MERCY CLINIC-SPRINGFIELD COMMUNITIES (NPI# 1851427785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851427785 |
| Entity Type | Organization |
| Organization Name | MERCY CLINIC-SPRINGFIELD COMMUNITIES |
| Other Organization Name | MERCY CLINIC FAMILY MEDICINE-EL DORADO SPRINGS |
| Practice Address |
309 E Hospital Rd El Dorado Springs MO 64744 |
| Mailing Address |
645 Maryville Centre Dr Fl 3 Saint Louis MO 63141-5855 |
| Practice Telephone | 4178765851 |
| Practice Fax Number | 4178765484 |
| Mailing Telephone | 4178207133 |
| Mailing Fax Number | 4178200586 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2018-12-04 |
| Authorized Official Name | ROBERT CAVAGNOL (CHIEF PHYSICIAN OFFICER) |
| Authorized Official Telephone | 4178202705 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | R2D19 | MO | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | 2003005866 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 2001003572 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 595232901 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Clinic Family Medicine-El Dorado Springs | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053444000 | Mercy Clinic-springfield Communities | Family Medicine | 149 Rogers Ave, Summersville, MO 65571 | 2007-03-13 |
| 1811028723 | Mercy Clinic-springfield Communities | Family Medicine | 1605 Martin Springs Dr Ste 210, Rolla, MO 65401-3028 | 2007-03-09 |
| 1487783296 | Mercy Clinic-springfield Communities | Family Medicine | 1422 S Sam Houston Blvd, Houston, MO 65483 | 2007-03-05 |
| 1275660847 | Mercy Clinic-springfield Communities | Nurse Practitioner | 517 Coy Blvd, Forsyth, MO 65653-5083 | 2007-02-28 |
| 1245533223 | Mercy Clinic-springfield Communities | Family Medicine | 1065 State Highway 248, Suite 200, Branson, MO 65616-8398 | 2010-12-13 |
| 1083924294 | Mercy Clinic-springfield Communities | Nurse Practitioner | 1000 W Trimble Ave, Berryville, AR 72616-4603 | 2010-10-21 |
| 1104137876 | Mercy Clinic-springfield Communities | Clinic/Center | 22361 Oak Ridge Dr, Shell Knob, MO 65747-7822 | 2010-06-28 |
| 1659505576 | Mercy Clinic-springfield Communities | Durable Medical Equipment & Medical Supplies | 2135 S Fremont Ave, Springfield, MO 65804-2239 | 2009-05-06 |
| 1578735411 | Mercy Clinic-springfield Communities | Durable Medical Equipment & Medical Supplies | 511 Bee Creek Rd, Branson, MO 65616-7734 | 2008-04-01 |
| 1144498528 | Mercy Clinic-springfield Communities | Clinic/Center | 260 Terrace Rd, Branson, MO 65616-8909 | 2008-02-19 |
| Street Address |
309 E HOSPITAL RD |
| City | EL DORADO SPRINGS |
| State | MO |
| Zip Code | 64744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366404626 | Rick D. Casey | Emergency Medicine | 309 E Hospital Rd, El Dorado Springs, MO 64744-2021 | 2006-04-03 |
| 1083055800 | Tedi E. Payne | Nurse Practitioner | 309 E Hospital Rd, El Dorado Springs, MO 64744-2021 | 2013-07-09 |
| 1972626687 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 309 E Hospital Rd, El Dorado Springs, MO 64744-2021 | 2007-04-09 |
| 1568549129 | Jacque L. Reynolds | Family Medicine | 309 E Hospital Rd, El Dorado Springs, MO 64744-2021 | 2006-11-01 |
| 1639256290 | Barbara Joyce Heuser | Physician Assistant | 309 E Hospital Rd, El Dorado Springs, MO 64744-2021 | 2006-11-01 |
| 1184701757 | Roderick Henry White | Physician Assistant | 309 E Hospital Rd, El Dorado Springs, MO 64744-2021 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295251742 | Rachel Kauffman | Pharmacist | 1403 S. Park St., El Dorado Springs, MO 64744 | 2017-08-16 |
| 1457898603 | Stephanie Louise Miller | Nurse Practitioner | 322 E Hospital Rd, El Dorado Springs, MO 64744 | 2017-01-26 |
| 1902200645 | Kimberly Denise Souza | Nurse Practitioner | 1317 South Hwy. 32, El Dorado Springs, MO 64744 | 2014-10-09 |
| 1376843714 | Sandra Jeanne Moore | Registered Nurse | 107 W Broadway, Pathway's Behavioral Health Care, Eldorado Springs, MO 64744 | 2010-11-02 |
| 1275674715 | Michael Lee Housh | Dentist | 605 E Hospital Road, Suite #1, El Dorado Springs, MO 64744 | 2007-02-09 |
| 1932269446 | State of Missouri | Case Management | 1301 Industrial Prkwy E, El Dorado Springs, MO 64744 | 2006-12-12 |
| 1720195845 | Wilkinson Pharmacy Inc | Pharmacy | 200 E Hwy 54, El Dorado Springs, MO 64744 | 2006-08-24 |
| 1881608685 | Cedar County Memorial Hospital | Clinic/Center | 1317 S. Highway 32, El Dorado Springs, MO 64744 | 2006-07-28 |
| 1942243639 | Todd P. Hill | Dentist | 107 Broadway Street, El Dorado Springs, MO 64744 | 2006-06-13 |
| 1902379266 | El Dorado Vision LLC | Optometrist | 701 E Hospital Rd, El Dorado Springs, MO 64744 | 2019-01-09 |
| Find all providers in zip 64744 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992827273 | Cedar County Memorial Hospital | Clinic/Center | 1317 S Highway 32, El Dorado Springs, MO 64744-2037 | 2007-04-06 |
| 1881608685 | Cedar County Memorial Hospital | Clinic/Center | 1317 S. Highway 32, El Dorado Springs, MO 64744 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| Find all providers with the same taxonomy | ||||
| City | EL DORADO SPRINGS |
| Zip Code | 64744 |
Please comment or provide details below to improve the information on MERCY CLINIC-SPRINGFIELD COMMUNITIES.
| 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.