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

Theodosia Medical Center

Organization Family Medicine Physician · NPI 1679571590

Theodosia Medical Center is a Family Medicine Physician in Theodosia, Missouri. Licensed in Missouri. Registered with an NPI since 2005.

Licensed in
MO
In the registry since
2005

Practice location Address checks out

US Highway 160 #1
Theodosia, MO 65761
Phone: (417) 273-4449
Fax: (417) 273-4489
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (MO)

Record details

NPI number1679571590
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marian Stewart — Physician Owner · (417) 273-4449
NPI enumeratedJuly 13, 2005
Last updated in NPPESJuly 21, 2022
Mailing address516 Iowa Colony Rd, Hollister, MO 65672-5270