Semo Stemcell Institute LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

SEMO STEMCELL INSTITUTE LLC

Practice address

1141 Butler St
Poplar Bluff, MO 63901-5659

Phone

(573) 429-6363

NPI assigned

Feb 2, 2021

Last updated

Mar 10, 2021By 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

Elizabeth G Wright

Title

Project Manager

Phone

(318) 527-1511

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Randen, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Cape Girardeau, MO
  • NPI 1730541996
  NPD (past)
• Derek Joseph Melton, O.D.

  • Optometrist
  • Fort Defiance, AZ
  • NPI 1922058429
  NPD (past)

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1174114102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 BUTLER ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639015659",
            "telephone_number": "573-429-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 BUTLER ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639015659",
            "telephone_number": "573-429-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMO STEMCELL INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "318-527-1511"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Self
• Carrie Renee Semlinger, LCSW
• Semo Care LLC
• Semo Chiropractic, LLC
• Semo Gynecology LLC
• Sydney Elizabeth Sereika
• Terri Lyn Sexton
• Sha Orthodontics
• Tosha Rochelle Shackelford
• Samantha May Darlene Shackleford

• Medical Specialty Clinic/Center in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Medical Specialty Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.