MOSAIC MEDICAL CENTER - MARYVILLE PHYSICIAN GROUP
NPI 1184189797
Specialist in Maryville, MO

Q: What is Mosaic Medical Center - Maryville's NPI number?

The NPI number for Mosaic Medical Center - Maryville is 1184189797. It was assigned to this organization in the NPPES registry on February 7, 2019. The provider is also known as Mosaic Medical Center - Maryville Physician Group.

Q: What is Mosaic Medical Center - Maryville's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since February 07, 2019

2016 S MAIN ST, MARYVILLE, MO 64468(660) 562-2525 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2022, Jun 10, 2019, Mar 14, 2019 and 1 more (4 updates tracked since 2019).

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About Mosaic Medical Center - Maryville Physician Group NPPES

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

MOSAIC MEDICAL CENTER - MARYVILLE PHYSICIAN GROUP (NPI 1184189797) is a healthcare organization registered as a specialist in Maryville, Missouri and active in the NPI registry since February 2019. The organization lists Dwight Carvell, Director Of Reimbursement, as its authorized official.

NPPES Registry Identity

NPI1184189797

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameMOSAIC MEDICAL CENTER - MARYVILLE

Location Address2016 S MAIN STMaryville, MO 64468-2655

Mailing Address2016 S Main StMaryville, MO 64468-2655 · (660) 562-2525

Phone(660) 562-2525

Organization SubpartNo

Authorized OfficialDwight CarvellDirector Of Reimbursement · (816) 273-0473

Enumeration DateFebruary 7, 2019

Last NPPES UpdateDecember 19, 20224 updates tracked since enumeration

NPPES CertifiedDecember 19, 2022

✔ NPI 1184189797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedAnesthesiologyTaxonomy 207L00000X

Also ListedEmergency MedicineTaxonomy 207P00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X

Also ListedNeurological SurgeryTaxonomy 207T00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedSurgeryTaxonomy 208600000X

Also ListedHospitalistTaxonomy 208M00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

2016 S MAIN ST, Maryville, MO 64468

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Other Names 1

Other NameMosaic Medical Center - Maryville Physician Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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Other Providers at the Same Location NPPES 20

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

MIKAILA WALLACE DO

Family Medicine