MISSOURI DELTA MEDICAL CENTER (NPI# 1831274950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831274950 |
| Entity Type | Organization |
| Organization Name | MISSOURI DELTA MEDICAL CENTER |
| Practice Address |
1008 N Main St Sikeston MO 63801-5044 |
| Practice Telephone | 5734711600 |
| Practice Fax Number | 5734727740 |
| Mailing Telephone | 5734711600 |
| Mailing Fax Number | 5734727740 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2015-03-03 |
| Authorized Official Name | JASON SCHRUMPF (CEO/PRESIDENT) |
| Authorized Official Telephone | 5734727601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 507252005 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1093265159 | Missouri Delta Medical Center | General Acute Care Hospital | 2856 Vista Ridge Pl, Jackson, MO 63755-8105 | 2016-10-12 |
| 1013236421 | Missouri Delta Medical Center | Clinic/Center | 1013 North Main, Sikeston, MO 63801 | 2010-05-25 |
| 1871663583 | Missouri Delta Medical Center | General Acute Care Hospital | 1008 North Main, Sikeston, MO 63801-5044 | 2006-11-09 |
| 1790855401 | Missouri Delta Medical Center | General Acute Care Hospital | 1403 E Marshall St, Charleston, MO 63834-1446 | 2006-11-09 |
| 1609230507 | Missouri Delta Medical Center | Clinic/Center | 6468 State Highway 77, Benton, MO 63736-8237 | 2016-04-07 |
| 1821462284 | Missouri Delta Medical Center | Clinic/Center | 1008 N Main St, Sikeston, MO 63801-5044 | 2015-11-23 |
| 1043628704 | Missouri Delta Medical Center | Pharmacy | 1008 N Main St, Sikeston, MO 63801-5044 | 2014-07-25 |
| 1972944593 | Missouri Delta Medical Center | Family Medicine | 615 Main St, New Madrid, MO 63869-1513 | 2013-07-11 |
| 1568703130 | Missouri Delta Medical Center | Family Medicine | 204 E 3rd St, Portageville, MO 63873-1402 | 2013-03-07 |
| Street Address |
1008 N MAIN ST |
| City | SIKESTON |
| State | MO |
| Zip Code | 63801-5044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987725 | Heather Vanpool | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2020-09-23 |
| 1457998809 | Stacy Latham | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2019-12-04 |
| 1336612779 | Rowdy James Phillips | Registered Nurse | 1008 N Main St, Sikeston, MO 63801-5044 | 2019-01-08 |
| 1538637939 | Christopher White | Pharmacist | 1008 N Main St, Sikeston, MO 63801-5044 | 2018-11-05 |
| 1891270666 | Alexandria M Barker | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2018-09-27 |
| 1265936637 | Jennifer Heuring | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2018-03-21 |
| 1922501923 | Kristin Presley | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2018-03-15 |
| 1467952606 | James Jeremiah Mooty | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2018-02-14 |
| 1427575299 | Sikeston Emergency Group LLC | Physician Assistant | 1008 N Main St, Sikeston, MO 63801-5044 | 2017-08-23 |
| 1053835918 | Margaret Rachel Coppage | Nurse Practitioner | 1008 N Main St, Sikeston, MO 63801-5044 | 2017-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285082 | Logan & Seiler Inc | Pharmacy | 102 Hospitality Drive, Suite B, Sikeston, MO 63801 | 2020-08-11 |
| 1992212153 | Sharaye Gilmore | Social Worker | 135 Plaza Dr Suite 102, Sikeston, MO 63801 | 2018-01-09 |
| 1730606385 | Megan Leann Schlosser | Occupational Therapy Assistant | Kenny Rogers Children's Center, 300 Floyd Dr., Sikeston, MO 63801 | 2017-08-24 |
| 1780130930 | Delta South Adult Care Center LLC | Clinic/Center | 640 Colonel George E Day Parkway, Sikeston, MO 63801 | 2016-08-28 |
| 1013236421 | Missouri Delta Medical Center | Clinic/Center | 1013 North Main, Sikeston, MO 63801 | 2010-05-25 |
| 1134361868 | Sikeston Rehab, LLC | Physical Therapy Assistant | 806 S. Kingshighway, Sikeston, MO 63801 | 2009-03-26 |
| 1508066978 | Paula Kaye Beck | Occupational Therapist | 2016 Oklahoma Ave, Sikeston, MO 63801 | 2007-07-23 |
| 1740497551 | James D West | Audiologist | 903 South Kingshighway, Sikeston, MO 63801 | 2007-05-17 |
| 1619190162 | Syed Muhammad Shahab Sayeed | Psychiatry & Neurology | 1008 N Main, Missouri Delta Medical Centre, Sikeston, MO 63801 | 2007-04-11 |
| 1629195607 | Melissa A Stewart | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 106 Dacus, Sikeston, MO 63801 | 2007-03-23 |
| Find all providers in zip 63801 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649498122 | Sikeston Medical Center, L.l.p | Family Medicine | 916 S Kingshighway St, Sikeston, MO 63801-4416 | 2007-04-23 |
| 1326111253 | Smith Street Medical Clinic | Family Medicine | 117 Smith Street, Sikeston, MO 63801 | 2006-11-16 |
| 1225101157 | 1st Choice Family and Occupational Medicint Clinic | Family Medicine | 121 Smith Street, Sikeston, MO 63801 | 2006-11-16 |
| 1639274236 | Colleen L Hunter | Family Medicine | 1017 N Main St, Sikeston, MO 63801-5043 | 2006-09-14 |
| 1083728935 | Sarah H Curry | Family Medicine | 201 Plaza Dr, Suite B, Sikeston, MO 63801-5105 | 2006-08-18 |
| 1346228624 | Joyce M. Reed | Family Medicine | 1012 North Main Street, Sikeston, MO 63801 | 2006-01-06 |
| 1578559027 | Kenneth David Stone | Family Medicine | 121 Smith Ave, Sikeston, MO 63801-5239 | 2005-09-21 |
| 1639164965 | Fred K Uthoff | Family Medicine | 1019 N Main St, Sikeston, MO 63801-5043 | 2005-09-13 |
| 1588131338 | Saint Francis Medical Center | Family Medicine | 1012 N Main St, Sikeston, MO 63801-5044 | 2018-10-30 |
| 1508157330 | Trevin Mayabb | Family Medicine | 1012 N Main St, Sikeston, MO 63801-5044 | 2011-04-27 |
| Find all providers in SIKESTON | ||||
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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.