Individual provider Active NPI

Marcus Stephens Teng, DO

  • Emergency Medicine Physician
  • Fort Leonard Wood, MO
National Provider Identifier
1083724389
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
101303 Issued in MO
Practice address
4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098
Phone
(573) 596-0417
NPI assigned
Aug 30, 2006
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 101303 MO Primary

Addresses

Primary practice location

4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098

Mailing address

4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098
Phone (573) 596-0417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040405001220 MO Practitioner - Emergency Medicine 5193718336 Reassigns benefits to 7 organizations
I20130125000113 IL Practitioner - Emergency Medicine 5193718336 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
McDonough County Hospital District Emergency Medicine CurrentSince Dec 16, 2018 Accepting new patients
Mercy Hospital South CurrentSince Jan 4, 2020 Accepting new patients
Mercy Clinic Adult Hospitalists- Jefferson, LLC CurrentSince Nov 17, 2019 Accepting new patients
Mercy Hospitals East Communities CurrentSince Jul 7, 2019 Accepting new patients
McDonough County Hospital District CurrentSince Dec 16, 2018 Accepting new patients
Mercy Hospitals East Communities Emergency Medicine CurrentSince Jul 7, 2019 Accepting new patients
McDonough County Hospital District Current Accepting new patients
St Anthonys Physician Organization Hospitalist Services, L.C. CurrentSince Nov 17, 2019 Accepting new patients
Mercy Hospitals East Communities Emergency Medicine CurrentSince Jul 7, 2019 Accepting new patients
Southeast Health Center of Stoddard County, LLC CurrentSince May 3, 2021 Accepting new patients
Southeast Health Center of Stoddard County LLC Emergency Medicine CurrentSince May 3, 2021 Accepting new patients
Epss LLC - Central Series Emergency Medicine CurrentSince Aug 25, 2019 Accepting new patients
Southeast Missouri Hospital Physicians, LLC CurrentSince Jan 28, 2013 Accepting new patients
Mercy Hospital South Emergency Medicine CurrentSince Jan 4, 2020 Accepting new patients
McDonough County Hospital District Current Accepting new patients
McDonough County Hospital District Current Accepting new patients
Southeast Health Center of Stoddard County, LLC Current Accepting new patients
McDonough County Hospital District Current Accepting new patients
Epss Peoria LLC Emergency Medicine CurrentSince Aug 25, 2019 Accepting new patients
McDonough County Hospital District Current Accepting new patients
Mercy Hospitals East Communities CurrentSince Jul 7, 2019 Accepting new patients
Hannibal Regional Healthcare System Inc Past Accepting new patients
Midwest Emergency Associates de Paul LLC Emergency Medicine Past Accepting new patients
Reid Hospital & Health Care Services, Inc Past Accepting new patients
Midwest Emergency Associates, LLC Emergency Medicine Past Accepting new patients
Hospitalmd of Troy, Inc. Past Accepting new patients
Alegent Creighton Health Emergency Medicine Past Accepting new patients
Dougherty Emergency Physicians LLC Emergency Medicine Past Accepting new patients
North Platte Nebraska Physician Group LLC Emergency Medicine Past Accepting new patients
Sheridan Emergency Physician Services of Missouri, Inc. Emergency Medicine Past Accepting new patients
Audrain Health Care, Inc Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Reid Hospital & Health Care Services Inc Past Accepting new patients

Locations

525 E Grant St
Macomb, IL 61455
Phone (309) 836-1611

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

5409 N Knoxville Ave
Peoria, IL 61614
Phone (309) 691-1000

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111

1200 N One Mile Rd
Dexter, MO 63841
Phone (573) 614-1900

714 Gravois Rd
Fenton, MO 63026
Phone (636) 326-6100

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9c9d3cdf-0f7f-4b63-979a-f711747b3e95/
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

Organizations & group practices 33

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1083724389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430 MISSOURI AVE",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654739098",
            "telephone_number": "573-596-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 MISSOURI AVE",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654739098",
            "telephone_number": "573-596-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENG",
        "first_name": "MARCUS",
        "middle_name": "STEPHENS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "101303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Leonard Wood, MO

Sources for this page

Verify at the official NPI Registry.