporation | Local Education Agency (LEA) | 110 N Main St, Sullivan, IN 47882-1225 | 2006-09-27 |
| 1780717637 | Brian K Grindstaff | Chiropractor | 210 N Section St Unit C, Sullivan, IN 47882-1237 | 2007-03-13 |
| Find all providers in zip 47882 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467716928 | Mercy Clinic East Communities | Clinic/Center | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2012-06-29 |
| 1649466038 | Patients First Health Care LLC | Clinic/Center | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2007-09-19 |
| 1235228222 | Missouri Baptist Hospital of Sullivan | Clinic/Center | 965 Mattox Dr, Sullivan, MO 63080-2365 | 2006-10-11 |
| 1962591958 | Missouri Baptist Hospital of Sullivan | Clinic/Center | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2006-10-11 |
| 1770502981 | Sullivan Family Practice, LLC | Clinic/Center | 2229 Mary Sherman Dr, Sullivan, IN 47882-7633 | 2006-07-19 |
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|---|---|---|---|---|
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| 1255965083 | True Healthcare Partner LLC | Clinic/Center | 104 North Webster Street, Saint Paul, IN 47272-9435 | 2020-03-02 |
| 1659935781 | Rush Memorial Hospital | Clinic/Center | 201 Conrad Harcourt Way Ste A, Rushville, IN 46173-1157 | 2019-04-24 |
| 1174186894 | Woodlawn Hospital | Clinic/Center | 100 E Dunn St, Fulton, IN 46931 | 2019-04-18 |
| 1710540695 | Woodlawn Hospital | Clinic/Center | 105 N Sr 14, Akron, IN 46910 | 2019-04-17 |
| 1174091771 | Baptist Health Medical Group Inc | Clinic/Center | 313 Federal Dr Nw Ste 130, Corydon, IN 47112-3099 | 2018-11-13 |
| 1457860173 | Major Hospital | Clinic/Center | 2451 Intelliplex Dr Ste 230, Shelbyville, IN 46176-8581 | 2017-09-26 |
| 1699194704 | Mso Clinics, Inc. | Clinic/Center | 8685 Old Highway 41 South, Carlisle, IN 47838-8234 | 2014-04-16 |
| 1538417860 | Reid Physician Associates, Inc | Clinic/Center | 1250 Chester Blvd Ste 2, Richmond, IN 47374-1944 | 2012-08-16 |
| 1023340965 | Daviess County Hospital | Clinic/Center | 1805 S State Road 57, Washington, IN 47501-4326 | 2010-02-03 |
| 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.