AMANDA E AVELLONE (NPI# 1154325082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154325082 |
| Entity Type | Individual |
| Full Name | AMANDA E AVELLONE |
| Credential | MD |
| Practice Address |
1390 Highway 61 Ste 2300 Festus MO 63028-4121 |
| Mailing Address |
1390 Highway 61 Ste 2300 Festus MO 63028-4121 |
| Practice Telephone | 6369373121 |
| Practice Fax Number | 6369374423 |
| Mailing Telephone | 6369373121 |
| Mailing Fax Number | 6369374423 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2007-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
2004030200 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE RAILROAD | P00229439 | 01 |
| Street Address |
1390 HIGHWAY 61 STE 2300 |
| City | FESTUS |
| State | MO |
| Zip Code | 63028-4121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457355372 | Warren M Breite | Internal Medicine | 1390 Highway 61, Suite 2300, Festus, MO 63028-4137 | 2005-06-09 |
| 1548532062 | Julia Ann Werner | Dietitian, Registered | 1390 Highway 61, Festus, MO 63028-4137 | 2012-01-30 |
| 1437399771 | Twin City Internal Medicine Specialists, Inc. | Internal Medicine | 1390 Highway 61, Suite 2200, Festus, MO 63028-4137 | 2009-02-26 |
| 1902045156 | Ryan T. Miller,m.d.,llc | Urology | 1390 Highway 61, Medical Office Center North Ste 3200, Festus, MO 63028-4137 | 2009-02-11 |
| 1518130814 | Occupational & Pain Management Professionals | Specialist | 1390 Highway 61, Suite G100, Festus, MO 63028-4137 | 2008-04-08 |
| 1306025622 | Signature Medical Group,inc | Durable Medical Equipment & Medical Supplies | 1390 Highway 61, North G1000, Festus, MO 63028-4137 | 2007-11-02 |
| 1558490383 | Nicole Renee Guerrero | Nurse Practitioner | 1390 Highway 61, Suite 3300, Festus, MO 63028-4137 | 2007-03-05 |
| 1770534158 | Kasey L Carnes | Physician Assistant | 1390 Highway 61, Suite G1000, Festus, MO 63028-4137 | 2006-05-12 |
| 1467402867 | Craig Richard Ruble | Orthopaedic Surgery | 1390 Highway 61, Jhm Moc Suite G1000, Festus, MO 63028-4137 | 2006-05-10 |
| 1225023955 | Kenneth Richard Kilian | Family Medicine | 1390 Highway 61, Suite 2200, Festus, MO 63028-4137 | 2005-09-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943268 | Lauryn E Morris | Occupational Therapist | 3657 Baptist Park Rd, Mapaville, MO 63028 | 2019-10-09 |
| 1912557547 | Rena Robinson | Technician | 150 Brandon Wallace Way Suite 1014, Suite 1014, Festus, MO 63028 | 2019-09-16 |
| 1780232264 | Cynthia L James | Technician | 110 Juliet Place, Festus, MO 63028 | 2019-08-28 |
| 1700377009 | Akr Endodontics, LLC | Dentist | 1431 Us Hwy 61, Festus, MO 63028 | 2018-05-22 |
| 1962869990 | Fatma Esen Antakli | Nurse Practitioner | Advanced Pain Centers 190 Industrial Drive, Festus, MO 63028 | 2016-01-21 |
| 1083088744 | Megan Schomer | Counselor | 2675 Meyer Rd, Festus, MO 63028 | 2015-11-18 |
| 1043608144 | Elka Follmer | Physical Therapist | 1349 Us Hwy 61, Festus, MO 63028 | 2014-12-26 |
| 1811394729 | Ashley Schwendeman | Physical Therapist | 1403 N. Truman Blvd, Fesuts, MO 63028 | 2014-11-21 |
| 1073871257 | Staurla Chantel Waun | Counselor | 10719 Buckeye Rd, Festus, MO 63028 | 2012-04-25 |
| 1639444086 | Jeffrey Steitz | Otolaryngology | 1390 Us Highway 61 Ste 3100, Festus, MO 63028 | 2012-03-19 |
| Find all providers in zip 63028 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1922381615 | Critical Care Pulmonary & Sleep Medicine Assoc LLC | Internal Medicine | 1390 Highway 61 Ste 2300, Festus, MO 63028-4121 | 2011-09-20 |
| 1093853350 | Jefferson County Pulmonary & Sleep Medicine | Internal Medicine | 1390 Us Highway 61 Ste 2300, Festus, MO 63028-4121 | 2007-02-01 |
| 1083957047 | Robert Tilley Md LLC | Internal Medicine | 1390 Us Highway 61, Suite 2300, Festus, MO 63028-4137 | 2013-03-28 |
| 1508904863 | Pulmonary and Critical Care Associates PC | Internal Medicine | 1390 Us Highway 61 Ste 2300, Festus, MO 63028-4121 | 2007-02-01 |
| 1326186602 | Crystal City Pulmonary Critical Care & Sleep Medicine | Internal Medicine | 1390 Us Highway 61 Ste 2300, Festus, MO 63028-4121 | 2007-02-01 |
| 1962504886 | Robert Lee Tilley | Internal Medicine | 1390 Us Highway 61, Suite 2300, Festus, MO 63028-4137 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700365707 | Telemedico Physicians of Missouri | Internal Medicine | 9191 N Ambassador Dr, Kansas City, MO 64154-7247 | 2018-08-09 |
| 1851807291 | David Terry Curiel | Internal Medicine | 4950 Childrens Pl Ste 10130, Saint Louis, MO 63110-1000 | 2017-12-21 |
| 1598011694 | Mohannad Naheid I Abu Omar | Internal Medicine | 5301 Faraon St Ste 210a, Saint Joseph, MO 64506-3512 | 2012-07-26 |
| 1851671689 | Mid-mo Lung Associates, LLC | Internal Medicine | 1801 Brookfield Mnr, Columbia, MO 65203-6246 | 2011-08-24 |
| 1245535459 | Midwest Acute Care Consultants, PC | Internal Medicine | 6698 Keaton Corporate Pkwy Ste 101, O Fallon, MO 63368-8727 | 2011-01-19 |
| 1699083451 | Hamza Alshami | Internal Medicine | 2330 E Meyer Blvd Ste T303, Kansas City, MO 64132-1160 | 2010-09-15 |
| 1447404561 | Pulmonary Specialists of The Ozarks, LLC | Internal Medicine | 2733 E Battlefield Rd, Springfield, MO 65804 | 2008-11-17 |
| 1841448198 | Pulmonary Critical Care and Sleep Medicine, LLC | Internal Medicine | 3009 New Ballas Road, Suite 256c, St. Louis, MO 63131-2322 | 2008-08-28 |
| 1366698573 | Steven Weintraub | Internal Medicine | 4475 W Pine Blvd, 1102, Saint Louis, MO 63108-2358 | 2008-08-07 |
| 1477719284 | Landmark Hospital of Joplin, LLC | Internal Medicine | 2040 W 32nd St, Joplin, MO 64804-3512 | 2008-07-31 |
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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.