SRS- KIRKSVILLE LLC (NPI# 1841612363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841612363 |
| Entity Type | Organization |
| Organization Name | SRS- KIRKSVILLE LLC |
| Practice Address |
315 S Osteopathy Ave Kirksville MO 63501-6401 |
| Mailing Address |
511 Union St Suite 1800 Nashville TN 37219-1733 |
| Practice Telephone | 6154670140 |
| Practice Fax Number | 6152590693 |
| Mailing Telephone | 6154670140 |
| Mailing Fax Number | 6152590693 |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2015-01-19 |
| Authorized Official Name | DR. JEROME SEYMOUR TANNENBAUM (PRESIDENT) |
| Authorized Official Telephone | 6154670140 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Street Address |
315 S OSTEOPATHY AVE |
| City | KIRKSVILLE |
| State | MO |
| Zip Code | 63501-6401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932185154 | Sheri E Brinser | Anesthesiology | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2005-12-20 |
| 1700487808 | Dominick Jay Wright | Family Medicine | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-11-04 |
| 1205444999 | Jared Huffman | Neuromusculoskeletal Medicine & OMM | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-07-19 |
| 1720606023 | Ripley Emergency Group, LLC | Physician Assistant | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-07-13 |
| 1053939363 | Katherine Lynne Holbrook | Family Medicine | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-07-13 |
| 1013535988 | Olaf Js Samuelson | Family Medicine | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-07-08 |
| 1285252973 | Cameron Sinclair Olsen | Internal Medicine | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-07-08 |
| 1710505557 | Sydney Priest | Family Medicine | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-07-08 |
| 1407473614 | Courtney Plachno | Neuromusculoskeletal Medicine & OMM | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-07-03 |
| 1730706243 | Melissa Anne Mann | Internal Medicine | 315 S Osteopathy Ave, Attn Dme Office, Kirksville, MO 63501-6401 | 2020-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855642 | Tiffany Anna Athon | Pharmacist | Hy-vee Pharmacy, 500 N Baltimore, Kirksville, MO 63501 | 2020-06-11 |
| 1649829425 | Jillian Jo Pulis | Speech-Language Pathologist | 1300 S Cottage Ave, Kirksville, MO 63501 | 2019-09-05 |
| 1023662319 | Leah Dawn Murphy | Occupational Therapy Assistant | 1705 E La Harpe St, Kirksville, MO 63501 | 2019-07-25 |
| 1902302912 | Brittney Frances Snelling | Specialist/Technologist | 26820 State Hwy 11, Kirksville, MO 63501 | 2018-03-30 |
| 1063931434 | Kara Wehmeyer | Specialist/Technologist | 100 East Normal, Kirksville, MO 63501 | 2017-09-16 |
| 1285080796 | Hawkins Boone Mecham | General Practice | 407 S Main St # 2, Kirksville, MO 63501 | 2016-05-13 |
| 1003287848 | Lacosta Gaines | Nurse Practitioner | 1607 South Baltimore, Kirksville, MO 63501 | 2015-10-19 |
| 1427442573 | Madi Hoppe | Specialist/Technologist | 23571 Crest Trail, Kirksville, MO 63501 | 2015-03-26 |
| 1407247133 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 906 East Shepherd Avenue, Kirksville, MO 63501 | 2015-02-17 |
| 1497069694 | Ella Marie Callison | Physician Assistant | 1611 S Baltimore St Ste A, Kirksville, MO 63501 | 2010-07-29 |
| Find all providers in zip 63501 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588697064 | Dialysis Clinic Inc. | Clinic/Center | 600 Rosewood Dr, Kirksville, MO 63501-2477 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1902415284 | Fresenius Medical Care Creve Coeur Home Therapies, LLC | Clinic/Center | 450 N New Ballas Rd Ste 170, Creve Coeur, MO 63141-6835 | 2020-07-23 |
| 1730716085 | Fresenius Medical Care Creve Coeur, LLC | Clinic/Center | 450 North New Bassas Road, Suite 180, Creve Coeur, MO 63141-6835 | 2020-03-26 |
| 1285109041 | Branson Kidney Center LLC | Clinic/Center | 17829 Bus 13, Branson West, MO 65737 | 2018-10-09 |
| 1790271864 | Dialysis Clinic Inc | Clinic/Center | 3101 W Broadway Ste 115, Columbia, MO 65203-0496 | 2018-07-02 |
| 1033602990 | Lantell Dialysis LLC | Clinic/Center | 8608 E 63rd St, Kansas City, MO 64133-4725 | 2018-06-14 |
| 1851892731 | Sparda Dialysis LLC | Clinic/Center | 40 Walters Pl, House Springs, MO 63051-1491 | 2018-02-26 |
| 1063923753 | Isd Renal Inc | Clinic/Center | 1702 E 10th St Ste C, Rolla, MO 65401-4600 | 2017-10-20 |
| 1063923977 | Total Renal Care Inc | Clinic/Center | 802 Jules St, St Joseph, MO 64501-1944 | 2017-10-18 |
| 1942710991 | Washington University | Clinic/Center | 272 Mayfair Plaza Shopping Ctr, Florissant, MO 63033-8009 | 2017-10-04 |
| Find all providers with the same taxonomy | ||||
| City | KIRKSVILLE |
| Zip Code | 63501 |
Please comment or provide details below to improve the information on SRS- KIRKSVILLE LLC.
| 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.