IMMEDIATE CONVENIENT CARE-PERRYVILLE, LLC (NPI# 1851682025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851682025 |
| Entity Type | Organization |
| Organization Name | IMMEDIATE CONVENIENT CARE-PERRYVILLE, LLC |
| Practice Address |
1508 Edgemont Blvd Perryville MO 63775-1231 |
| Mailing Address |
1702 N Kingshighway St Cape Girardeau MO 63701-2122 |
| Practice Telephone | 5735177555 |
| Practice Fax Number | 5735177556 |
| Mailing Telephone | 5733392000 |
| Mailing Fax Number | 5733391876 |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2011-04-22 |
| Authorized Official Name | WILLIAM ANTHONY BALSANO (VP FINANCIAL AFFAIRS) |
| Authorized Official Telephone | 5733315228 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAINT FRANCIS HEALTHCARE SYSTEMS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1508 EDGEMONT BLVD |
| City | PERRYVILLE |
| State | MO |
| Zip Code | 63775-1231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932398021 | Immediate Healthcare, Inc. | General Practice | 1508 Edgemont Blvd, Perryville, MO 63755 | 2007-10-15 |
| 1003322009 | Bayley Nicole Little | Nurse Practitioner | 1508 Edgemont Blvd, Perryville, MO 63775-1231 | 2017-12-28 |
| 1417308362 | Melissa M Wyatt | Nurse Practitioner | 1508 Edgemont Blvd, Perryville, MO 63775-1231 | 2016-06-22 |
| 1114327954 | Perry County Health System | Clinic/Center | 1508 Edgemont Blvd, Perryville, MO 63775-1231 | 2014-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144949 | New Life Mission Inn - Missouri | Clinic/Center | 114 W. South, Perryville, MO 63775 | 2020-11-02 |
| 1881211829 | Sarah Jo Cross | Social Worker | 406 S Spring St, Ste 2, Perryville, MO 63775 | 2020-06-25 |
| 1902461908 | Health Care Pharmacy of Perryville, LLC | Pharmacy | 628 N Old St Marys Rd, Perryville, MO 63775 | 2019-05-06 |
| 1710437603 | Danielle Renee Hoeckele | Chiropractor | 1516 Edgemont Blvd Ste 100, Perryville, MO 63775 | 2016-10-04 |
| 1487024956 | Sherry Ann Goshen | Social Worker | 12 N Kings Hwy, Perryville, MO 63775 | 2015-09-28 |
| 1669801353 | Derek Adelman | Physical Therapy Assistant | 206 Hospital Lane, Ste 100, Perryville, MO 63775 | 2013-11-04 |
| 1407158678 | Perry County Memorial Hospital | Ambulance | 434 N West Street, Perryville, MO 63775 | 2010-11-22 |
| 1699928358 | East Missouri Action Agency, Inc. | Clinic/Center | 519 Old St Mary's Rd, Perryville, MO 63775 | 2008-10-28 |
| 1013171115 | Air Evac Ems Inc. | Ambulance | 4801 N Highway 51, Perryville, MO 63775 | 2008-07-17 |
| 1245457241 | Robert Schremp | Physical Therapist | 150 S. Mount Auburn Road, Cape Girardeau, MO 63775 | 2007-04-19 |
| Find all providers in zip 63775 | ||||
| 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 |
|---|---|---|---|---|
| 1831289214 | Arkansas Health Group | Family Medicine | 518 N Fourche Ave, Perryville, AR 72126-9701 | 2006-10-13 |
| 1508972233 | Patrick O'hara | Family Medicine | 1314 Brenda Ave, Perryville, MO 63775-2303 | 2006-08-23 |
| 1609882497 | Melissa Dian Seme | Family Medicine | 313 W. Main Street, Perryville, AR 72126 | 2006-07-31 |
| 1336170224 | Brian P Morley | Family Medicine | 624 Old Saint Marys Rd Ste A, Perryville, MO 63775-1837 | 2006-07-06 |
| 1518904648 | Jose Ma | Family Medicine | 4853 Pulaski Hwy, Ste 300, Perryville, MD 21903-1606 | 2006-05-31 |
| 1487655619 | Darryl A Green | Family Medicine | 212 Hospital Ln, Suite 101, Perryville, MO 63775-1276 | 2005-08-10 |
| 1699111781 | Theodore Rogers | Family Medicine | 212 Hospital Ln Ste 101, Perryville, MO 63775 | 2013-05-15 |
| 1780776450 | David E. Melchior | Family Medicine | 212 Hospital Lane, Suite 101, Perryville, MO 63775-4204 | 2006-09-29 |
| 1861584534 | Mark B. Schabbing | Family Medicine | 212 Hospital Lane, Suite 101, Perryville, MO 63775-4204 | 2006-09-29 |
| 1942392618 | Laurie A. Womack | Family Medicine | 212 Hospital Lane, Suite 101, Perryville, MO 63775-4204 | 2006-09-29 |
| Find all providers in PERRYVILLE | ||||
| City | PERRYVILLE |
| Zip Code | 63775 |
Please comment or provide details below to improve the information on IMMEDIATE CONVENIENT CARE-PERRYVILLE, 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.