Tradewinds Palliative Care LLC.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TRADEWINDS PALLIATIVE CARE LLC.

Doing business as

dba TradeWinds Palliative Care

Practice address

101 Kingsbury Blvd
Fredericktown, MO 63645-7959

Phone

(573) 783-7625

Fax

(573) 783-2126

NPI assigned

Nov 15, 2013

Last updated

Nov 15, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

SAFE HARBOR HOSPICES, INC.As reported in NPPES

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

Authorized official

Name

Mr. Phillip M Beyer, D.O.

Title

Ceo/President

Phone

(573) 783-7625

Specialties & licenses 2

Addresses

Other names 1

• dba TradeWinds Palliative Care Doing business as

Part of

Safe Harbor Hospice LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Safe Harbor Hospice, LLC

  dba Legacy Hospice

  • Community Based Hospice Care Agency
  • Fredericktown, MO
  • NPI 1215084876

  Member Of

  NPD member

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1396175188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 KINGSBURY BLVD",
            "city": "FREDERICKTOWN",
            "state": "MO",
            "postal_code": "636457959",
            "telephone_number": "573-783-7625",
            "fax_number": "573-783-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 KINGSBURY BLVD",
            "city": "FREDERICKTOWN",
            "state": "MO",
            "postal_code": "636457959",
            "telephone_number": "573-783-7625",
            "fax_number": "573-783-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADEWINDS PALLIATIVE CARE LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAFE HARBOR HOSPICES, INC.",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "BEYER",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "573-783-7625",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba TradeWinds Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Marie Thurman, PLPC
• Judith A Thurmond
• Hannah Rachelle Tinnin, LPC
• Town & Country Grocers of Fredericktown MD Inc
• Town & Country Grocers of Fredericktown Mo Inc (Dicus Drugs)
• Dorcas Unruh, MS, LPC
• Wagner Residential Care Inc
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0337)
• Charles M Walbaum, CRNA
• Rhonda Renee White, CCC SLP

• Family Medicine Physician in Fredericktown, MO
• Providers in Fredericktown, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.