JAMES THOMAS MAIN JR. (NPI# 1194703017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194703017 |
| Entity Type | Individual |
| Full Name | JAMES THOMAS MAIN JR. |
| Credential | D.P.M. |
| Practice Address |
1854 Broadway St Cape Girardeau MO 63701-4553 |
| Practice Telephone | 5733351402 |
| Mailing Telephone | 5733351402 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2010-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
000500 | MO | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 3018793000 | 05 |
| Street Address |
1854 BROADWAY ST |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63701-4553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1972079580 | Savannah Laine Menard | Behavior Technician | 20 S. Sprigg St, Cape Girardeau, MO 63701 | 2018-10-22 |
| 1932690377 | Broadway Specialty, LLC | Pharmacy | 706 Broadway St, Cape Girardeau, MO 63701 | 2018-05-22 |
| 1356864649 | Terri L. Mccord | Pharmacist | 4170 Connor Dr, Cape Girardeau, MO 63701 | 2017-07-19 |
| 1013459312 | Christina Cossou | Nurse Practitioner | 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 | 2016-11-17 |
| 1124573365 | Ashley Sullivan | Massage Therapist | 3041 Melrose Ave, Cape Girardeau, MO 63701 | 2016-08-17 |
| 1225432172 | Axpm - Merkley, LLC | Dentist | 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 | 2014-10-21 |
| 1639573397 | Marian Perez Hurt | Physical Therapist | 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 | 2014-10-09 |
| 1891194213 | Deanna Abner | Case Manager/Care Coordinator | 20 South Sprigg, Cape Girardeau, MO 63701 | 2014-08-21 |
| 1831506880 | Kwadwo O Britwum | Behavioral Analyst | Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 | 2014-07-22 |
| Find all providers in zip 63701 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972826071 | Douglas A Krauss Inc | Podiatrist | 11132 S Towne Sq Ste 105, Saint Louis, MO 63123-7818 | 2010-03-04 |
| 1265667802 | Golden Age Footcare | Podiatrist | 323 S. 169 Highway, Gower, MO 64454-9116 | 2009-05-27 |
| 1881766863 | Patrick Anderson Mcshane | Podiatrist | 1834 S Stewart Ave, Springfield, MO 65804-2519 | 2006-11-14 |
| 1174621056 | Robert R Shemwell | Podiatrist | 246 E Hwy 54, Ste A, Camdenton, MO 65020 | 2006-09-21 |
| 1336245125 | Boremy Ly | Podiatrist | 7818 N Hull Ave, Kansas City, MO 64151-1532 | 2006-09-16 |
| 1710998851 | Roller Enterprises LLC | Podiatrist | 1691 S Business Highway 65, Hollister, MO 65672-6342 | 2006-08-11 |
| 1396701108 | Chris Robert Guerrieri | Podiatrist | 2800 Ne 60th St, Gladstone, MO 64119-2036 | 2006-04-21 |
| 1285636753 | John Orville Roller | Podiatrist | 1691 S Bus Hwy 65, Hollister, MO 65672-6342 | 2005-08-12 |
| 1700085453 | Golden Age Footcare Inc | Podiatrist | 7818 N Hull Ave, Kansas City, MO 64151-1532 | 2007-07-13 |
| 1083821904 | Michael N. Fine, Dpm, PC | Podiatrist | 2790 Clay Edwards Dr, Ste 570, Kansas City, MO 64116-3276 | 2007-05-17 |
| Find all providers with the same taxonomy | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
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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.