Unknown Individual – Internal Medicine Physician, NPI 1033187877
Internal Medicine Physician
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Provider Addresses for Unknown Individual
1602, North 2nd Street, Clinton, Clinton County, Iowa, 52732, United States
CLINTON, MO 64735
Phone: (660) 885-8171
Fax: (660) 890-8498
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 64735)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | MO | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 317 | 292 |
| INTERNAL MEDICINE | MO | 93922 | Ultrasound study of arteries of both arms and legs | 48 | 48 |
| INTERNAL MEDICINE | MO | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 31 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, Family Practice | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Family Practice | MO | |
| Internal Medicine | MO | |
| Emergency Medicine | GA | |
| - | MO | |
| - | MO | |
| Family Practice | MO | |
| Nurse Practitioner | KS | |
| Clinical Social Worker | MO |
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