Unknown Individual – Family Medicine Physician, NPI 1568463354
Family Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
130 E LOCKLING ST
BROOKFIELD, MO 646282337
Phone: (660) 258-1050
Fax: (660) 258-1052
Type: Location
500, West Santa Fe Avenue, Marceline, Linn County, Missouri, 64658, United States
MARCELINE, MO 646581186
Phone: (660) 376-3729
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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 64628)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL PRACTICE | MO | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 37 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| Family Practice, Emergency Medicine | MO | |
| Emergency Medicine | NJ | |
| Emergency Medicine | KS | |
| Emergency Medicine | TX | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| - | MO |
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