MYLES MCDONALD EDWARDS (NPI# 1144820168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144820168 |
Entity Type | Individual |
Full Name | MYLES MCDONALD EDWARDS |
Practice Address |
1211 E Broadway Columbia MO 65215-0001 |
Practice Telephone | 5734422211 |
Enumeration Date | 2020-10-28 |
Last Update Date | 2020-10-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
1211 E BROADWAY |
City | COLUMBIA |
State | MO |
Zip Code | 65215-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265068175 | Chelsea Gordon Yates | Student in an Organized Health Care Education/Training Program | 1211 E Broadway, Columbia, MO 65215-0001 | 2020-03-23 |
1043839434 | Elizabeth Whitney Raphael | Student in an Organized Health Care Education/Training Program | 1211 E Broadway, Columbia, MO 65201 | 2020-04-15 |
1982238374 | Lindsey Graham | Student in an Organized Health Care Education/Training Program | 1211 E Broadway, Columbia, MO 65201 | 2020-02-25 |
1144853748 | Joshua Cole Herrman | Student in an Organized Health Care Education/Training Program | 1211 E Broadway, Columbia, MO 65201 | 2020-02-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275721110 | Health Connection | Community Health Worker | 1507 E Broadway, Hillcrest Hall, Columbia, MO 65215-0001 | 2007-10-04 |
1164043352 | Katherine Bollinger | Student in an Organized Health Care Education/Training Program | 1200 E Broadway, Columbia, MO 65215-0001 | 2020-04-29 |
1902427040 | Brooklynne Elizabeth Fogle | Student in an Organized Health Care Education/Training Program | 1200 E Broadway, Columbia, MO 65215-0001 | 2020-04-29 |
1558990382 | Aaron Matthew Cervantes | Student in an Organized Health Care Education/Training Program | 1200 E Broadway, Columbia, MO 65215-0001 | 2020-04-03 |
1548894454 | Kristen Amanda Fisher | Student in an Organized Health Care Education/Training Program | 1200 E Broadway, Columbia, MO 65215-0001 | 2020-02-29 |
1568653913 | Kimberly K. Smith | Counselor | 1200 E Broadway, Stephens College, Stamper Commons, Columbia, MO 65215-0001 | 2007-08-08 |
1700417615 | Brandi Vanbooven | Physician Assistant | 1200 E Broadway, Columbia, MO 65215-1000 | 2020-01-29 |
1982138038 | Edward R Wilkerson | Specialist/Technologist | 1200 E Broadway, Columbia, MO 65215-1000 | 2017-04-15 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891313292 | Zachary Blake Riggs | Student in an Organized Health Care Education/Training Program | 2025 Gervais St Unit 321c, Columbia, SC 29204-1803 | 2020-07-12 |
1144848797 | Katrina Marie Linenko | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 3707c, Columbia, SC 29201-5622 | 2020-07-10 |
1790303402 | Kaitlyn Michele Pierce | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 1905c, Columbia, SC 29201-5607 | 2020-07-09 |
1316565211 | Erin Maureen Bryant | Student in an Organized Health Care Education/Training Program | 811 Polo Rd Apt 517, Columbia, SC 29223-4426 | 2020-07-08 |
1265050132 | Leona Joyce Keller | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 901, Columbia, SC 29201-5194 | 2020-07-08 |
1922626720 | Brett William Elder | Student in an Organized Health Care Education/Training Program | 1051 Southern Dr Unit 3707, Columbia, SC 29201-5622 | 2020-07-08 |
1245858174 | Regina Duncan | Student in an Organized Health Care Education/Training Program | 1539 S Kilbourne Rd, Columbia, SC 29205-4708 | 2020-07-07 |
1972126043 | Sydney Allsbrook Funderburk | Student in an Organized Health Care Education/Training Program | 6401 Cloverdale Dr, Columbia, SC 29209-1840 | 2020-05-24 |
1841812591 | Chasitie Ann Mcintosh | Student in an Organized Health Care Education/Training Program | 1601 Greene Street Columbia South Carolina 29208, Columbia, SC 29208-0001 | 2020-05-15 |
1053933267 | Allyson Derrick | Student in an Organized Health Care Education/Training Program | 1601 Greene Street Columbia, Columbia, SC 29208-0001 | 2020-05-11 |
Find all providers in COLUMBIA |
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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.