Active NPI
Poplar Bluff Emergency Physicians, LLC
- Emergency Medicine Physician
- Poplar Bluff, MO
National Provider Identifier
1679822647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- POPLAR BLUFF EMERGENCY PHYSICIANS, LLC
- Practice address
- 3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573 - Phone
- (573) 785-7721
- NPI assigned
- Sep 5, 2012
- Last updated
- May 1, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisha C Falk
- Title
- Vice President
- Phone
- (337) 609-1221
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Poplar Bluff, MO
- NPI 1922090125
-
- Nurse Practitioner
- Lincoln City, OR
- NPI 1891976361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777593600000",
"number": "1679822647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870",
"telephone_number": "800-893-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 OAK GROVE RD",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639011573",
"telephone_number": "573-785-7721"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POPLAR BLUFF EMERGENCY PHYSICIANS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-05",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A",
"authorized_official_last_name": "FALK",
"authorized_official_first_name": "LISHA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "337-609-1221"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poplar Bluff, MO
- Megan Victoria Pold, DPT
- Sherri M Ponder
- Velmathy Ponnambalam, MD
- Poplar Bluff Cancer & Radiation Specialist LLC
- Poplar Bluff Children's Dentistry, LLC
- Poplar Bluff Hma Physician Management, LLC
- Poplar Bluff Medical Partners, LLC
- Poplar Bluff Neurology Center, PC
- Poplar Bluff No 1 Inc (The Manor)
- Poplar Bluff Pediatric Assoc LL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.