Active NPI
Ernest Bobby Kleier Jr., MD
- Surgery Physician
- Waverly, TN
National Provider Identifier
1609934728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 9046
- Practice address
- 209 West Main Street
Waverly, TN 37185-1510 - Phone
- (931) 296-9830
- Fax
- (931) 296-7350
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
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.
-
- Critical Access Hospital
- Fredericktown, MO
- NPI 1720163025
-
- General Acute Care Hospital
- Houston, MO
- NPI 1790740363
-
- Rural Health Clinic/Center
- Fredericktown, MO
- NPI 1467539031
-
- Medicare Defined Swing Bed Hospital Unit
- Fredericktown, MO
- NPI 1316013139
-
- Skilled Nursing Facility
- Fredericktown, MO
- NPI 1215003041
-
- Clinic/Center
- Houston, MO
- NPI 1497593719
-
- Critical Access Hospital
- Waverly, TN
- NPI 1235387044
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Fredericktown, MO
- NPI 1720163025
Care Compare affiliation Hospital
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Tennessee, HSC, College of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Madison Medical Center Stockhoff Memorial Nursing Home
Practice addresses (Care Compare)
611 W Main St
Fredericktown, MO 63645-1111
Phone (573) 783-3341
Hospital & facility affiliations
- Madison Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130404000332 | MO | Practitioner - General Surgery | 0749278794 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDR3L21 | MO | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas County Memorial Hospital | Current | Accepting new patients | |
| Texas County Memorial Hospital | Current | Accepting new patients | |
| Madison Medical Center Stockhoff Memorial Nursing Home | Current | Accepting new patients | |
| Madison Medical Center Stockhoff Memorial Nursing Home | Current | Accepting new patients | |
| Humphreys County Community Health Services, Inc. | Past | Accepting new patients | |
| Madison Medical Center Stockhoff Memorial Nursing Home | Past | Accepting new patients |
Locations
611 W Main St
Fredericktown, MO 63645
Phone (573) 773-7061
1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-3311
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 9046 | TN | Primary |
| Surgery Physician | 208600000X | MDR3L21 | MO |
Addresses
NPPES NPI RegistryPrimary practice location
209 West Main Street
Waverly, TN 37185-1510
Mailing address
209 West Main Street
Waverly, TN 37185-1510
Phone (931) 296-9830
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4027561 | Other | TN | BCBS SURGERY |
| 3183707 | Medicaid | TN | |
| 4080719 | Other | TN | BCBS PRIMARY CARE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609934728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 WEST MAIN STREET",
"city": "WAVERLY",
"state": "TN",
"postal_code": "371851510",
"telephone_number": "931-296-9830",
"fax_number": "931-296-7350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 WEST MAIN STREET",
"city": "WAVERLY",
"state": "TN",
"postal_code": "371851510",
"telephone_number": "931-296-9830",
"fax_number": "931-296-7350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIER",
"first_name": "ERNEST",
"middle_name": "BOBBY",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TN",
"license": "9046",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "MDR3L21",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS SURGERY",
"identifier": "4027561",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3183707",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PRIMARY CARE",
"identifier": "4080719",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waverly, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.