Humberto J Olivero Lara (NPI# 1235392309, PAC ID# 4789907114) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PREVENTATIVE MEDICINE.
| Nation Provider ID (NPI) | 1235392309 |
| PAC ID by PECOS | 4789907114 |
| Professional Enrollment ID | I20141216001209 |
| Full Name | Humberto J Olivero Lara |
| Organization Legal Name | MADISON MEDICAL CENTER STOCKHOFF MEMORIAL NURSING HOME |
| Address |
611 W Main St Fredericktown MO 63645-1111 |
| Phone Number | 5737833341 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | PREVENTATIVE MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 1355255886 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 261302 | MADISON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 611 W Main St, Fredericktown, MO 63645-1111 | 5737833341 | MADISON MEDICAL CENTER STOCKHOFF MEMORIAL NURSING HOME |
| Organization Legal Name | MADISON MEDICAL CENTER STOCKHOFF MEMORIAL NURSING HOME |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie M Buford | Nurse Practitioner | Madison Medical Center Stockhoff Memorial Nursing Home | 611 W Main St, Fredericktown, MO 63645-1111 |
| Melinda Jo Fischer | Nurse Practitioner | Madison Medical Center Stockhoff Memorial Nursing Home | 611 W Main St, Fredericktown, MO 63645-1111 |
| Akeeb O Adedokun | Family Medicine | Madison Medical Center Stockhoff Memorial Nursing Home | 611 W Main St, Fredericktown, MO 63645-1111 |
| Heather Jo Cheaney | Nurse Practitioner | Madison Medical Center Stockhoff Memorial Nursing Home | 611 W Main St, Fredericktown, MO 63645-1111 |
| Shannon Sikorski | Nurse Practitioner | Madison Medical Center Stockhoff Memorial Nursing Home | 611 W Main St, Fredericktown, MO 63645-1111 |
| Alanna M Guess | Nurse Practitioner | Madison Medical Center Stockhoff Memorial Nursing Home | 611 W Main St, Fredericktown, MO 63645-1111 |
| Martha L Mcgraw | Internal Medicine | Madison Medical Center Stockhoff Memorial Nursing Home | 611 W Main St, Fredericktown, MO 63645-1111 |
| Rosalie Grimes Benz | Nurse Practitioner | Madison Medical Center Stockhoff Memorial Nursing Home | 611 W Main St, Fredericktown, MO 63645-1111 |
| Mohamed N Kuziez | Emergency Medicine | Madison Medical Center Stockhoff Memorial Nursing Home | 611 W Main St, Fredericktown, MO 63645-1111 |
| Ashvin D Patel | Internal Medicine | Madison Medical Center Stockhoff Memorial Nursing Home | 611 W Main St, Fredericktown, MO 63645-1111 |
| Street Address |
611 W MAIN ST |
| City | FREDERICKTOWN |
| State | MO |
| Zip | 63645-1111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie M Buford | Nurse Practitioner | Madison Medical Center Stockhoff Memorial Nursing Home | 611 W Main St, Fredericktown, MO 63645-1111 |
| Robert F Beckman | General Surgery | St Anthony's Physician Organization | 611 W Main St, Fredericktown, MO 63645-1111 |
| Melinda Jo Fischer | Nurse Practitioner | Madison Medical Center Stockhoff Memorial Nursing Home | 611 W Main St, Fredericktown, MO 63645-1111 |
| Akeeb O Adedokun | Family Medicine | Madison Medical Center Stockhoff Memorial Nursing Home | 611 W Main St, Fredericktown, MO 63645-1111 |
| Andrew C Dickey | Medical Oncology | Southeast Missouri Hospital Physicians LLC | 611 W Main St, Southeast Pulmonary, Fredericktown, MO 63645-1111 |
| Heather Jo Cheaney | Nurse Practitioner | Madison Medical Center Stockhoff Memorial Nursing Home | 611 W Main St, Fredericktown, MO 63645-1111 |
| Shannon Sikorski | Nurse Practitioner | Madison Medical Center Stockhoff Memorial Nursing Home | 611 W Main St, Fredericktown, MO 63645-1111 |
| Alanna M Guess | Nurse Practitioner | Madison Medical Center Stockhoff Memorial Nursing Home | 611 W Main St, Fredericktown, MO 63645-1111 |
| Martha L Mcgraw | Internal Medicine | Madison Medical Center Stockhoff Memorial Nursing Home | 611 W Main St, Fredericktown, MO 63645-1111 |
| Rosalie Grimes Benz | Nurse Practitioner | Madison Medical Center Stockhoff Memorial Nursing Home | 611 W Main St, Fredericktown, MO 63645-1111 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kay Lynn Day | Nurse Practitioner | Midwest Health Group Convenient Care | 123 N Mine Lamotte, Fredricktown, MO 63645 |
| Mary E Chandler | Nurse Practitioner | Midwest Health Group Convenient Care | 123 N Mine Lamotte, Fredricktown, MO 63645 |
| Sonja B Hampton | Nurse Practitioner | Midwest Health Group Convenient Care | 123 N Mine Lamotte, Fredricktown, MO 63645 |
| Kelcy F Sayler | Nurse Practitioner | Wound Care Plus LLC | 105 Spruce St, Fredericktown, MO 63645-1002 |
| Mohamed N Kuziez | Emergency Medicine | Madison Medical Center Stockhoff Memorial Nursing Home | 611 W Main St, Fredericktown, MO 63645-1111 |
| Ashvin D Patel | Internal Medicine | Madison Medical Center Stockhoff Memorial Nursing Home | 611 W Main St, Fredericktown, MO 63645-1111 |
| Corinna Dawn Defrancesco | Nurse Practitioner | Madison Medical Center Stockhoff Memorial Nursing Home | 611 W Main St, Fredericktown, MO 63645-1111 |
| Ernest B Kleier | General Surgery | Madison Medical Center Stockhoff Memorial Nursing Home | 611 W Main St, Fredericktown, MO 63645-1111 |
| Angela R Menz | Nurse Practitioner | Madison Medical Center Stockhoff Memorial Nursing Home | 611 W Main St, Fredericktown, MO 63645-1111 |
| Joseph B Byrne | Orthopedic Surgery | Madison Medical Center Stockhoff Memorial Nursing Home | 611 W Main St, Fredericktown, MO 63645-1111 |
| Find all physicians in zip 63645 | |||
| City | FREDERICKTOWN |
| Zip Code | 63645 |
| Specialty | PREVENTATIVE MEDICINE |
| City + Specialty | FREDERICKTOWN + PREVENTATIVE MEDICINE |
Please comment or provide details below to improve the information on Humberto J Olivero Lara.
| 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.