J K Essmyer Medical Services LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

31286 Issued in MO

Legal business name

J K ESSMYER MEDICAL SERVICES LLC

Practice address

300 Mt Auburn Rd
Auburn Surgery Center, Inc
Cape Girardeau, MO 63703

Phone

(573) 332-7881

NPI assigned

Feb 6, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph Keith Essmyer Sr., MD

Title

Sr Member

Phone

(573) 270-5092

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1033481163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 COUNTY ROAD 389",
            "city": "WHITEWATER",
            "state": "MO",
            "postal_code": "637856039",
            "telephone_number": "573-833-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MT AUBURN RD",
            "address_2": "AUBURN SURGERY CENTER, INC",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "63703",
            "telephone_number": "573-332-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J K ESSMYER MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "ESSMYER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "SR MEMBER",
        "authorized_official_telephone_number": "573-270-5092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MO",
            "license": "31286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200111615",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Invein LLC
• Doris Irvin
• Meghan Angela Isenman
• Chizor J Iwuchukwu, M.D.
• Crystal I. Iwuchukwu, MSN, APRN, FNP-BC
• Jack R. Ruopp D.C., P.C.
• Jenna M Jackson, PA
• Micha Jackson
• Nicole Pearl Jackson, PLPC
• Susan Marie Jackson, APRN, FNP-BC

• Ambulatory Surgical Clinic/Center in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Ambulatory Surgical Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.