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MOSAIC MEDICAL CENTER - MARYVILLE NPI 1184189797


NPI Information

NPI: 1184189797
Provider Name: MOSAIC MEDICAL CENTER - MARYVILLE

Other Name: MOSAIC MEDICAL CENTER - MARYVILLE PHYSICIAN GROUP

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2016 S MAIN ST
MARYVILLE, MO
ZIP 64468
Phone: (660) 562-2525
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MOSAIC MEDICAL CENTER - MARYVILLE is a specialist in Maryville, MO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MOSAIC MEDICAL CENTER - MARYVILLE NPI is 1184189797. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Mosaic Medical Center - Maryville Physician Group.

The provider's business location address is:

2016 S MAIN ST
MARYVILLE, MO
ZIP 64468-655
Phone: (660) 562-2525

The provider's authorized official is Dwight Carvell .
The authorized official title is Director Of Reimbursement and has the following contact phone number (816) 273-0473.

The enumeration date for this NPI number is 2/7/2019 and was last updated on 12/19/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalNo
2207L00000XAnesthesiologyNo
3207P00000XEmergency MedicineNo
4207Q00000XFamily MedicineNo
5207R00000XInternal MedicineNo
6207RH0003XInternal MedicineHematology & OncologyNo
7207T00000XNeurological SurgeryNo
8207V00000XObstetrics & GynecologyNo
9207X00000XOrthopaedic SurgeryNo
10208000000XPediatricsNo
112084P0800XPsychiatry & NeurologyPsychiatryNo
12208600000XSurgeryNo
13208M00000XHospitalistNo
14363LF0000XNurse PractitionerFamilyNo
15174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.