NAVID S SIDDIQUI (NPI# 1083692677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083692677 |
| Entity Type | Individual |
| Full Name | NAVID S SIDDIQUI |
| Credential | MD |
| Practice Address |
686 Lester St Poplar Bluff MO 63901 |
| Mailing Address |
Po Box 220 Poplar Bluff MO 63902 |
| Practice Telephone | 5736862411 |
| Practice Fax Number | 5736868452 |
| Mailing Telephone | 5736862411 |
| Mailing Fax Number | 5736868452 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2015-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 115197 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRAVELERS MEDICARE | 110198237 | 01 | |
| AR | ARKANSAS MEDICAID | 139730001 | 01 |
| MO | 203849336 | 05 |
| Street Address |
686 LESTER ST |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598743122 | Jeffry T Till | Social Worker | 686 Lester St, Poplar Bluff, MO 63901 | 2006-01-04 |
| 1083181416 | Elizabeth Ann L'heureux | Nurse Practitioner | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2018-10-24 |
| 1871026005 | Saint Francis Medical Center | Nurse Practitioner | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2017-04-05 |
| 1356706378 | Saint Francis Medical Center | Psychologist | 686 Lester St, Poplar Bluff, MO 63901 | 2015-12-17 |
| 1063808145 | Jennie Mabrey | Hearing Instrument Specialist | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2015-04-15 |
| 1417379488 | Chris E Martin | Social Worker | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2014-01-10 |
| 1740592435 | Michael Dewayne Roach | Family Medicine | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2010-07-09 |
| 1205168374 | Stacey E Bruce | Social Worker | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2010-02-01 |
| 1659606713 | Jill M Mcgruder | Nurse Practitioner | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2009-10-07 |
| 1821240896 | Kneibert Clinic LLC | Clinic/Center | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2008-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023523933 | First Medical Group, LLC | Internal Medicine | 3050 Tucker Rd, Poplar Bluff, MO 63901-7527 | 2017-12-14 |
| 1750469763 | Haven Hills Medical Clinic | Internal Medicine | 1611 Lurlyn Road, Poplar Bluff, MO 63901 | 2006-11-01 |
| 1023128840 | Philma Balite Opinaldo | Internal Medicine | 225 Physicians Parkway, Suite 303, Poplar Bluff, MO 63901 | 2006-08-30 |
| 1356305684 | Tirso J Aldana | Internal Medicine | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2006-04-13 |
| 1700882016 | Stephen A Segall | Internal Medicine | 1879 N Westwood Blvd, Poplar Bluff, MO 63901-2833 | 2005-06-22 |
| 1689110611 | Prachi Avinash Pophali | Internal Medicine | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2017-01-14 |
| 1588118020 | Abhishek Ambarisha Bhandiwad | Internal Medicine | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2016-08-13 |
| 1780065615 | Velmathy Ponnambalam | Internal Medicine | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2015-06-16 |
| 1689096919 | Saint Francis Medical Center | Internal Medicine | 225 Physicians Park, Ste 400, Poplar Bluff, MO 63901-3956 | 2014-01-06 |
| 1053659904 | Southeasthealth Hospital Holdings, LLC | Internal Medicine | 2002 Kanell Blvd, Poplar Bluff, MO 63901-4045 | 2013-01-28 |
| Find all providers in POPLAR BLUFF | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
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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.