Republic Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

REPUBLIC FAMILY MEDICINE, LLC

Practice address

117 W State Highway 174
Republic, MO 65738-1036

Phone

(417) 647-5131

Fax

(417) 647-5168

NPI assigned

Jul 11, 2014

Last updated

Oct 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yvonne Marie Agius, M.D.NPI 1699724708

Title

Member

Phone

(417) 824-0914

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Yvonne Marie Agius, M.D.

  • Family Medicine Physician
  • Republic, MO
  • NPI 1699724708
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1679980502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W STATE HIGHWAY 174",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657381036",
            "telephone_number": "417-647-5131",
            "fax_number": "417-647-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W STATE HIGHWAY 174",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657381036",
            "telephone_number": "417-647-5131",
            "fax_number": "417-647-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPUBLIC FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-11",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "AGIUS",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "417-824-0914",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Pohlers, DO
• Marcia L Preston, DDS
• Charise A Price, BSDC
• Regional Services (CoxHealth Center Republic)
• Republic Family Medical Walk-in Clinics Inc
• Republic Hearing Care LLC (Republic Hearing Care)
• Republic R-III
• Amy Sue Ridenour, MSN, FNP-C
• Riverbranch Healthcare, LLC (RiverBranch Healthcare)
• Madelyn Grace Robinson, PTA

• Family Medicine Physician in Republic, MO
• Providers in Republic, 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 Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.