Staci Dawn Niemoth (NPI# 1043428121, PAC ID# 1557438793) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1043428121 |
| PAC ID by PECOS | 1557438793 |
| Professional Enrollment ID | I20080930000281 |
| Full Name | Staci Dawn Niemoth |
| Organization Legal Name | FERRELL-DUNCAN CLINIC |
| Address |
1000 E Primrose St Suite 400 Springfield MO 65807-5179 |
| Phone Number | 4172697900 |
| Gender | F |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| 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 |
| Address | Phone | Organization |
|---|---|---|
| 1000 E Primrose St, Suite 400, Springfield, MO 65807-5179 | 4172697900 | 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 |
| 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 |
| Zachary C Schmittling | Vascular Surgery | Ferrell-duncan Clinic | 510 E Hwy 32, Lebanon, MO 65536-5303 |
| Street Address |
1000 E PRIMROSE ST SUITE 400 |
| City | SPRINGFIELD |
| State | MO |
| Zip | 65807-5179 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas M Shultz | Obstetrics/gynecology | Regional Services | 1000 E Primrose St, 270 Coxhealth Primrose Ob Gyn, Springfield, MO 65807-5177 |
| Rebecca L Hampton | Nurse Practitioner | Ferrell-duncan Clinic | 1000 E Primrose St, Suite 400, Springfield, MO 65807-5179 |
| William S Anast | Anesthesiology | Ozark Anesthesia Associates, Inc. | 1000 E Primrose St, Suite 520, Springfield, MO 65807-5180 |
| Kent B Schaller | Anesthesiology | Ozark Anesthesia Associates, Inc. | 1000 E Primrose St, Suite 520, Springfield, MO 65807-5180 |
| Daphne R Lemon | Obstetrics/gynecology | Ferrell-duncan Clinic | 1000 E Primrose St, Suite 400, Springfield, MO 65807-5179 |
| Marcus D Mccorcle | Obstetrics/gynecology | Regional Services | 1000 E Primrose St, 270 Coxhealth Primrose Ob Gyn, Springfield, MO 65807-5177 |
| Lena Georgette Harlan | Anesthesiology Assistant | Ozark Anesthesia Associates, Inc. | 1000 E Primrose St, Suite 520, Springfield, MO 65807-5180 |
| John Kendall Ethridge Jr. | Obstetrics/gynecology | Lester E Cox Medical Centers | 1000 E Primrose St, Suite 360, Springfield, MO 65807-5293 |
| Aleshia M Kellen | Nurse Practitioner | Ferrell-duncan Clinic | 1000 E Primrose St, Suite 400, Springfield, MO 65807-5179 |
| Nabil S Kamel | Geriatric Medicine | Lester E Cox Medical Centers | 1000 E Primrose St, Suite 360, Springfield, MO 65807-5293 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alina Cummins | Physician Assistant | Regional Services | 1720 W Battlefield, Coxhealth Quick Care, Springfield, MO 65807 |
| Tonya Mcmillen Boone | Clinical Social Worker | 1644 W Elfindale St, Springfield, MO 65807-1286 | |
| Carol L Scott | Optometry | Vision Rehabilitation Center of The Ozarks | 1661 W Elfindale St, Springfield, MO 65807-1287 |
| Christopher Boschen | Optometry | Vision Rehabilitation Center of The Ozarks | 1661 W Elfindale St, Springfield, MO 65807-1287 |
| Tara L Boehne | Occupational Therapy | Vision Rehabilitation Center of The Ozarks | 1661 W Elfindale St, Springfield, MO 65807-1287 |
| Elizabeth A Tyner | Psychologist, Clinical | Arc of The Ozarks | 1721 W Elfindale St, Springfield, MO 65807-1295 |
| Kayette M Glass | Psychologist, Clinical | Arc of The Ozarks | 1721 W Elfindale St, Springfield, MO 65807-1295 |
| Wanda Miller | Psychologist, Clinical | Arc of The Ozarks | 1721 W Elfindale St, Springfield, MO 65807-1295 |
| James Neptune | Chiropractic | Neptune Chiropractic Clinic PC | 1525 W Sunshine St, Suite A, Springfield, MO 65807-2311 |
| Michael L Langenberg | Chiropractic | 1525 W Sunshine St, Suite A, Springfield, MO 65807-2311 | |
| Find all physicians in zip 65807 | |||
| City | SPRINGFIELD |
| Zip Code | 65807 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | SPRINGFIELD + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Staci Dawn Niemoth.
| 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.