JONATHAN D BRADY (NPI# 1215287990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215287990 |
| Entity Type | Individual |
| Full Name | JONATHAN D BRADY |
| Credential | AA |
| Practice Address |
1235 E Cherokee St Springfield MO 65804-2203 |
| Mailing Address |
Po Box 2580 Springfield MO 65801-2580 |
| Practice Telephone | 4178202829 |
| Practice Fax Number | 4178208852 |
| Mailing Telephone | 4178294620 |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2013-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 2012031847 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RR MCR | P01129108 | 01 |
| MO | TRICARE | 431560263 | 01 |
| MO | 1215287990 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205183704 | Jonathan P Brady | Pharmacist | 155 South Arch St, Milton, PA 17847 | 2012-08-14 |
| 1538354204 | Jonathan Paul Brady | Marriage & Family Therapist | 5855 E Naples Plz, Suite 213, Long Beach, CA 90803-5060 | 2007-09-06 |
| Street Address |
1235 E CHEROKEE ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600284 | Maria J Brazil | Anesthesiology | 1235 E Cherokee St, Anesthesia, Springfield, MO 65804-2203 | 2005-06-22 |
| 1275155533 | Kevin Painter | Technician/Technologist | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2020-05-10 |
| 1023638939 | Rebecca Sue Holcomb | Dietitian, Registered | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2020-04-21 |
| 1508486895 | Matthew Austin Myers | Pharmacist | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2020-04-16 |
| 1013544477 | Virginia Mclaughlin | Speech-Language Pathologist | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2020-03-25 |
| 1265068134 | Alissa Leirer | Speech-Language Pathologist | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2020-03-23 |
| 1558994848 | Karla Guinter | Pharmacist | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2020-02-15 |
| 1760037766 | Anya Illyuk | Nurse Anesthetist, Certified Registered | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2019-08-06 |
| 1346892122 | Bradley Sean Chapman | Nurse Anesthetist, Certified Registered | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2019-07-12 |
| 1942852959 | Alison Atherton | Nurse Anesthetist, Certified Registered | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2019-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538418793 | Brent R Fairbanks | Anesthesiologist Assistant | 1235 E Cherokee, Springfield, MO 65804-2203 | 2012-09-04 |
| 1801408190 | Anthony R Hogan | Anesthesiologist Assistant | 100 W Main St, Springfield, OH 45502-1312 | 2020-08-19 |
| 1033736137 | Asher Herbet | Anesthesiologist Assistant | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-06 |
| 1710501770 | Brittany Fox | Anesthesiologist Assistant | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-06-04 |
| 1316592967 | Joshua Rogers | Anesthesiologist Assistant | 3801 S National Ave, Springfield, MO 65807-5210 | 2019-08-09 |
| 1750941431 | Madison Blair Howard | Anesthesiologist Assistant | 3801 S National Ave, Springfield, MO 65807-5210 | 2019-06-16 |
| 1356901060 | Sean Michael Apple | Anesthesiologist Assistant | 3801 S National Ave, Springfield, MO 65807-5210 | 2019-06-14 |
| 1891353892 | Jason Bradley Laughlin | Anesthesiologist Assistant | 1000 E Primrose St Ste 520, Springfield, MO 65807-7002 | 2019-06-04 |
| 1053979138 | Kayla Conner Hickey | Anesthesiologist Assistant | 1000 E Primrose St Ste 520, Springfield, MO 65807-5180 | 2019-06-03 |
| 1710462635 | Catherine Hogan | Anesthesiologist Assistant | 100 W Main St, Springfield, OH 45502-1312 | 2018-09-26 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
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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.