Stratus Medical Group

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

114108 Issued in MO

Legal business name

STRATUS MEDICAL GROUP

Practice address

2010 N Main St
Sikeston, MO 63801-8478

Phone

(573) 475-7333

NPI assigned

Jan 23, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Lauren Denise Blackwelder, MD

Title

Owner

Phone

(573) 475-7333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1639616113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638018478",
            "telephone_number": "573-475-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638018478",
            "telephone_number": "573-475-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATUS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "BLACKWELDER",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-475-7333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MO",
            "license": "114108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven C Barnett OD LLC
• Melissa A Stewart
• Jennifer Lee Sticht, OTR
• Lorreen F Stinnett, FNP
• Kenneth David Stone, MD
• Tererra Deanette Strickland, COTA
• Lagena Strobel
• David W Stroud, MD
• Vishon J Subramani, M.D.
• Such Counseling LLC

• Medical Specialty Clinic/Center in Sikeston, MO
• Providers in Sikeston, 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 Jan 23, 2017; 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.