PERSHING MEMORIAL HOSPITAL
NPI 1427251750
Dietitian, Registered in Brookfield, MO

NPI Status: Active since June 06, 2007

Contact Information

130 E LOCKLING ST
BROOKFIELD, MO
ZIP 64628
Phone: (660) 258-2222
Fax: (660) 258-5668

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  • Organization
  • Dietitian, Registered

About PERSHING MEMORIAL HOSPITAL

This page provides the complete NPI Profile along with additional information for Pershing Memorial Hospital, a provider established in Brookfield, Missouri operating as a Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1427251750 assigned on June 2007. The practitioner's primary taxonomy code is 133V00000X with license number 20001006915 (MO). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Pershing Memorial Hospital. The authorized official of this NPI record is Mr. Kenneth E Baranski Cpa (Cfo)

NPI
1427251750
Provider Legal Name
GENERAL JOHN J PERSHING MEMORIAL HOSPITAL
Other Organization Name
PERSHING MEMORIAL HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
130 E LOCKLING ST BROOKFIELD, MO 64628
Location Phone
(660) 258-2222
Location Fax
(660) 258-5668
Mailing Address
130 E LOCKLING ST BROOKFIELD, MO 64628
Mailing Phone
(660) 258-2222
Mailing Fax
(660) 258-5668
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-06-2007
Last Update Date
11-08-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
License No.
20001006915
License State
MO
Taxonomy Description
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. KENNETH E BARANSKI CPA

Authorized Official Title
CFO
Authorized Official Phone
(660) 258-1288

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
358970002MEDICAID (05)MO 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427251750
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447452710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 4 + 5 + 2 + 7 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1427251750 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

MRS. KARLA DENISE CLUBINE FNP/PNP

Nurse Practitioner

(Family)

130 E LOCKLING ST
BROOKFIELD, MO
ZIP 64628

(660) 258-1050

DR. JERRY L WAIT DO

Family Medicine

130 E LOCKLING ST
BROOKFIELD, MO
ZIP 64628

(660) 258-1050

IRENE NEWMAN PARSONSON FNP

Nurse Practitioner

(Family)

130 E LOCKLING ST
BROOKFIELD, MO
ZIP 64628

(660) 258-1050

MR. GARY W FITE P.T.

Physical Therapist

130 E LOCKLING ST
BROOKFIELD, MO
ZIP 64628

(660) 258-2222

MS. KIMMY ANN MINKLER M.P.T.

Physical Therapist

130 E LOCKLING ST
BROOKFIELD, MO
ZIP 64628

(660) 258-2222

DAVID LORIS DOLLINS D.O.

General Practice

130 E LOCKLING ST
BROOKFIELD, MO
ZIP 64628

(660) 258-1041

AMY CREASON FNP

Nurse Practitioner

(Family)

130 E LOCKLING ST
BROOKFIELD, MO
ZIP 64628

(660) 258-1050

AMBER DENAE SINGER NP-C

Nurse Practitioner

(Family)

130 E LOCKLING ST
BROOKFIELD, MO
ZIP 64628

(660) 258-1050

RUSSELL TODD ALLEN DO

Emergency Medicine

130 E LOCKLING ST
BROOKFIELD, MO
ZIP 64628

(660) 258-2222

GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION

Clinic/Center

(Rural Health)

130 E LOCKLING ST
BROOKFIELD, MO
ZIP 64628

(660) 258-1288

GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION

Clinic/Center

(Health Service)

130 E LOCKLING ST
BROOKFIELD, MO
ZIP 64628

(660) 258-1050

GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION

General Acute Care Hospital

(Critical Access)

130 E LOCKLING ST
BROOKFIELD, MO
ZIP 64628

(660) 258-2222

GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION

Clinic/Center

(Rural Health)

130 E LOCKLING ST
BROOKFIELD, MO
ZIP 64628

(660) 258-1050

GENERAL JOHN J PERSHING MEMORIAL HOSPITAL ASSOCIATION

Medicare Defined Swing Bed Unit

130 E LOCKLING ST
BROOKFIELD, MO
ZIP 64628

(660) 258-2222

GENERAL JOHN J PERSHING MEMORIAL HOSPITAL

Nurse Anesthetist, Certified Registered

130 E LOCKLING ST
BROOKFIELD, MO
ZIP 64628

(660) 258-2222

GENERAL JOHN J PERHSING MEMORIAL HOSPITAL ASSOCIATION

Clinic/Center

(Rural Health)

130 E LOCKLING ST
BROOKFIELD, MO
ZIP 64628

(660) 258-8237

MEGAN EILEEN RODGERS TSCHANNEN PMHNP

Nurse Practitioner

(Psychiatric/Mental Health)

130 E LOCKLING ST
BROOKFIELD, MO
ZIP 64628

(660) 258-1050

WILLIAM TSCHANNEN PA-C

Physician Assistant

(Medical)

130 E LOCKLING ST
BROOKFIELD, MO
ZIP 64628

(660) 258-2222

MADHURESH KUMAR M.D.

Internal Medicine

130 E LOCKLING ST
BROOKFIELD, MO
ZIP 64628

(660) 258-2222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427251750, enumerated as an "organization" on June 06, 2007.

The provider is located at 130 E LOCKLING ST BROOKFIELD, MO 64628 and the phone number is (660) 258-2222.

Dietitian, Registered with taxonomy code 133V00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.