MIGNON M MAKOS (NPI# 1043203748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043203748 |
| Entity Type | Individual |
| Full Name | MIGNON M MAKOS |
| Credential | MD |
| Practice Address |
1050 W 10th St Rolla MO 65401 |
| Mailing Address |
Po Box 579 Rolla MO 65402 |
| Practice Telephone | 5733649000 |
| Practice Fax Number | 8163643894 |
| Mailing Telephone | 8163643834 |
| Mailing Fax Number | 8163643894 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2019-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
R2F40 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 202550208 | 05 |
| Street Address |
1050 W 10TH ST |
| City | ROLLA |
| State | MO |
| Zip Code | 65401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962570 | Donald James Mcmullin | Internal Medicine | 1050 W 10th St, Rolla, MO 65401 | 2005-06-16 |
| 1366066037 | Pcrmc Medical Group, Inc | Clinic/Center | 1050 W 10th St, Rolla, MO 65401-2905 | 2020-05-29 |
| 1659857415 | Josie Leann Eoff | Nurse Practitioner | 1050 W 10th St, Rolla, MO 65401 | 2018-07-16 |
| 1659893758 | Joshua Thomas Turnbaugh | Nurse Practitioner | 1050 W 10th St, Rolla, MO 65401 | 2017-07-10 |
| 1700327897 | Emily Wiseman | Nurse Practitioner | 1050 W 10th St, Rolla, MO 65401 | 2017-03-09 |
| 1487046181 | Pamela N. Gray | Physician Assistant | 1050 W 10th St, Rolla, MO 65401-2905 | 2015-03-04 |
| 1174928857 | Arezo Hesaraki | Dentist | 1050 W 10th St, Ste 480, Rolla, MO 65401-2905 | 2014-10-23 |
| 1922416296 | Karen Ulrich | Advanced Practice Midwife | 1050 W 10th St, Rolla, MO 65401-2905 | 2014-07-30 |
| 1093142531 | Meredith Leigh Napierala | Nurse Practitioner | 1050 W 10th St, Rolla, MO 65401-2905 | 2013-09-30 |
| 1528409638 | Curtis Morrison | Internal Medicine | 1050 W 10th St, Rolla, MO 65401-2905 | 2013-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
| 1427567726 | Gerry Wade Funkhouser Jr. | Counselor | 103 W 10th St, Rolla, MO 65401 | 2017-09-29 |
| 1366967960 | Shana Hintz Wisniewski | Social Worker | 1000 W. 10th St., Rolla, MO 65401 | 2017-08-04 |
| 1174066559 | Tabitha Hundt | Counselor | 1011 Cypress Dr, Rolla, MO 65401 | 2016-12-02 |
| 1841742855 | Alpha Assisted Living LLC | Assisted Living Facility | 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 | 2016-10-26 |
| 1275916884 | Elizabeth Zersen | Occupational Therapist | 2053 Vienna Rd, Rolla, MO 65401 | 2015-06-30 |
| 1386047025 | Becky L Witham | Nurse Practitioner | 1060 W 10th Street, Rolla, MO 65401 | 2014-10-08 |
| 1114326121 | Summer Adey | Licensed Practical Nurse | 13750 State Route F, Rolla, MO 65401 | 2014-08-14 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1316282064 | Susan Peitz Gruener | Occupational Therapy Assistant | 1800 White Column Road, Rolla, MO 65401 | 2012-12-06 |
| Find all providers in zip 65401 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871975672 | Byungkwan Hwang | Psychiatry & Neurology | 1605 Martin Springs Dr Ste 310, Rolla, MO 65401-2996 | 2015-06-29 |
| 1144648221 | Hala Samman | Psychiatry & Neurology | 1050 W 10th St Ste 350, Rolla, MO 65401-2905 | 2014-04-04 |
| 1144612219 | Asma Malik | Psychiatry & Neurology | 1050 W 10th St Ste 350, Rolla, MO 65401-2905 | 2015-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528665957 | Green Ring LLC | Psychiatry & Neurology | 7611 State Line Rd Ste 130, Kansas City, MO 64114-1696 | 2020-10-08 |
| 1356962799 | Mindsmattersmd LLC | Psychiatry & Neurology | 3305 Clark Ln, Pmb 130, Columbia, MO 65202-2404 | 2020-04-27 |
| 1316441470 | Earl Randolph Hackett | Psychiatry & Neurology | 2517 S. Brentwood, Springfield, MO 65804-3201 | 2018-03-22 |
| 1225547722 | Nikita M Maniar | Psychiatry & Neurology | 2301 Holmes St Dept Of, Kansas City, MO 64108-2640 | 2017-09-27 |
| 1083065148 | Waleed Raheem Abood Abood | Psychiatry & Neurology | 1 Hospital Drive, Ste 507, Columbia, MO 65202 | 2016-06-29 |
| 1750764866 | Jeffrey Calvin | Psychiatry & Neurology | 621 S New Ballas Rd Ste 6005b, Saint Louis, MO 63141-8273 | 2015-07-07 |
| 1255747119 | Leah Brancheck | Psychiatry & Neurology | 111 Saint Lukes Center Dr Ste 20b, Chesterfield, MO 63017-3509 | 2014-07-10 |
| 1710326939 | Emily Louise Evans | Psychiatry & Neurology | 1176 Town and Country Commons Dr, Chesterfield, MO 63017 | 2013-06-20 |
| 1871848853 | Michael David White | Psychiatry & Neurology | 4901 Forest Park Ave, 2nd Floor Medicine Clinic, Center for Outpatient Health, Saint Louis, MO 63108 | 2012-07-17 |
| 1407111313 | Pavan Tummala | Psychiatry & Neurology | 3800 S National Ave Ste 900, Springfield, MO 65807-5209 | 2012-07-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.