Randy G Brown (NPI# 1134218662, PAC ID# 0042268112) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1134218662 |
| PAC ID by PECOS | 0042268112 |
| Professional Enrollment ID | I20050316000169 |
| Full Name | Randy G Brown |
| Organization Legal Name | MERCY CLINIC JOPLIN LLC |
| Address |
625 S Ash Nevada MO 64772-3218 |
| Phone Number | 4177815387 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | VASCULAR SURGERY |
| Secondary Specialties | CARDIAC SURGERY, THORACIC SURGERY |
| Group Practice PAC ID | 0547300196 |
| Number of Group Practice Members | 222 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260001 | MERCY HOSPITAL JOPLIN |
| 261338 | MERCY HOSPITAL CARTHAGE |
| 260065 | MERCY HOSPITAL SPRINGFIELD |
| Address | Phone | Organization |
|---|---|---|
| 220 N Pennsylvania Ave, Columbus, KS 66725-1110 | MERCY CLINIC JOPLIN LLC | |
| 403 Woodland Hills Blvd, Mercy Clinic Radiology, Fort Scott, KS 66701-8798 | 4175564762 | MERCY CLINIC JOPLIN LLC |
| 10 S Treaty Rd, Cardiac Thoracic and Vasc Surg Miami, Miami, OK 74354-5330 | 4175568600 | MERCY CLINIC JOPLIN LLC |
| 625 S Ash, Nevada, MO 64772-3218 | 4177815387 | MERCY CLINIC JOPLIN LLC |
| Organization Legal Name | MERCY CLINIC JOPLIN LLC |
| Physicians | 206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha L Mcfarland | Nurse Practitioner | Mercy Clinic Joplin LLC | 1717 S Range Line Rd B, Mc Family Medicine Rangeline, Joplin, MO 64804-3224 |
| Ezinnaya Ubagharaji | Internal Medicine | Mercy Clinic Joplin LLC | 202 E 50th St, Mc Internal Medicine 50th Street, Joplin, MO 64804-4527 |
| Justin J Dillingham | Family Medicine | Mercy Clinic Joplin LLC | 3126 S Jackson Ave, 200 Mc Lab and Imaging Services S Jackson, Joplin, MO 64804-2500 |
| Patricia C. Ridings | Nurse Practitioner | Mercy Clinic Joplin LLC | 805 Barker Dr, Oswego, KS 67356-9034 |
| Thad L Taylor | Nurse Practitioner | Mercy Clinic Joplin LLC | 100 Mercy Way, Mercy Clinic Joplin Emergency Medic, Joplin, MO 64804-4524 |
| Benjamen H Williams | Family Medicine | Mercy Clinic Joplin LLC | 220 N Pennsylvania Ave, Mc Heart Care Columbus, Columbus, KS 66725-1110 |
| Crystal M Taylor | Nurse Practitioner | Mercy Clinic Joplin LLC | 111 E 7th St, Galena, KS 66739-1229 |
| Patrick J. Stangeby | Psychiatry | Mercy Clinic Joplin LLC | 5615 W 32nd St, St Johns Clinic Joplin Psychiatry, Joplin, MO 64804-8161 |
| Trina M Larery | Nurse Practitioner | Mercy Clinic Joplin LLC | 1300 E Centennial Dr, Via Christi Mercy Clinic LLC, Pittsburg, KS 66762-6650 |
| Johnny L Venter | Pulmonary Disease | Mercy Clinic Joplin LLC | 115 W 12th St, Lamar, MO 64759-1756 |
| Street Address |
625 S ASH |
| City | NEVADA |
| State | MO |
| Zip | 64772-3218 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Renee Lumpkins | Nurse Practitioner | Mercy Clinic Joplin LLC | 625 S Ash, Nevada, MO 64772-3218 |
| Stephen L Meyer | Cardiac Surgery | Mercy Clinic Joplin LLC | 625 S Ash, Nevada, MO 64772-3218 |
| Richard A Wolf | Cardiovascular Disease (cardiology) | Mercy Clinic Joplin LLC | 625 S Ash, Nevada, MO 64772-3218 |
| Stephen E Slawson | Diagnostic Radiology | Mercy Clinic Joplin LLC | 625 S Ash, Nevada, MO 64772-3218 |
| Thomas B Moore | Cardiovascular Disease (cardiology) | Mercy Clinic Joplin LLC | 625 S Ash, Nevada, MO 64772-3218 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley M Ledom | Psychologist, Clinical | 700 E Highland Ave, Nevada, MO 64772-1025 | |
| Gary A Kurtz | Chiropractic | 1804 N Ash St, Nevada, MO 64772-1110 | |
| David L Neidel | Clinical Social Worker | 100 S Prewitt, Nevada, MO 64772-1760 | |
| Robert F Ingegneri | Psychologist, Clinical | 300 W Cherry St, Nevada, MO 64772-2202 | |
| Mark Harvey Comensky | Psychologist, Clinical | 300 W Cherry St, Nevada, MO 64772-2202 | |
| Jeremy Michael Fast | Optometry | Eyecare Professionals Inc | 111 N Main St, Nevada, MO 64772-2330 |
| Delton L Fast | Optometry | Eyecare Professionals Inc | 111 N Main St, Nevada, MO 64772-2330 |
| Nathan S Box | Otolaryngology | Freeman-oak Hill Health System | 216 N Main, Freeman Heart Institute, Nevada, MO 64772-2332 |
| Russell R Kemm | Family Medicine | 216 N Main, Nevada, MO 64772-2332 | |
| Linda Davidson | Psychologist, Clinical | 212 N Main St, Nevada, MO 64772-2332 | |
| Find all physicians in zip 64772 | |||
| City | NEVADA |
| Zip Code | 64772 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | NEVADA + VASCULAR SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.