DR. GEORGE L MCELROY (NPI# 1083649115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083649115 |
| Entity Type | Individual |
| Full Name | DR. GEORGE L MCELROY |
| Credential | M.D. |
| Practice Address |
3348 American Ave Jefferson City MO 65109-1079 |
| Practice Telephone | 5737617210 |
| Practice Fax Number | 5736348802 |
| Mailing Telephone | 5737617210 |
| Mailing Fax Number | 5736348802 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2012-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 35028 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 200951408 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104987874 | George Bowden Mcelroy Iv | Counselor | 7136 S Yale Ave Ste 310, Tulsa, OK 74136-6373 | 2006-12-13 |
| Street Address |
3348 AMERICAN AVE |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-1079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396782587 | Ssm Regional Health Services | Clinic/Center | 3348 American Ave, Jefferson City, MO 65109-1079 | 2006-05-31 |
| 1487166401 | Melinda Jean Phillips | Nurse Practitioner | 3348 American Ave, Jefferson City, MO 65109-1079 | 2017-10-31 |
| 1417333253 | Olga Brea Pena | Pediatrics | 3348 American Ave, Jefferson City, MO 65109-1079 | 2015-08-04 |
| 1467835199 | Bethany Crawford | Pediatrics | 3348 American Ave, Jefferson City, MO 65109-1079 | 2015-06-30 |
| 1740565779 | Tara Lyn Kempker | Registered Nurse | 3348 American Ave, Jefferson City, MO 65109-1079 | 2011-10-21 |
| 1568495125 | Deborah L Palada | Nurse Practitioner | 3348 American Ave, Jefferson City, MO 65109-1079 | 2006-07-08 |
| 1093746653 | Brian Conley | Pediatrics | 3348 American Ave, Jefferson City, MO 65109-1079 | 2006-07-05 |
| 1912937798 | Mary Deeken | Pediatrics | 3348 American Ave, Jefferson City, MO 65109-1079 | 2006-07-04 |
| 1255361036 | Jennifer Krause | Pediatrics | 3348 American Ave, Jefferson City, MO 65109-1079 | 2006-07-04 |
| 1063440154 | William Busby | Pediatrics | 3348 American Ave, Jefferson City, MO 65109-1079 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417333253 | Olga Brea Pena | Pediatrics | 3348 American Ave, Jefferson City, MO 65109-1079 | 2015-08-04 |
| 1467835199 | Bethany Crawford | Pediatrics | 3348 American Ave, Jefferson City, MO 65109-1079 | 2015-06-30 |
| 1760774301 | Jessica Deanne Albright | Pediatrics | 120 Hospital Dr, Suite 130, Jefferson City, TN 37760-5287 | 2011-05-13 |
| 1750510640 | Smruthi Sanath Kumar | Pediatrics | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2009-07-13 |
| 1962613430 | Richard Jay Iken | Pediatrics | 1125 Madison St, Jefferson City, MO 65101-5227 | 2007-05-25 |
| 1326267659 | Pauline E. Burrell | Pediatrics | 1125 Madison St, Jefferson City, MO 65101-5227 | 2007-04-25 |
| 1902820624 | Laura Kraus | Pediatrics | 657 E Broadway Blvd, Suite D, Jefferson City, TN 37760-4948 | 2006-07-26 |
| 1366477291 | Nancy Howe | Pediatrics | 3400 W Truman Blvd, Jefferson City, MO 65109-5712 | 2006-07-11 |
| 1093746653 | Brian Conley | Pediatrics | 3348 American Ave, Jefferson City, MO 65109-1079 | 2006-07-05 |
| 1912937798 | Mary Deeken | Pediatrics | 3348 American Ave, Jefferson City, MO 65109-1079 | 2006-07-04 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
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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.