NPI Registry.org

Circle Maker Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
CIRCLE MAKER LLC19621341142023-03-11

The organization Circle Maker Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1962134114. Registration indicates Circle Maker Llc is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)

Other Names:
Entity TypeOrganization
Provider OrganizationCIRCLE MAKER LLC
Other Provider OrganizationCENTER FOR DIAGNOSTIC MEDICINE
Practice Office Address320 W MOUNT VERNON BLVD
MOUNT VERNON, MO US
Practice Office Telephone4174610056
Practice Office Fax8337071944
Mailing Address320 W MOUNT VERNON BLVD
MOUNT VERNON, MO 657121940 US
Business Telephone4174610056
Authorized OfficialLISA LYNN PARKER, PHYSICIAN
4174613009
Contact Endpoints
work email [][email protected]Health Information Exchange (HIE)
HPT Codes
CodePractice
License No
State
207Q00000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Allopathic & Osteopathic Physicians
Family MedicineAccess to Pediatric Primary Care Providers
Allopathic & Osteopathic Physicians
Family Medicine
Allopathic & Osteopathic Physicians
Family Medicine
Family Medicine

Primary Care/Family Planning/APRN/PA

Family Medicine
Allopathic & Osteopathic Physicians
193400000X SINGGroup Code
OPI Codes
205890106 MEDICAID MO
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