Louis E Mire, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

R8C50 Issued in MO

Practice address

N Bus Hwy 65
Branson, MO 65616

Phone

(417) 335-7218

Fax

(417) 334-1507

NPI assigned

Jun 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)
• Boston Mountain Rural Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Marshall, AR
  • NPI 1720096027
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198368000000",
    "number": "1538104872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N BUS HWY 65",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "65616",
            "telephone_number": "417-335-7218",
            "fax_number": "417-334-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N BUS HWY 65",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "65616",
            "telephone_number": "417-335-7218",
            "fax_number": "417-334-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRE",
        "first_name": "LOUIS",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2007-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "R8C50",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "126814",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208887414",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "250766",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930028765",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley P. Merrick, MD
• Larry Wayne Meyer, M.D.
• Lidia Miclea
• Mike Stuart Enterprises Inc (Lakeland Pharmacy)
• Mike Stuart Enterprises, Inc. (Lakeland Pharmacy)
• Missouri CVS Pharmacy LLC (CVS Pharmacy#10003)
• Missouri CVS Pharmacy LLC (CVS Pharmacy #17184)
• Missouri Eye Institute of Branson LLC
• Mittie M Dragosljvich MD LLC
• Candace Mize, FNP

• Emergency Medicine Physician in Branson, MO
• Providers in Branson, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2007; 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.