New Medico Healthcare Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

33294 Issued in MO

Legal business name

NEW MEDICO HEALTHCARE CORPORATION

Practice address

3361 S Springfield Ave
Bolivar, MO 65613-9132

Phone

(417) 777-1182

Fax

(417) 777-1183

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Edilberto B Lorenzo, MD

Title

Owner

Phone

(417) 777-1182

Specialties & licenses 6

Addresses

Other identifiers 6

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karolyn Ann Carpenter, LCSW

  • Clinical Social Worker
  • Rolla, MO
  • NPI 1356595722
  NPD (past)
• Tammy R Kaempfe, LCSW

  • Clinical Social Worker
  • Poplar Bluff, MO
  • NPI 1194707240
  NPD (past)
• Jacolyn Su Lorenzo

  • Registered Nurse
  • Springfield, MO
  • NPI 1619509544
  NPD (past)
• Ferdinand Armas, M.D.

  • Psychiatry Physician
  • Chattanooga, TN
  • NPI 1689654493
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1245250091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 209",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650650209",
            "telephone_number": "417-777-1182",
            "fax_number": "417-777-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3361 S SPRINGFIELD AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656139132",
            "telephone_number": "417-777-1182",
            "fax_number": "417-777-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEDICO HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "LORENZO",
        "authorized_official_first_name": "EDILBERTO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-777-1182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "002181",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "20010000520",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "33294",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "04-15475",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "AR",
            "license": "R4566",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "TN",
            "license": "0000029442",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128988002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493986483",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498904515",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505355909",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127191001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208100107",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John R Myers II
• Nature'S Remedy Chiropractic and Wellness LLC
• Brittney Naylor, PHARM D
• Debra Nelson, SLP
• New Creation Home Health LLC
• New Way Psychological Services LLC
• Christopher Paul Newland, MD
• Amy Nicholas
• Juan Gustavo Nix, M.D.
• Jenna Rose Noe

• Psychiatry Physician in Bolivar, MO
• Providers in Bolivar, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.