Ozark Valley Medical Clinic, LLC
NPI 1639686850ActiveOrganization· Family Medicine· Ozark, MO
Family Medicine in Ozark, Missouri, registered in NPPES in January 2018, part of Lift Up Someone Today. The authorized official on file is Patricia Ashton Derges, MD, Ceo/Owner.
Overview
| NPI | 1639686850 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Lift Up Someone Today |
| NPI issued | Jan 9, 2018 |
| Last updated in NPPES | Mar 17, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 2017032792 | MO |
| Family Medicine | 207Q00000X | 2017017409 | MO |
| Family Medicine | 207Q00000X | 2017024744 | MO |
| Pain Medicine, Pain Medicine | 208VP0000X | 2017032792 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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