NORTHEAST MISSOURI MEDICAL PROVIDERS LLC – Emergency Medicine Physician, NPI 1427409713

NORTHEAST MISSOURI MEDICAL PROVIDERS LLC is a healthcare provider. based in Louisiana, Missouri. specializing in Emergency Medicine Physician. The NPI Number for NORTHEAST MISSOURI MEDICAL PROVIDERS LLC is 1427409713

Main info

Organization
Name
NORTHEAST MISSOURI MEDICAL PROVIDERS LLC
NPI
1427409713
Phone
(469) 401-2386
Address
2305 GEORGIA ST
Authorized Official
KATHLEEN KONDAS OFFICER
Enumeration Date
28 June 2016
Last Update Date
15 June 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:9State licenses:0Digital endpointsOther names

Provider Addresses for NORTHEAST MISSOURI MEDICAL PROVIDERS LLC

  • 2305 GEORGIA ST

    LOUISIANA, MO 633532559

    Phone: (469) 401-2386

    Type: Location

  • 13737 NOEL RD STE 1600

    DALLAS, TX 752401374

    Phone: (954) 838-2371

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

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 ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63353)

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Reviews

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Frequently asked questions

Can I use this page to confirm NORTHEAST MISSOURI MEDICAL PROVIDERS LLC's NPI?
Yes. NORTHEAST MISSOURI MEDICAL PROVIDERS LLC is listed with NPI 1427409713 in the public NPI dataset.
Is NORTHEAST MISSOURI MEDICAL PROVIDERS LLC listed as active for patients and plans?
The listing shows NORTHEAST MISSOURI MEDICAL PROVIDERS LLC as active in the NPI system.
What taxonomy line describes NORTHEAST MISSOURI MEDICAL PROVIDERS LLC?
For research purposes, treat NORTHEAST MISSOURI MEDICAL PROVIDERS LLC as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for NORTHEAST MISSOURI MEDICAL PROVIDERS LLC?
NORTHEAST MISSOURI MEDICAL PROVIDERS LLC's geographic hint is Louisiana, Missouri in our summary view.
Why does NORTHEAST MISSOURI MEDICAL PROVIDERS LLC have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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