STEPHEN J BAZZANO (NPI# 1063423150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063423150 |
| Entity Type | Individual |
| Full Name | STEPHEN J BAZZANO |
| Credential | DO |
| Practice Address |
111 E 7th St Galena KS 66739-1229 |
| Mailing Address |
Po Box 277 111 E 7th St Galena KS 66739 |
| Practice Telephone | 6207831358 |
| Practice Fax Number | 6207835055 |
| Mailing Telephone | 6207831358 |
| Mailing Fax Number | 6207835055 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2010-08-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 14599 | KS | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 32305 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | PALMETTO GBA RAILROAD MCR | 080075003 | 01 |
| MO | 240387613 | 05 | |
| KS | 100098210A | 05 |
| Street Address |
111 E 7TH ST |
| City | GALENA |
| State | KS |
| Zip Code | 66739-1229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558699017 | Bazzano Clinic Pa | Family Medicine | 111 E 7th St, Galena, KS 66739-1229 | 2009-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396097317 | City of Galena-kansas | General Acute Care Hospital | 1619 K 66, Galena, KS 66739 | 2012-10-15 |
| 1235262924 | Jessica Dawn Kirk | Nurse Practitioner | 444 Four States Dr., Galena, KS 66739 | 2007-03-13 |
| 1841431376 | Stateline Surgery Center, LLC | Clinic/Center | 444 Four States Dr, Suite 2, Galena, KS 66739 | 2009-03-12 |
| 1598933657 | Brant Stephen Ansley | Physician Assistant | 444 Four States Dr, Suite 1, Galena, KS 66739 | 2008-02-12 |
| 1043437767 | Terry Lynn Vogt | Physician Assistant | 444 Four States Dr, Suite 1, Galena, KS 66739 | 2007-04-20 |
| 1528095973 | Katie L Marsh | Physician Assistant | 444 Four States Dr, Suite 1, Galena, KS 66739 | 2006-06-28 |
| 1598792582 | Larry D Neff Jr. | Physician Assistant | 444 Four States Dr, Suite 1, Galena, KS 66739 | 2006-06-27 |
| 1407086051 | Brent Wayne Mcbrien | Physical Therapy Assistant | 109 W Empire St, Galena, KS 66739-1013 | 2009-07-16 |
| 1801862719 | 252 Health Care Consultants Inc | Skilled Nursing Facility | 109 West Empire, Galena, KS 66739-1013 | 2006-02-28 |
| 1760094189 | Midwest Respiratory Care Inc | Durable Medical Equipment & Medical Supplies | 609 S Main St, Galena, KS 66739-1221 | 2020-08-18 |
| Find all providers in zip 66739 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619951894 | Frederick Paul Vandusen | Family Medicine | 119 C N Main Street, Galena, MD 21635 | 2005-12-01 |
| 1558699017 | Bazzano Clinic Pa | Family Medicine | 111 E 7th St, Galena, KS 66739-1229 | 2009-11-21 |
| 1831128412 | Elizabeth Ann Gullone | Family Medicine | One Medical Center Dr, Galena, IL 61036 | 2006-07-03 |
| 1548290901 | Matthew Paul Gullone | Family Medicine | One Medical Center Dr, Galena, IL 61036 | 2006-07-03 |
| 1194771840 | Gregory Andrew Vandigo | Family Medicine | 10988 Bartel Blvd, Galena, IL 61036-8222 | 2006-05-25 |
| 1053363903 | Mary C Koenigs | Family Medicine | 10988 Bartel Blvd, Galena, IL 61036-8222 | 2006-05-17 |
| 1003866104 | Gene Allen Crist | Family Medicine | 10988 Bartel Blvd, Galena, IL 61036-8222 | 2006-05-11 |
| 1881644706 | Gary Owen Bernard | Family Medicine | 10988 Bartel Blvd, Galena, IL 61036-8222 | 2006-05-11 |
| 1679549877 | Greg Harmston | Family Medicine | 1 Medical Center Dr, Galena, IL 61036-8118 | 2006-02-27 |
| 1023082807 | Michael J Wells | Family Medicine | 1 Medical Center Dr, Galena, IL 61036-8118 | 2006-02-16 |
| Find all providers in GALENA | ||||
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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.