MR. RONALD A VAHL (NPI# 1124136890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124136890 |
| Entity Type | Individual |
| Full Name | MR. RONALD A VAHL |
| Credential | CPO |
| Practice Address |
2021 S Waverly Ave Ste 300 Springfield MO 65804-2417 |
| Practice Telephone | 4178868881 |
| Mailing Telephone | 4178868881 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
02674 | MO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUECROSS BLUESHIELD | 31440 | 01 |
| Street Address |
2021 S WAVERLY AVE STE 300 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679684013 | Alpha-omega Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 2021 S Waverly Ave Ste 300, Springfield, MO 65804-2417 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689004806 | Patricia Gentry-young | Specialist | 1928 E High St, Springfield, OH 45505-1228 | 2013-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629698 | Felicia Cann-hanson | Specialist | 109 Seville Ct, Florissant, MO 63033-2852 | 2020-08-16 |
| 1710504576 | Anita Lynn Holbrook | Specialist | 4603 Natural Bridge Ave, Saint Louis, MO 63115-1922 | 2020-06-28 |
| 1467075762 | Yolande J Crawford | Specialist | 15 Winter Hill Ct, O Fallon, MO 63366-3961 | 2020-05-20 |
| 1881224228 | Tailored Made Hair Replacement Center LLC | Specialist | 201 W Switzler St Ste B, Centralia, MO 65240-1594 | 2020-01-24 |
| 1104484880 | Brandi Ann Harris | Specialist | 416 E Broadway, Columbia, MO 65201-4438 | 2019-05-29 |
| 1689153082 | Sew St. Louis LLC | Specialist | 2172 N Waterford Dr, Florissant, MO 63033 | 2018-08-07 |
| 1700363546 | Deshona Marie West | Specialist | 1474 Stonebury Ct, Florissant, MO 63033-6109 | 2018-07-24 |
| 1093228629 | Monique Cherise Richard | Specialist | 5874 Delmar Blvd # 201-202, Saint Louis, MO 63112-2338 | 2017-11-06 |
| 1093232712 | Timothy Duane Lindsey | Specialist | 5915 Suemandy Dr, Saint Peters, MO 63376-4314 | 2017-08-23 |
| 1932625415 | Haven of Grooming | Specialist | 51 Florissant Oaks Shop Center, Florissant, MO 63031 | 2017-08-16 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
Please comment or provide details below to improve the information on MR. RONALD A VAHL.
| 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.