DR. KYLE OAKS COLLE (NPI# 1215062518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215062518 |
| Entity Type | Individual |
| Full Name | DR. KYLE OAKS COLLE |
| Credential | D.O. |
| Practice Address |
1723 Broadway St Suite 410 Cape Girardeau MO 63701-4566 |
| Practice Telephone | 5733391957 |
| Practice Fax Number | 5733399709 |
| Mailing Telephone | 5733391957 |
| Mailing Fax Number | 5733399709 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2012-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 2008016208 | MO | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 4604 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
1723 BROADWAY ST SUITE 410 |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63701-4566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801893979 | Pairote Jaroonwanichkul | Internal Medicine | 1723 Broadway St, Suite 315, Cape Girardeau, MO 63701-4505 | 2005-07-05 |
| 1639611718 | Jared Michael Lewis | Physician Assistant | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4566 | 2016-11-07 |
| 1043768088 | Tyler Joshua Greenwood | Physician Assistant | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4566 | 2016-09-20 |
| 1275880429 | Jacob Louis Muckerman | Nurse Practitioner | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4566 | 2012-08-07 |
| 1003115536 | Gladys Grace Tiwonge Kamanga-sollo | Physical Medicine & Rehabilitation | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4566 | 2011-03-23 |
| 1780982215 | Southeast Missouri Hospital Physicians LLC | Clinic/Center | 1723 Broadway St, Suite 205, Cape Girardeau, MO 63701-4566 | 2011-03-08 |
| 1679876767 | Magin Lea Chapman | Nurse Practitioner | 1723 Broadway St, Cape Girardeau, MO 63701-4566 | 2010-12-10 |
| 1821398678 | Andrew N Garner | Clinical Nurse Specialist | 1723 Broadway St, Cape Girardeau, MO 63701-4566 | 2010-10-27 |
| 1013222983 | Michele L Tanz | Nurse Practitioner | 1723 Broadway St, Suite 220, Cape Girardeau, MO 63701-4566 | 2010-08-16 |
| 1396066734 | Stephanie Lee Riley | Nurse Practitioner | 1723 Broadway St, Ste 410, Cape Girardeau, MO 63701-4566 | 2010-06-21 |
| Find all providers in the same location | ||||
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053533919 | Sonjay Joseph Fonn | Neurological Surgery | 65 Doctors Park Ste A, Cape Girardeau, MO 63703-4927 | 2007-05-02 |
| 1992753289 | Regional Brain & Spine LLC | Neurological Surgery | 1723 Broadway, Suite 410, Cape Girardeau, MO 63701 | 2006-05-05 |
| 1689011777 | Donald Thomas Schleicher II | Neurological Surgery | 1723 Broadway, Suite 410, Cape Girardeau, MO 63701 | 2013-05-29 |
| 1992940407 | Midwest Neurosurgeons LLC | Neurological Surgery | 65 Doctors Park Ste A, Cape Girardeau, MO 63703-4927 | 2008-12-12 |
| 1528215332 | Heartland Spine, LLC | Neurological Surgery | 3250 Gordonville Rd, Suite 450, Cape Girardeau, MO 63703-5056 | 2008-08-22 |
| 1770740516 | Brandon James Scott | Neurological Surgery | 3250 Gordonville Rd, Suite 450, Cape Girardeau, MO 63703-5056 | 2008-05-20 |
| 1063699833 | Kaywan Dinyar Gamadia | Neurological Surgery | 150 S Mount Auburn Rd, Suite 342, Cape Girardeau, MO 63703-4911 | 2008-01-23 |
| 1376586776 | Franklin Hayward II | Neurological Surgery | 304 S Mount Auburn Rd, Cape Girardeau, MO 63703-4920 | 2006-06-14 |
| 1689623811 | Kevin Alton Vaught | Neurological Surgery | 1723 Broadway, Suite 410, Cape Girardeau, MO 63701 | 2006-05-06 |
| 1023067261 | Paul James Tolentino | Neurological Surgery | 1723 Broadway, Suite 410, Cape Girardeau, MO 63701 | 2006-05-06 |
| Find all providers in CAPE GIRARDEAU | ||||
| 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.