Michael R Crist (NPI# 1548240054, PAC ID# 9133260581) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1548240054 |
PAC ID by PECOS | 9133260581 |
Professional Enrollment ID | I20100106000820 |
Full Name | Michael R Crist |
Address |
814 Fairlane Dr Brookfield MO 64628-2318 |
Phone Number | 6602583397 |
Gender | M |
Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 1978 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialties | OSTEOPATHIC MANIPULATIVE MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
261307 | PERSHING MEMORIAL HOSPITAL |
261321 | HEDRICK MEDICAL CENTER |
260141 | UNIVERSITY OF MISSOURI HOSPITAL & CLINICS |
Address | Phone | Organization |
---|---|---|
814 Fairlane Dr, Brookfield, MO 64628-2318 | 6602583397 |
Street Address |
814 FAIRLANE DR |
City | BROOKFIELD |
State | MO |
Zip | 64628-2318 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stacie N Malloy | Physical Therapy | 122 N Main St, Brookfield Pt, Brookfield, MO 64628-1643 | |
Terry L Thrasher | Family Medicine | 624 W Lockling St, Brookfield, MO 64628-2003 | |
Brent E Watson | Chiropractic | 616 W Lockling St, Brookfield, MO 64628-2003 | |
Michael Holtz | Nurse Practitioner | Advanced Medical House Call and Telemedicine LLC | 624 W Lockling St, Brookfield, MO 64628-2003 |
Grady E Kaiser | General Practice | General John J Pershing Memorial Hospital Association | 130 E Lockling, Community Medical Associates, Brookfield, MO 64628-2337 |
Karen A Sylvara | General Practice | General John J Pershing Memorial Hospital Association | 130 E Lockling Ave, Pershing Memorial Hospital, Brookfield, MO 64628-2337 |
Vivian M Hall | Nurse Practitioner | General John J Pershing Memorial Hospital Association | 130 E Lockling Ave, Pershing Memorial Hospital, Brookfield, MO 64628-2337 |
James L Bowers | Family Medicine | General John J Pershing Memorial Hospital Association | 130 E Lockling Ave, Pershing Memorial Hospital, Brookfield, MO 64628-2337 |
Rebecca F Krc | General Practice | General John J Pershing Memorial Hospital Association | 130 E Lockling Ave, Pershing Memorial Hospital, Brookfield, MO 64628-2337 |
Amy L Creason | Nurse Practitioner | General John J Pershing Memorial Hospital Association | 130 E Lockling Ave, Pershing Memorial Hospital, Brookfield, MO 64628-2337 |
Find all physicians in zip 64628 |
City | BROOKFIELD |
Zip Code | 64628 |
Specialty | FAMILY MEDICINE |
City + Specialty | BROOKFIELD + FAMILY MEDICINE |
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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.