Dorothy M. Munch, D.O., LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36720 Issued in MO

Legal business name

DOROTHY M. MUNCH, D.O., LLC

Doing business as

Poplar Bluff Wellness Clinic

Practice address

930 N Westwood Blvd
Poplar Bluff, MO 63901-4242

Phone

(573) 778-1620

Fax

(573) 778-1486

NPI assigned

Sep 9, 2008

Last updated

Sep 9, 2008By 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

Mrs. Paula J McAlister, BSHA/LTC

Title

Administrator

Phone

(573) 778-1697

Specialties & licenses 1

Addresses

Other names 1

• Poplar Bluff Wellness Clinic Doing business as

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.

• Dorothy M Munch, D.O.

  • Family Medicine Physician
  • Poplar Bluff, MO
  • NPI 1922003276
  Medicare reassignment

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1952550485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014242",
            "telephone_number": "573-778-1620",
            "fax_number": "573-778-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014242",
            "telephone_number": "573-778-1620",
            "fax_number": "573-778-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOROTHY M. MUNCH, D.O., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "MCALISTER",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-778-1697",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSHA/LTC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "36720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poplar Bluff Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Lynn Dohogne, LCSW
• Lance Michael Dohogne, DPT
• Donald R Jones Enterprises, LLC
• Keith Anthony Donnell II
• Linda J Doran II
• Cassondra Dowden
• Katrina L. Dowell, LCSW
• Kayla Dowell, PHARMD
• Britney Deshay Downs, OT
• Dr Jerry W Long Optometry

• Family Medicine Physician in Poplar Bluff, MO
• Providers in Poplar Bluff, 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 Sep 9, 2008; 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.