POPLAR BLUFF HMA PHYSICIAN MANAGEMENT LLC NPI 1598710147

NPI Information

  • NPI: 1598710147
  • Provider Name: POPLAR BLUFF HMA PHYSICIAN MANAGEMENT, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 3098 OAK GROVE RD
    POPLAR BLUFF, MO
    ZIP 63901
  • Phone: (573) 776-2835

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NPI Details

POPLAR BLUFF HMA PHYSICIAN MANAGEMENT, LLC is a family medicine in Poplar Bluff, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. POPLAR BLUFF HMA PHYSICIAN MANAGEMENT, LLC NPI is 1598710147. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3098 OAK GROVE RD
POPLAR BLUFF, MO
ZIP 63901-938
Phone: (573) 776-2835
Fax: (573) 776-2763

The provider's authorized official is James P Wright .
The authorized official title is Vp Physician Business Services and has the following contact phone number (615) 778-1502.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 11/21/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207RG0100XInternal MedicineGastroenterologyNo
4207RH0003XInternal MedicineHematology & OncologyNo
5207RI0011XInternal MedicineInterventional CardiologyNo
6207RN0300XInternal MedicineNephrologyNo
7207RR0500XInternal MedicineRheumatologyNo
8207V00000XObstetrics & GynecologyNo
9207X00000XOrthopaedic SurgeryNo
10208000000XPediatricsNo
112084P0800XPsychiatry & NeurologyPsychiatryNo
12208600000XSurgeryNo
13208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
14363A00000XPhysician AssistantNo
15363L00000XNurse PractitionerNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1505101907MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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