Unknown Individual – Family Medicine Physician, NPI 1396747655
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
East 15th Street, Sedalia, Pettis County, Missouri, 65301, United States
SEDALIA, MO 653017656
Phone: (660) 827-2525
Fax: (660) 827-2204
Type: Location
South Carr Avenue, Sedalia, Pettis County, Missouri, 65301, United States
SEDALIA, MO 653015346
Phone: (660) 826-5777
Fax: (660) 827-0073
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
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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 65301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| - | MO | |
| - | MO | |
| A N E S T H E S I O L O G Y | KS | |
| A N E S T H E S I O L O G Y | MO | |
| Hematology/Oncology, Internal Medicine | MO | |
| Certified Clinical Nurse Specialist (Cns) | MO | |
| Nurse Practitioner | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO |
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