Spencer Park Kirk (NPI# 1518165331, PAC ID# 7810081403) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1518165331 |
| PAC ID by PECOS | 7810081403 |
| Professional Enrollment ID | I20110825000504 |
| Full Name | Spencer Park Kirk |
| Organization Legal Name | MERCY CLINIC SPRINGFIELD COMMUNITIES |
| Address |
500 Porter Ave Aurora MO 65605-2365 |
| Phone Number | 4176787844 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 7416865845 |
| Number of Group Practice Members | 931 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260065 | MERCY HOSPITAL SPRINGFIELD |
| 261316 | MERCY HOSPITAL - AURORA |
| Address | Phone | Organization |
|---|---|---|
| 500 Porter Ave, Aurora, MO 65605-2365 | 4176787844 | MERCY CLINIC SPRINGFIELD COMMUNITIES |
| 1965 S Fremont Ave, 100 Mc General and Specialty Surgery, Springfield, MO 65804-2299 | 4178203800 | MERCY CLINIC SPRINGFIELD COMMUNITIES |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | MERCY CLINIC SPRINGFIELD COMMUNITIES |
| Physicians | 976 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cody Whittington | Nurse Practitioner | Mercy Clinic Springfield Communities | 149 Rogers Ave, Mc Family Medicine Summersville, Summersville, MO 65571-0001 |
| Mary Booth | Nurse Practitioner | Mercy Clinic Springfield Communities | 3231 S National Ave, 120 Mc Lab Services Sgc, Springfield, MO 65807-7304 |
| Starla Lynnette Smith | Nurse Practitioner | Mercy Clinic Springfield Communities | 104 E Us Hwy 60, Mc Family Medicine Mountain View, Mountain View, MO 65548-7381 |
| Tara Fuchs | Nurse Practitioner | Mercy Clinic Springfield Communities | 448 State Hwy 248, Suite 180, Branson, MO 65616-3725 |
| Heather Stratton | Nurse Practitioner | Mercy Clinic Springfield Communities | 315 E Cleveland Ave, Mc Family Medicine Monett, Monett, MO 65708-1704 |
| Lauryn Murphy Kelly | Nurse Practitioner | Mercy Clinic Springfield Communities | 550 S Hudson Ave, Mc Family Medicine Aurora, Aurora, MO 65605-2362 |
| Laura Windsor | Nurse Practitioner | Mercy Clinic Springfield Communities | 331 Hospital Dr, Suite C, Lebanon, MO 65536-9251 |
| Tamra Lynn Cox | Nurse Practitioner | Mercy Clinic Springfield Communities | 613 Orchard Dr, Berryville, AR 72616-5013 |
| Jessica K Moschner | Nurse Practitioner | Mercy Clinic Springfield Communities | 207 Carter St, Berryville, AR 72616-4303 |
| John Hornick | General Surgery | Mercy Clinic Springfield Communities | 2520 S Springfield Ave, Mc General and Specialty Surg Bolivar, Bolivar, MO 65613-9691 |
| Street Address |
500 PORTER AVE |
| City | AURORA |
| State | MO |
| Zip | 65605-2365 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey L Shore | Diagnostic Radiology | 500 Porter Ave, Aurora, MO 65605-2365 | |
| Darrell E Meredith | Certified Registered Nurse Anesthetist | Mercy Hospital Aurora | 500 Porter Ave, Aurora, MO 65605-2399 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John A Watts | Chiropractic | 131 S Madison Ave, Aurora, MO 65605-1426 | |
| Robert D Forsyth | Psychologist, Clinical | 203 S Washington, Aurora, MO 65605-1463 | |
| Dawn R Negre | Optometry | 320 S Madison Ave, Aurora, MO 65605-1569 | |
| Meghan Roetto | Clinical Social Worker | Center for Life Coaching and Counseling LLC | 1401 S Elliott, Aurora, MO 65605-2103 |
| Stacey L Maples | Psychologist, Clinical | 1407 S Elliott Ave B, Aurora, MO 65605-2103 | |
| Cathy C Hennessey | Clinical Social Worker | Center for Life Coaching and Counseling LLC | 1401 S Elliott, Aurora, MO 65605-2103 |
| Lauryn Murphy Kelly | Nurse Practitioner | Mercy Clinic Springfield Communities | 550 S Hudson Ave, Mc Family Medicine Aurora, Aurora, MO 65605-2362 |
| Joy Bell | Nurse Practitioner | Mercy Clinic Springfield Communities | 550 S Hudson Ave, Mc Family Medicine Aurora, Aurora, MO 65605-2362 |
| Larry Pratt | Optometry | 930 S Elliott Ave, Aurora, MO 65605-2402 |
| City | AURORA |
| Zip Code | 65605 |
| Specialty | GENERAL SURGERY |
| City + Specialty | AURORA + GENERAL SURGERY |
Please comment or provide details below to improve the information on Spencer Park Kirk.
| 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.