Calvary Medical Center, LLC
NPI 1528263464 · Family Medicine Physician · Newark, MO
Calvary Medical Center, LLC is a Family Medicine Physician organization in Newark, MO (NPI 1528263464).
Provider details
- NPI number
- 1528263464
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wendell Nickerson, Owner(660) 284-4300
- License
- R9345 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-06-20
- Last updated
- 2010-11-09
Frequently asked questions
- What is Calvary Medical Center, LLC's NPI number?
- Calvary Medical Center, LLC's National Provider Identifier (NPI) is 1528263464, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Calvary Medical Center, LLC?
- Calvary Medical Center, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Calvary Medical Center, LLC located?
- Calvary Medical Center, LLC's practice location on file with NPPES is 450 New Creation Road North, Newark, MO 63458-9744.
- What is Calvary Medical Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Calvary Medical Center, LLC is (660) 284-4300.
- Who is the authorized official for Calvary Medical Center, LLC?
- The authorized official listed on Calvary Medical Center, LLC's NPPES record is Wendell Nickerson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Calvary Medical Center, LLC's NPI active?
- Yes — Calvary Medical Center, LLC's NPI (1528263464) is active in the NPPES registry as of the last update on 2010-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.