Richard M Secor Jr. (NPI# 1326104142, PAC ID# 7113941352) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1326104142 |
PAC ID by PECOS | 7113941352 |
Professional Enrollment ID | I20060116000017 |
Full Name | Richard M Secor Jr. |
Organization Legal Name | EASTERN MISSOURI GENERAL SERVICES INC |
Address |
322 N State St Desloge MO 63601-3052 |
Phone Number | 5734314510 |
Gender | M |
Credential | DO |
Medical School | THE UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MEDICINE |
Graduation Year | 1980 |
Primary Specialty | FAMILY PRACTICE |
Secondary Specialties | EMERGENCY MEDICINE |
Group Practice PAC ID | 2163615006 |
Accepts Medicare Assignment | M |
Claim Control Number (CCN) | Legal Business Name |
---|---|
261308 | WASHINGTON COUNTY MEMORIAL HOSPITAL |
261315 | PARKLAND HEALTH CENTER - BONNE TERRE |
260163 | PARKLAND HEALTH CENTER |
260176 | DES PERES HOSPITAL |
260023 | MERCY HOSPITAL JEFFERSON |
Address | Phone | Organization |
---|---|---|
322 N State St, Desloge, MO 63601-3052 | 5734314510 | EASTERN MISSOURI GENERAL SERVICES INC |
300 Health Way Dr, Potosi, MO 63664-1420 | 5734385451355 | WASHINGTON COUNTY MEMORIAL HOSPITAL |
Organization Legal Name | EASTERN MISSOURI GENERAL SERVICES INC |
Physicians | 1 |
Street Address |
322 N STATE ST |
City | DESLOGE |
State | MO |
Zip | 63601-3052 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brenna Maria C Keller | Infectious Disease | 1025 W Main St, St Francois County Infectious Disease, Park Hills, MO 63601-2079 | |
Mary F Dahmm | Nurse Practitioner | 5272 Flat River Dr, Park Hills, MO 63601-2224 | |
Daniel L Young | Chiropractic | 8 E Main St, Park Hills, MO 63601-2633 | |
Shawn M Haferkamp | Optometry | 1133 N Desloge Dr, Desloge, MO 63601-2936 | |
Jeffery Linn Huck | Chiropractic | 1110 N Desloge Dr, Desloge, MO 63601-2937 | |
Karen S Ferrell | Clinical Social Worker | 330 N State St, Suite A, Desloge, MO 63601-3041 | |
Alicia R Whitwell | Nurse Practitioner | Quality Health Care, Inc | 330 N State St C, Desloge, MO 63601-3041 |
Debbie Ann Anderson | Nurse Practitioner | Quality Health Care, Inc | 330 N State St C, Desloge, MO 63601-3041 |
Kimberly A Yeager | Nurse Practitioner | Quality Health Care, Inc | 330 N State St C, Desloge, MO 63601-3041 |
Laurence Lum | Family Medicine | Quality Health Care, Inc | 330 N State St C, Desloge, MO 63601-3041 |
Find all physicians in zip 63601 |
City | DESLOGE |
Zip Code | 63601 |
Specialty | FAMILY PRACTICE |
City + Specialty | DESLOGE + 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.