SHAFFER RAINEY DERMATOLOGY (NPI# 1174793533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174793533 |
| Entity Type | Organization |
| Organization Name | SHAFFER RAINEY DERMATOLOGY |
| Practice Address |
110 Business Park Dr Ste C Branson MO 65616-7426 |
| Mailing Address |
110 Business Park Drive Suite C Branson MO 65616-8156 |
| Practice Telephone | 4172390125 |
| Mailing Telephone | 4172390125 |
| Mailing Fax Number | 4172390125 |
| Enumeration Date | 2008-03-01 |
| Last Update Date | 2009-07-06 |
| Authorized Official Name | DR. CHRISTY SHAFFER RAINEY (OWNER) |
| Authorized Official Telephone | 4172390125 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 2007035572 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 204056105 | 05 |
| Street Address |
110 BUSINESS PARK DR STE C |
| City | BRANSON |
| State | MO |
| Zip Code | 65616-7426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497748487 | Lynn E Allison | Family Medicine | 110 Business Park Dr Ste C, Branson, MO 65616-7426 | 2005-08-25 |
| 1497273106 | Its A Wonderful Life LLC | Family Medicine | 110 Business Park Dr Ste C, Branson, MO 65616-7449 | 2017-09-01 |
| 1326576174 | Branson Clinic, LLC | Clinic/Center | 110 Business Park Dr Ste C, Branson, MO 65616-7449 | 2017-05-24 |
| 1265878789 | Amy R Thorne | Dermatology | 110 Business Park Dr Ste C, Branson, MO 65616-7449 | 2013-05-13 |
| 1740255090 | Branson Clinic, LLC | Family Medicine | 110 Business Park Dr Ste C, Branson, MO 65616-7426 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495959 | Lester E Cox Medical Centers | Nurse Practitioner | 935 P Rd 65-60, Branson, MO 65616 | 2020-07-23 |
| 1184286379 | Michelle Le Short | Massage Therapist | 3000 Green Mountain Dr Ste 104, Branson, MO 65616 | 2019-07-08 |
| 1912462912 | Thomas George Brett | General Practice | 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 | 2019-02-04 |
| 1619414539 | Brittany N Wright | Physical Therapist | 813 S Business Us Highway 65, Branson, MO 65616 | 2017-01-30 |
| 1184018632 | Christopher Amundsen | Orthopaedic Surgery | 448 State Highway 248, Branson, MO 65616 | 2015-03-23 |
| 1538567938 | Tracy Lynn Douthard | Physical Therapist | 714 State Highway 248 Ste 503, Branson, MO 65616 | 2014-12-17 |
| 1952707838 | Regginold Prescott Lucas | Technician | 220 Everest Circle, Apt 4, Branson, MO 65616 | 2014-11-05 |
| 1174958094 | Morghan Olson | Chiropractor | 813 S. Business Us Highway 65, Branson, MO 65616 | 2013-09-10 |
| 1164864336 | Branson Braces LLC | Dentist | 168 S. Payne Stewart Dr., Ste 100, Branson, MO 65616 | 2013-07-29 |
| 1528400173 | Emologic Clinic, LLC | Registered Nurse | 500 W. Main, Ste 204, Branson, MO 65616 | 2013-07-24 |
| Find all providers in zip 65616 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144545005 | Branson Medical Specialists | Clinic/Center | 800 State Highway 248 Bldg IIi, Branson, MO 65616-3721 | 2010-04-05 |
| 1871760447 | Rediclinic Us, LLC | Clinic/Center | 1101 Branson Hills Pkwy, Branson, MO 65616-9942 | 2008-05-13 |
| 1255470878 | James J Cesar Do | Clinic/Center | 101 Skaggs Rd, Suite 303, Branson, MO 65616-2075 | 2007-02-06 |
| 1194806265 | Branson Pulmonology and Sleep LLC | Clinic/Center | 875 E State Highway 76, Suite A, Branson, MO 65616 | 2006-10-17 |
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|---|---|---|---|---|
| 1982219945 | Behavior Dad, LLC | Clinic/Center | 3509 W Moark, Battlefield, MO 65619-9616 | 2020-09-15 |
| 1801406178 | Primary Care of Cedar Hill Harmony | Clinic/Center | 6420 The Cedars Ct Ste 1, Cedar Hill, MO 63016-2222 | 2020-08-03 |
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1447873914 | 2 for Him, LLC | Clinic/Center | 310 Route 66 E, Waynesville, MO 65583-2648 | 2020-05-19 |
| 1780204586 | Keep Well Now | Clinic/Center | 2405 Aspen Rd, Highlandville, MO 65669-8051 | 2020-04-21 |
| 1871112102 | Thrive St. Louis, Inc | Clinic/Center | 4331 Lindell Blvd, Saint Louis, MO 63108-2701 | 2020-04-16 |
| 1548893530 | Gateway Direct Primary Care Jv LLC | Clinic/Center | 1015 Corporate Square Dr Ste 101, Saint Louis, MO 63132-2938 | 2020-02-18 |
| 1033741202 | Olalani Holdings LLC | Clinic/Center | 950 Francis Pl Ste 217, Clayton, MO 63105-2465 | 2020-02-06 |
| 1124659180 | Eldon Family Chiropractic, LLC | Clinic/Center | 102 N Business Highway 54 E Ste D, Eldon, MO 65026-2041 | 2020-01-29 |
| 1619518032 | Mcpherson Medical & Diagnostic, LLC | Clinic/Center | 110 Us Hwy 61 N, Ste B, Hayti, MO 63851 | 2019-10-07 |
| Find all providers with the same taxonomy | ||||
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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.