Unknown Individual – Family Medicine Physician, NPI 1124433685
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
117 S LEXINGTON ST STE 100
HARRISONVILLE, MO 647012444
Phone: (660) 333-3762
Fax: (877) 975-1284
Type: Mailing
910 THOMPSON BLVD
SEDALIA, MO 653012241
Phone: (660) 333-3762
Type: Location
102 E WASHINGTON ST
MARSHALL, MO 653402146
Phone: (660) 333-3762
Fax: (877) 975-1284
Type: Mailing
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
Source: CMS public data · Not endorsed by CMS ·
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 64701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MN | |
| Nurse Practitioner | NE | |
| Internal Medicine | CO | |
| - | CO | |
| Family Practice | CO | |
| - | NE | |
| Family Practice | NE | |
| Sports Medicine, Orthopedic Surgery, Sports Medicine, Orthopedic Surgery | CO | |
| Physician Assistant | NE | |
| - | AZ |
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