Richard L Wirz Jr. (NPI# 1184689200, PAC ID# 6406810274) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1184689200 |
| PAC ID by PECOS | 6406810274 |
| Professional Enrollment ID | I20041112000412 |
| Full Name | Richard L Wirz Jr. |
| Organization Legal Name | CHAMBERLAIN EMERGENCY GROUP, LLC |
| Address |
217 Physicians Park Poplar Bluff MO 63901-3956 |
| Phone Number | 5737279080 |
| Gender | M |
| Credential | DO |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 7214297605 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260119 | POPLAR BLUFF REGIONAL MEDICAL CENTER |
| 260227 | BLACK RIVER COMMUNITY MEDICAL CENTER |
| 260183 | SAINT FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 217 Physicians Park, Poplar Bluff, MO 63901-3956 | 5737279080 | CHAMBERLAIN EMERGENCY GROUP, LLC |
| 225 Physicians Park, Suite 400, Poplar Bluff, MO 63901-3923 | 5737275500 | SAINT FRANCIS MEDICAL CENTER |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | CHAMBERLAIN EMERGENCY GROUP, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert L Hall | General Surgery | Chamberlain Emergency Group, LLC | 217 Physicians Park, Poplar Bluff, MO 63901-3956 |
| Edward George Wiegers Iii | Emergency Medicine | Chamberlain Emergency Group, LLC | 217 Physicians Park, Poplar Bluff, MO 63901-3956 |
| Mina Kay Massey | Family Medicine | Chamberlain Emergency Group, LLC | 217 Physicians Park, Poplar Bluff, MO 63901-3956 |
| Christopher R Pinderski | Emergency Medicine | Chamberlain Emergency Group, LLC | 217 Physicians Park, Poplar Bluff, MO 63901-3956 |
| Street Address |
217 PHYSICIANS PARK |
| City | POPLAR BLUFF |
| State | MO |
| Zip | 63901-3956 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert L Hall | General Surgery | Chamberlain Emergency Group, LLC | 217 Physicians Park, Poplar Bluff, MO 63901-3956 |
| Edward George Wiegers Iii | Emergency Medicine | Chamberlain Emergency Group, LLC | 217 Physicians Park, Poplar Bluff, MO 63901-3956 |
| Mina Kay Massey | Family Medicine | Chamberlain Emergency Group, LLC | 217 Physicians Park, Poplar Bluff, MO 63901-3956 |
| Christopher R Pinderski | Emergency Medicine | Chamberlain Emergency Group, LLC | 217 Physicians Park, Poplar Bluff, MO 63901-3956 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia Marie Cisne | Nurse Practitioner | Poplar Bluff Emergency Physicians, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Savannah Coin | Nurse Practitioner | Poplar Bluff Emergency Physicians, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Hanumanth K Reddy | Cardiovascular Disease (cardiology) | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Alexandros Georgolios | Otolaryngology | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Michael J. Del Rio | Thoracic Surgery | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Perry Arthur Rathbun | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Silvia Pagoada Vallecillo | General Surgery | Butler Physician Services, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Mark W Clark | Certified Registered Nurse Anesthetist (crna) | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| James D Holden | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Timothy P Kordick | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Find all physicians in zip 63901 | |||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
| Specialty | GENERAL SURGERY |
| City + Specialty | POPLAR BLUFF + GENERAL SURGERY |
Please comment or provide details below to improve the information on Richard L Wirz Jr..
| 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.