Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mosaic Medical Center - Maryville

Organization Family Medicine Physician · NPI 1598239790

Mosaic Medical Center - Maryville is a Family Medicine Physician in Maryville, Missouri. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
6

Practice location Address checks out

114 E South Hills Dr
Maryville, MO 64468-2659
Phone: (660) 562-2525
Fax: (660) 562-4303
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X
Psychiatry Physician Taxonomy 2084P0800X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1598239790
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dwight Carvell — Director Of Reimburement · (816) 273-0473
Other names Mosaic Specialty Care - East
NPI enumeratedJanuary 22, 2019
Last updated in NPPESJune 10, 2019
Mailing address114 E South Hills Dr, Maryville, MO 64468-2659

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