Professional Clinics LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PROFESSIONAL CLINICS LLC

Doing business as

Convenient Healthcare

Practice address

624 Old Saint Marys Rd
Suite a
Perryville, MO 63775-1837

Phone

(573) 547-3232

Fax

(573) 547-3231

NPI assigned

Mar 31, 2009

Last updated

Jun 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Barry Naeger

Title

Owner

Phone

(573) 547-3232

Specialties & licenses 3

Addresses

Other names 1

• Convenient Healthcare Doing business as

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1154563559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 OLD SAINT MARYS RD",
            "address_2": "SUITE A",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637751837",
            "telephone_number": "573-547-3232",
            "fax_number": "573-547-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 OLD SAINT MARYS RD",
            "address_2": "SUITE A",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637751837",
            "telephone_number": "573-547-3232",
            "fax_number": "573-547-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "NAEGER",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-547-3232",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Convenient Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Perryville Health Care Corporation (Prescriptions Plus Longterm Care Pharmacy)
• Perryville Health Center LLC (Perryville Chiropractic Center)
• Perryville Healthcare Corporation (Prescriptions Plus Pharmacy)
• Perryville Orthodontics LLC (Unger Orthodontics)
• Granville J Phillips, M.D.
• Professional Clinics, LLC (Convenient Healthcare)
• Prorehab PC (Athletico Physical Therapy)
• Jackson Charles Pugh, M.D.
• Sandeep C. Rao, M.D.
• Adam Joseph Reinagel, MD

• Clinic/Center in Perryville, MO
• Providers in Perryville, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.