DAVID A. MCGATHA (NPI# 1053660860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053660860 |
| Entity Type | Individual |
| Full Name | DAVID A. MCGATHA |
| Credential | FNP-C |
| Practice Address |
107 W Broadway St El Dorado Springs MO 64744-1133 |
| Mailing Address |
Po Box 2580 Springfield MO 65801-2580 |
| Practice Telephone | 8884031071 |
| Mailing Telephone | 4178294620 |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2019-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 126766 | MO | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2012029889 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2018035988 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RR MCR | P01213219 | 01 |
| MO | TRICARE | 431560263 | 01 |
| MO | 1053660860 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 309 E Hospital Rd, El Dorado Springs, MO 647442021 | 4178765851 |
| Street Address |
107 W BROADWAY ST |
| City | EL DORADO SPRINGS |
| State | MO |
| Zip Code | 64744-1133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346233533 | Melissa B Jones | Psychiatry & Neurology | 107 W Broadway St, El Dorado Springs, MO 64744-1133 | 2005-08-24 |
| 1922522317 | Brooke Mckenna Hamilton | Dental Hygienist | 107 W Broadway St, El Dorado Springs, MO 64744-1133 | 2017-07-28 |
| 1396275616 | Jennifer Strickler | Licensed Practical Nurse | 107 W Broadway St, El Dorado Springs, MO 64744-1133 | 2017-06-19 |
| 1184014946 | Christine Whitworth | Counselor | 107 W Broadway St, El Dorado Springs, MO 64744-1133 | 2015-02-02 |
| 1710380688 | Compass Health, Inc. | Clinic/Center | 107 W Broadway St, El Dorado Springs, MO 64744-1133 | 2014-10-06 |
| 1063814606 | Teddi Taylor | Licensed Practical Nurse | 107 W Broadway St, El Dorado Springs, MO 64744-1133 | 2014-09-25 |
| 1144629270 | Debbie Taylor | Licensed Practical Nurse | 107 W Broadway St, El Dorado Springs, MO 64744-1133 | 2014-08-14 |
| 1225461098 | John Michael Dandurand | Counselor | 107 W Broadway St, El Dorado Springs, MO 64744-1133 | 2013-08-15 |
| 1508198235 | Carla Renelle Mcewan | Licensed Practical Nurse | 107 W Broadway St, El Dorado Springs, MO 64744-1133 | 2010-02-05 |
| 1740516723 | Sandra Jo Mcgatha | Social Worker | 107 W Broadway St, El Dorado Springs, MO 64744 | 2009-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295251742 | Rachel Kauffman | Pharmacist | 1403 S. Park St., El Dorado Springs, MO 64744 | 2017-08-16 |
| 1457898603 | Stephanie Louise Miller | Nurse Practitioner | 322 E Hospital Rd, El Dorado Springs, MO 64744 | 2017-01-26 |
| 1902200645 | Kimberly Denise Souza | Nurse Practitioner | 1317 South Hwy. 32, El Dorado Springs, MO 64744 | 2014-10-09 |
| 1376843714 | Sandra Jeanne Moore | Registered Nurse | 107 W Broadway, Pathway's Behavioral Health Care, Eldorado Springs, MO 64744 | 2010-11-02 |
| 1275674715 | Michael Lee Housh | Dentist | 605 E Hospital Road, Suite #1, El Dorado Springs, MO 64744 | 2007-02-09 |
| 1932269446 | State of Missouri | Case Management | 1301 Industrial Prkwy E, El Dorado Springs, MO 64744 | 2006-12-12 |
| 1720195845 | Wilkinson Pharmacy Inc | Pharmacy | 200 E Hwy 54, El Dorado Springs, MO 64744 | 2006-08-24 |
| 1881608685 | Cedar County Memorial Hospital | Clinic/Center | 1317 S. Highway 32, El Dorado Springs, MO 64744 | 2006-07-28 |
| 1942243639 | Todd P. Hill | Dentist | 107 Broadway Street, El Dorado Springs, MO 64744 | 2006-06-13 |
| 1902379266 | El Dorado Vision LLC | Optometrist | 701 E Hospital Rd, El Dorado Springs, MO 64744 | 2019-01-09 |
| Find all providers in zip 64744 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1376152546 | Chijioke Francisca Mbah | Nurse Practitioner | 900 Sw 33rd St, Lees Summit, MO 64082-4191 | 2020-07-23 |
| 1740807825 | Aldijana Sacic | Nurse Practitioner | 8525 Glenwood Dr, Saint Louis, MO 63126-1849 | 2020-07-06 |
| 1639796766 | Courtney Paige Schult | Nurse Practitioner | 431 Stonewater Dr, Pevely, MO 63070-3210 | 2020-07-06 |
| 1912524059 | Farah Lynn Shaddix | Nurse Practitioner | 1103 Warm Winds Dr, O Fallon, MO 63366-6327 | 2020-07-05 |
| 1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
| 1215551973 | Nicole Lynn Parker | Nurse Practitioner | 1000 Jackson St Apt 1, Saint Charles, MO 63301-2676 | 2020-05-28 |
| 1386273217 | Andrea Morrow Wright | Nurse Practitioner | 8833 N Congress Ave Apt 813, Kansas City, MO 64153-1991 | 2020-04-03 |
| 1700413580 | Solange-belle Boma | Nurse Practitioner | 6326 Ne 44th St, Kansas City, MO 64117-1687 | 2020-03-24 |
| 1063044626 | Beatriz Fortaleza | Nurse Practitioner | 2305 South 65 Highway, Bldg A., Marshall, MO 65340-3702 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
| City | EL DORADO SPRINGS |
| Zip Code | 64744 |
Please comment or provide details below to improve the information on DAVID A. MCGATHA.
| 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.