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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PHYSICIAN MANAGEMENT SERVICES OF SOUTHERN MISSOURI, LLC
NPI 1164932893
Family Medicine in O Fallon, MO

Active since October 09, 2017
1002 PERUQUE CROSSING CT, O FALLON, MO 63366(888) 829-8550 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 24, 2026, May 21, 2026, Oct 9, 2017 (3 updates tracked since 2017).

About Physician Management Services Of Southern Missouri, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYSICIAN MANAGEMENT SERVICES OF SOUTHERN MISSOURI, LLC (NPI 1164932893) is a healthcare organization registered as a family medicine in O Fallon, Missouri and active in the NPI registry since October 2017. The organization maintains 2 additional practice locations and lists Brett Kenefick, President, as its authorized official.

NPPES Registry Identity

NPI1164932893
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHYSICIAN MANAGEMENT SERVICES OF SOUTHERN MISSOURI, LLC
Location Address1002 PERUQUE CROSSING CTO Fallon, MO 63366-2362
Mailing Address800 N Magnolia Ave Ste 700Orlando, FL 32803-3264
Phone(888) 829-8550
Organization SubpartYesParent: Vaxcare Corporation
Authorized OfficialBrett KenefickPresident · (888) 829-8550
Enumeration DateOctober 9, 2017
Last NPPES UpdateJuly 24, 20263 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1164932893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1002 PERUQUE CROSSING CT, O Fallon, MO 63366
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Secondary Practice Locations 2

Location 11611 S Baltimore StKirksville, MO 63501-4518 · Phone (888) 829-8550
Location 21131 W Kansas StLiberty, MO 64068-2281 · Phone (888) 829-8550

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and more.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JULIA BRANCO FNP-C
Nurse Practitioner (Family)
1002 PERUQUE CROSSING CT, SUITE 101
O FALLON, MO 63366
St. Charles County (636) 294-5900
DR. JOHN J O'CONNOR M.D.
Family Medicine
1002 PERUQUE CROSSING CT, SUITE 101
O FALLON, MO 63366
St. Charles County (636) 294-5900
MR. MATTHEW MEIER
Internal Medicine
1002 PERUQUE CROSSING CT, SUITE 102
O FALLON, MO 63366
St. Charles County (636) 294-5757
WEIKART HEALTHCARE GROUP LLC
Internal Medicine
1002 PERUQUE CROSSING CT, SUITE 101
O FALLON, MO 63366
St. Charles County (636) 294-5900
MATTHEW W MEIER LLC
Clinic/Center (Medical Specialty)
1002 PERUQUE CROSSING CT, SUITE 102
O FALLON, MO 63366
St. Charles County (636) 294-5757
JENNIFER M HINTON MD
Pediatrics
1002 PERUQUE CROSSING CT, STE 101
O FALLON, MO 63366
St. Charles County (636) 294-5900
DR. KEVIN D WEIKART M.D.
Internal Medicine
1002 PERUQUE CROSSING CT, SUITE 101
O FALLON, MO 63366
St. Charles County (636) 294-5900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Physician Management Services Of Southern Missouri, LLC's NPI number?

The NPI number for Physician Management Services Of Southern Missouri, LLC is 1164932893. It was assigned to this organization in the NPPES registry on October 9, 2017.

Where is Physician Management Services Of Southern Missouri, LLC located?

Physician Management Services Of Southern Missouri, LLC is located at 1002 Peruque Crossing Ct, O Fallon, MO 63366. The listed phone number is (888) 829-8550.

What is Physician Management Services Of Southern Missouri, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Physician Management Services Of Southern Missouri, LLC accept?

Health plans from Medica, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan, Inc. and Oscar Insurance Company and 1 other insurer list Physician Management Services Of Southern Missouri, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Physician Management Services Of Southern Missouri, LLC was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.