Jordan Phenicie (NPI# 1114428547, PAC ID# 0446512206) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1114428547 |
| PAC ID by PECOS | 0446512206 |
| Professional Enrollment ID | I20180315001433 |
| Full Name | Jordan Phenicie |
| Organization Legal Name | FERRELL-DUNCAN CLINIC |
| Address |
700 E Cleveland Ave Monett MO 65708-1436 |
| Phone Number | 4173541520 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8628092897 |
| Number of Group Practice Members | 260 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260040 | COX MEDICAL CENTERS |
| 261329 | COX MONETT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 700 E Cleveland Ave, Monett, MO 65708-1436 | 4173541520 | FERRELL-DUNCAN CLINIC |
| 1001 E Primrose, Springfield, MO 65807-5155 | 4178753000 | FERRELL-DUNCAN CLINIC |
| 1001 E Primrose 2, Coxhealth Pain Management Center, Springfield, MO 65807-5155 | 4172697246 | FERRELL-DUNCAN CLINIC |
| Organization Legal Name | FERRELL-DUNCAN CLINIC |
| Physicians | 216 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shanthi Dhaduvai | Rheumatology | Ferrell-duncan Clinic | 3555 S National Ave, 102 Coxhealth Rheumatology, Springfield, MO 65807-7310 |
| Rozlyn Elayne Mcteer | Nurse Practitioner | Ferrell-duncan Clinic | 3800 S National Ave, 600 Trauma and Acute Care Surgery, Springfield, MO 65807-5249 |
| Sridevi Durga | Interventional Cardiology | Ferrell-duncan Clinic | 3800 S National 4th Floor, Springfield, MO 65807-5209 |
| Jessica A Hanson | Physical Medicine and Rehabilitation | Ferrell-duncan Clinic | 3535 S National, Springfield, MO 65807-7310 |
| Ken Carpenter | Orthopedic Surgery | Ferrell-duncan Clinic | 700 E Cleveland Ave, Monett, MO 65708-1436 |
| Matthew E Simpson | General Surgery | Ferrell-duncan Clinic | 1001 E Primrose, Springfield, MO 65807-5155 |
| Staci Dawn Niemoth | Obstetrics/gynecology | Ferrell-duncan Clinic | 1000 E Primrose St, Suite 400, Springfield, MO 65807-5179 |
| Meredith T Cunningham | Physician Assistant | Ferrell-duncan Clinic | 1001 E Primrose 2, Coxhealth Pain Management Center, Springfield, MO 65807-5155 |
| Pierre J Moeser | Rheumatology | Ferrell-duncan Clinic | 3555 S National, Bone and Joint Center, Springfield, MO 65807-7310 |
| Papaiah Sreepada | Neurology | Ferrell-duncan Clinic | 3801 S National, 900 Cox Medical Center South, Springfield, MO 65807-5210 |
| Street Address |
700 E CLEVELAND AVE |
| City | MONETT |
| State | MO |
| Zip | 65708-1436 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ken Carpenter | Orthopedic Surgery | Ferrell-duncan Clinic | 700 E Cleveland Ave, Monett, MO 65708-1436 |
| Michael S Walters | Diagnostic Radiology | Ferrell-duncan Clinic | 700 E Cleveland Ave, Monett, MO 65708-1436 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Ussery | Psychologist, Clinical | Clark Community Mental Health Center | 1701 N Central, Monett, MO 65708-1144 |
| Christy Marie Henley | Nurse Practitioner | Clark Community Mental Health Center | 1701 N Central, Monett, MO 65708-1144 |
| Matt C Costley | Psychologist, Clinical | Clark Community Mental Health Center | 1701 N Central, Monett, MO 65708-1144 |
| Jamie L Randall Arell | Nurse Practitioner | Clark Community Mental Health Center | 1701 N Central, Monett, MO 65708-1144 |
| Tracy Knight | Clinical Social Worker | Clark Community Mental Health Center | 1701 N Central, Monett, MO 65708-1144 |
| Richard Lynn Brewer | Psychiatry | Clark Community Mental Health Center | 1701 N Central, Monett, MO 65708-1144 |
| Kelsey M Lawrence | Nurse Practitioner | Cox-monett Hospital Inc | 102 E Cleveland Ave, Monett, MO 65708-1405 |
| Trudi Valynn Marbough | Nurse Practitioner | Cox-monett Hospital Inc | 102 E Cleveland Ave, Monett, MO 65708-1405 |
| Margaret L Kleiboeker | Nurse Practitioner | Cox-monett Hospital Inc | 102 E Cleveland Ave, Monett, MO 65708-1405 |
| Lori Renee Miller | Nurse Practitioner | Cox-monett Hospital Inc | 102 E Cleveland Ave, Monett, MO 65708-1405 |
| Find all physicians in zip 65708 | |||
| City | MONETT |
| Zip Code | 65708 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MONETT + PHYSICIAN ASSISTANT |
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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.