WILLOW FAMILY CARE


Address: 304 Teaco Rd, Suite A, Kennett, MO 63857-3266
Phone: 5738880303

WILLOW FAMILY CARE (NPI# 1841465689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841465689
Entity Type Organization
Organization Name WILLOW FAMILY CARE
Practice Address 304 Teaco Rd
Suite A
Kennett
MO 63857-3266
Practice Telephone 5738880303
Practice Fax Number 5738880304
Mailing Telephone 5738880303
Mailing Fax Number 5738880304
Enumeration Date 2008-04-23
Last Update Date 2008-04-23
Authorized Official Name MRS. AMY D LEDBETTER (DIRECTOR OF OPERATIONS)
Authorized Official Telephone 5736514488
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 507016608 05

Office Location

Street Address 304 TEACO RD
SUITE A
City KENNETT
State MO
Zip Code 63857-3266

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922070903 Massey Family Care LLC Family Medicine 304 Teaco Rd, Ste B, Kennett, MO 63857 2006-02-03
1043485873 Massey Family Care Family Medicine 304 Teaco Rd, Suite B, Kennett, MO 63857-3266 2008-04-23
1720272834 Willow Family Medicine, LLC Family Medicine 304 Teaco Rd, Suite A, Kennett, MO 63857-3266 2007-08-31
1043363005 Nelson R Perez Obstetrics & Gynecology 304 Teaco Rd, Suite G, Kennett, MO 63857-3266 2007-01-20
1043363013 Healthcare for Women, Inc. Clinic/Center 304 Teaco Rd, Suite G, Kennett, MO 63857-3266 2007-01-20
1992807390 Pemiscot County Memorial Hospital Clinic/Center 304 Teaco Rd, Kennett, MO 63857 2006-09-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992278139 Fancilla Adams Counselor 925 State Highway V V, Kennett, MO 63857 2019-01-10
1962994418 Kiana Alexis Brown Behavior Technician 925 Highway W, Kennett, MO 63857 2018-05-31
1568953636 Doctors Health Group, Inc Family Medicine 1312 First Street, Kennett, MO 63857 2018-05-24
1003328873 Ann Graf Counselor 925 Vv, Kennett, MO 63857 2017-11-01
1457872160 Jessica Luster Technician, Other 1109 Jones St., Kennett, MO 63857 2017-07-03
1235669128 Chandra Celeste Perkins-shannon Case Manager/Care Coordinator 925 Hwy V, Kennett, MO 63857 2017-06-14
1467991612 Sarah Lobdell Case Manager/Care Coordinator 925 State Highway Vv, Kennett, MO 63857 2017-02-21
1881132900 Brandy Rios Community Health Worker 935 State Hwy Vv, Kennett, MO 63857 2017-02-09
1295272060 Johnny Marie Johnson Case Manager/Care Coordinator 925 Hwy Vv Family Counseling Center, Kennett, MO 63857 2017-01-31
1043756364 Heather Bowman Case Manager/Care Coordinator 875 Hwy Vv, Kennett, MO 63857 2017-01-10
Find all providers in zip 63857

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568953636 Doctors Health Group, Inc Family Medicine 1312 First Street, Kennett, MO 63857 2018-05-24
1679706956 Mcpherson Medical and Diagnostic, LLC Family Medicine 901 W Commercial St, Kennett, MO 63857-1100 2009-09-02
1689815201 Karl Erik Shanstrom Family Medicine 900 State Route Vv, Kennett, MO 63857-3834 2009-03-11
1114117306 Doctors Inn Clinic LLC Family Medicine 1112 South Byp Ste C, Suite C, Kennett, MO 63857-3738 2007-07-25
1649390683 Jennifer R Sellman Family Medicine 1061 Jones St, Kennett, MO 63857-3866 2007-03-31
1700826153 Donald G Blagdon Family Medicine 501 Teaco Road, Ste B, Kennett, MO 63857 2006-06-07
1922070903 Massey Family Care LLC Family Medicine 304 Teaco Rd, Ste B, Kennett, MO 63857 2006-02-03
1477091890 Pemiscot County Memorial Hospital Family Medicine 105 E Washington St, Kennett, MO 63857-2041 2017-02-06
1629511415 Kennett Pediatrics and Asolescents Medicine LLC Family Medicine 211 Teaco Rd, Kennett, MO 63857-3236 2016-11-28
1801201520 Kennett Hma LLC Family Medicine 1231 1st St, Suite 5, Kennett, MO 63857-2527 2014-06-23
Find all providers in KENNETT

Competitor

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City KENNETT
Zip Code 63857

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Dataset Information

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.

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