James T Merchant (NPI# 1124433685, PAC ID# 2264651710) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1124433685 |
| PAC ID by PECOS | 2264651710 |
| Professional Enrollment ID | I20180717003330 |
| Full Name | James T Merchant |
| Organization Legal Name | JEFFERSON CITY MEDICAL GROUP, PC |
| Address |
2303 S Hwy 65 A Missouri Valley Physicians A Division of Jcmg Marshall MO 65340-3735 |
| Phone Number | 6608863364 |
| Gender | M |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY PRACTICE |
| Secondary Specialties | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 1850371089 |
| Number of Group Practice Members | 98 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260142 | FITZGIBBON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2303 S Hwy 65 A, Missouri Valley Physicians A Division of Jcmg, Marshall, MO 65340-3735 | 6608863364 | JEFFERSON CITY MEDICAL GROUP, PC |
| Organization Legal Name | JEFFERSON CITY MEDICAL GROUP, PC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary C Schafer | Nurse Practitioner | Jefferson City Medical Group, PC | 1241 W Stadium Dr, 2nd Floor Pod 220, Jefferson C, MO 65109-6023 |
| Nathan E Byam | Family Practice | Jefferson City Medical Group, PC | 1306 E Main, Family Care Clinic, Linn, MO 65051-9708 |
| James J Weiss | Family Practice | Jefferson City Medical Group, PC | 1241 W Stadium Blvd, Family Practice, Jefferson Cty, MO 65109-6023 |
| Eric P Horning | Physician Assistant | Jefferson City Medical Group, PC | 606 E Buchanan St, California, MO 65018-1910 |
| Kimberly R Lorentz | Nurse Practitioner | Jefferson City Medical Group, PC | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 |
| Amy A Fleming | Audiologist | Jefferson City Medical Group, PC | 1241 W Stadium Blvd, Family Practice, Jefferson Cty, MO 65109-6023 |
| George L Kistler | Gastroenterology | Jefferson City Medical Group, PC | 1241 W Stadium Blvd, Family Practice, Jefferson Cty, MO 65109-6023 |
| Terri J Stone | Nurse Practitioner | Jefferson City Medical Group, PC | 606 E Buchanan St, Family Health Clinic, California, MO 65018-1910 |
| Syrila D Bossert | Nurse Practitioner | Jefferson City Medical Group, PC | 1241 W Stadium Blvd, Jcmg Womens Clinic, Jefferson City, MO 65109-6023 |
| Joanne H Rowles | Nurse Practitioner | Jefferson City Medical Group, PC | 525 N Keene St, Suite 301, Columbia, MO 65201-6967 |
| Street Address |
2303 S HWY 65 A MISSOURI VALLEY PHYSICIANS A DIVISION OF JCMG |
| City | MARSHALL |
| State | MO |
| Zip | 65340-3735 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy J Guthrie | Nurse Practitioner | Jefferson City Medical Group PC | 2303 S Hwy 65 A, Missouri Valley Physicians A Division of Jcmg, Marshall, MO 65340-3735 |
| Justin Scot Cortez | Nurse Practitioner | Jefferson City Medical Group PC | 2303 S Hwy 65 A, Missouri Valley Physicians A Division of Jcmg, Marshall, MO 65340-3735 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pearl Carrillo | Family Medicine | John Fitzgibbon Memorial Hospital Inc | 2305 S 65 Hwy, Fitzgibbon Hospitalist Group, Marshall, MO 65340-0250 |
| Melanie E Elfrink | Family Medicine | John Fitzgibbon Memorial Hospital Inc | 2305 S 65 Hwy, Marshall, MO 65340-0250 |
| Alyssa Ferri | Clinical Nurse Specialist | John Fitzgibbon Memorial Hospital Inc | 2305 S 65 Hwy, Marshall Emergency Physicians, Marshall, MO 65340-0250 |
| Carrie M Peecher | Family Practice | John Fitzgibbon Memorial Hospital Inc | 2305 S 65 Hwy, Marshall, MO 65340-0250 |
| Bryan Matthew Simpson | Chiropractic | 187 S Lyon Ave, Marshall, MO 65340-1965 | |
| Joyce Megan Simpson | Chiropractic | Simpson Chiropractic LLC | 187 S Lyon Ave, Marshall, MO 65340-1965 |
| Daniel J Fahnestock | Chiropractic | 269 S Jefferson Ave, Marshall, MO 65340-2134 | |
| Tron Y Lally | Optometry | 268 S Jefferson Ave, Marshall, MO 65340-2135 | |
| David J Keuhn | Family Medicine | 4 N Jefferson Ave, Marshall, MO 65340-2148 | |
| Mark Alvin Lockhart | Chiropractic | 754 S Odell Ave, Marshall, MO 65340-2504 | |
| Find all physicians in zip 65340 | |||
| City | MARSHALL |
| Zip Code | 65340 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | MARSHALL + FAMILY PRACTICE |
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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.