Maria Magnolia Soriano Espejo, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2008035883 Issued in MO

Practice address

1303 State St
Mound City, MO 64470-1717

Phone

(660) 442-5464

Fax

(660) 442-5927

NPI assigned

Sep 27, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Health Services Inc

  dba Downtown Health Center

  • Federally Qualified Health Center (FQHC)
  • Saint Joseph, MO
  • NPI 1538059118

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1790972495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 STATE ST",
            "city": "MOUND CITY",
            "state": "MO",
            "postal_code": "644701717",
            "telephone_number": "660-442-5464",
            "fax_number": "660-442-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 STATE ST",
            "city": "MOUND CITY",
            "state": "MO",
            "postal_code": "644701717",
            "telephone_number": "660-442-5464",
            "fax_number": "660-442-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPEJO",
        "first_name": "MARIA MAGNOLIA",
        "middle_name": "SORIANO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2008035883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bentley Enterprises, LLC (Community Home Health and Restorative Care)
• Dustin Charles Carpenter, M.D.
• Community Home Health and Restorative Care in-Home
• Community Hospital Association
• Lamoyne Dungan, RPH
• Mallory Ferguson
• Baleigh Heits
• Nancy Johnson
• Luna Services
• Paula Luna

• Family Medicine Physician in Mound City, MO
• Providers in Mound City, 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 Mar 7, 2023; 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.