OrganizationActive
Pcrmc Medical Group Inc
NPI 1093012890 · Podiatrist · Rolla, MO
Pcrmc Medical Group Inc is a Podiatrist organization in Rolla, MO (NPI 1093012890).
Provider details
- NPI number
- 1093012890
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Hal Wagher, Corporate Compliance Officer(573) 458-7615
- License
- MODOR4D88 (MO)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Other Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1050 W 10th St
Ste 420
Rolla, MO 65401-2905
Phone: (573) 458-3425
Fax: (573) 426-2282
Street-level locationGet directions
Mailing address
Po Box 579
Rolla, MO 65402-0579
Registry dates
- Enumerated
- 2011-02-15
- Last updated
- 2011-02-15
Frequently asked questions
- What is Pcrmc Medical Group Inc's NPI number?
- Pcrmc Medical Group Inc's National Provider Identifier (NPI) is 1093012890, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pcrmc Medical Group Inc?
- Pcrmc Medical Group Inc is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Pcrmc Medical Group Inc located?
- Pcrmc Medical Group Inc's practice location on file with NPPES is 1050 W 10th St, Rolla, MO 65401-2905.
- What is Pcrmc Medical Group Inc's phone number?
- The practice phone number listed in the NPPES registry for Pcrmc Medical Group Inc is (573) 458-3425.
- Who is the authorized official for Pcrmc Medical Group Inc?
- The authorized official listed on Pcrmc Medical Group Inc's NPPES record is Hal Wagher, Corporate Compliance Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pcrmc Medical Group Inc's NPI active?
- Yes — Pcrmc Medical Group Inc's NPI (1093012890) is active in the NPPES registry as of the last update on 2011-02-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.