NPI Code Details Logo

NPI 1558305789

NPI 1558305789 : SAMUEL W FERRERI MD : BOWLING GREEN, MO

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1558305789
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SAMUEL W FERRERI MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/16/2006
-----------------------------------------------------
    Last Update Date     |    01/23/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    8 TOWN CENTER DR 
-----------------------------------------------------
    City                 |    BOWLING GREEN
-----------------------------------------------------
    State                |    MO
-----------------------------------------------------
    Zip                  |    63334-2803
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    573-324-2241
-----------------------------------------------------
    Fax                  |    573-324-5162
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 1239 
-----------------------------------------------------
    City                 |    HANNIBAL
-----------------------------------------------------
    State                |    MO
-----------------------------------------------------
    Zip                  |    63401-1239
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    573-629-5309
-----------------------------------------------------
    Fax                  |    573-248-5448
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    109061
-----------------------------------------------------
    License Number State |    MO
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.