Larry D Deffenbaugh (NPI# 1447290622, PAC ID# 5496890782) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1447290622 |
| PAC ID by PECOS | 5496890782 |
| Professional Enrollment ID | I20100311000485 |
| Full Name | Larry D Deffenbaugh |
| Address |
3125 Dr Russell Smith Way Carthage MO 64836-7402 |
| Gender | M |
| Graduation Year | 1974 |
| Primary Specialty | GASTROENTEROLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 261338 | MERCY HOSPITAL CARTHAGE |
| 260137 | FREEMAN HEALTH SYSTEM-FREEMAN WEST |
| 260001 | MERCY HOSPITAL JOPLIN |
| 170120 | LABETTE HEALTH |
| 260061 | NEVADA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | ||
| 198 Four States Dr, Suite 2, Galena, KS 66739-4305 |
| Street Address |
3125 DR RUSSELL SMITH WAY |
| City | CARTHAGE |
| State | MO |
| Zip | 64836-7402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark E Mcnemar | Orthopedic Surgery | Orthopaedic Specialists of The Four States, LLC | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 |
| Francis H Corcoran | Cardiovascular Disease (cardiology) | Mercy Clinic Joplin LLC | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 |
| Joan M Dutton | Nurse Practitioner | Mercy Clinic Joplin LLC | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 |
| David G Blancho | Podiatry | Orthopaedic Specialists of The Four States, LLC | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 |
| Lloyd R Holloway | Physician Assistant | Orthopaedic Specialists of The Four States, LLC | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 |
| Jonathan L Grantham | Orthopedic Surgery | Orthopaedic Specialists of The Four States, LLC | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 |
| Robert Edward Koch | Certified Registered Nurse Anesthetist (crna) | Mercy Hospital Carthage | 3125 Dr Russell Smith Way, Carthage Cardiopulmonary Services, Carthage, MO 64836-7402 |
| Larry D Neff Jr. | Physician Assistant | Orthopaedic Specialists of The Four States, LLC | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 |
| Jonathan B Sperry | Certified Registered Nurse Anesthetist (crna) | Mercy Hospital Carthage | 3125 Dr Russell Smith Way, Mercy Hospital Carthage Anesthesia, Carthage, MO 64836-7402 |
| Timothy M Okeefe | Hospitalist | Mercy Clinic Joplin LLC | 3125 Dr Russell Smith Way, Mc Hospitalists Carthage, Carthage, MO 64836-7402 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan D Haffner | Family Medicine | Mercy Hospital Carthage | 3116 Medical Park Dr, Jonathon Haffner Md, Carthage, MO 64836-1211 |
| Christopher Robert Andrew | Neurology | Mercy Hospital Carthage | 3116 Medical Park Dr, Jonathon Haffner Md, Carthage, MO 64836-1211 |
| Michelle L Pyle | Optometry | Carthage Eye Care PC. | 130 E 4th St, Carthage, MO 64836-1627 |
| Victoria Gabrielle Soriano | Optometry | Carthage Eye Care PC. | 130 E 4th St, Carthage, MO 64836-1627 |
| Tamra L Soriano | Optometry | Carthage Eye Care PC. | 130 E 4th St, Carthage, MO 64836-1627 |
| Lance Eugene Ford | Chiropractic | 612 S Main St, Carthage, MO 64836-1649 | |
| Roger A Sacry | Family Medicine | Sacry Family Medicine PC | 433 S Garrison Ave, Carthage, MO 64836-1749 |
| Delores A Vandergrift | Nurse Practitioner | Sacry Family Medicine PC | 433 S Garrison Ave, Carthage, MO 64836-1749 |
| Harold A Smart | Family Medicine | Freeman-oak Hill Health System | 719 W Centennial Ave, Carthage, MO 64836-2816 |
| Jennifer Elizabeth Copeland | Psychologist, Clinical | Ozark Center | 1632 Missouri Ave, Carthage, MO 64836-3059 |
| Find all physicians in zip 64836 | |||
| City | CARTHAGE |
| Zip Code | 64836 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | CARTHAGE + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Larry D Deffenbaugh.
| 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.