OrganizationActive
Hannibal Clinic Operations, L.L.C.
NPI 1962481663 · Family Medicine Physician · Palmyra, MO
Provider details
- NPI number
- 1962481663
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Bukstein, Physician Exec Director(573) 231-3172
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1811 S Main St
Palmyra, MO 63461-1961
Phone: (573) 769-2231
Fax: (573) 769-3953
Street-level locationGet directions
Mailing address
100 Medical Dr
Hannibal, MO 63401-6877
Other names (DBA / former)
- Other name
- Hannibal Clinic @ Palmyra
- Other name
- Hannibal Clinic @ Palmyra
Registry dates
- Enumerated
- 2006-01-11
- Last updated
- 2022-04-18
- Certified
- 2022-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.