MISSOURI BAPTIST HOSPITAL OF SULLIVAN (NPI# 1215945480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215945480 |
| Entity Type | Organization |
| Organization Name | MISSOURI BAPTIST HOSPITAL OF SULLIVAN |
| Other Organization Name | MISSOURI BAPTIST SULLIVAN HOSPITAL |
| Practice Address |
751 Sappington Bridge Rd Sullivan MO 63080-2354 |
| Practice Telephone | 5734684186 |
| Practice Fax Number | 3149963610 |
| Mailing Telephone | 5734681343 |
| Mailing Fax Number | 5738602696 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | MR. TONY L SCHWARM (PRESIDENT) |
| Authorized Official Telephone | 5734684186 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MI010565000 | 05 | |
| AETNA | 489665 | 01 | |
| BLUE CROSS-BLUE SHIELD | 108 | 01 | |
| BLUE CHOICE | 108 | 01 | |
| MO | 540565009 | 05 | |
| MO | 800565004 | 05 | |
| PREMIER PLUS | 260115 | 01 |
| Other Name | Type Code |
|---|---|
| Missouri Baptist Sullivan Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790953909 | Missouri Baptist Hospital of Sullivan | Obstetrics & Gynecology | 875 N Commercial Ave, Saint Clair, MO 63077-1118 | 2008-02-11 |
| 1396827408 | Missouri Baptist Hospital of Sullivan | Clinic/Center | 102 Ozark Street, Suite B, Cuba, MO 65453-1664 | 2006-10-19 |
| 1487735445 | Missouri Baptist Hospital of Sullivan | Clinic/Center | 510 West Main Street, Steelville, MO 65565 | 2006-10-18 |
| 1528676475 | Missouri Baptist Hospital of Sullivan | Clinical Medical Laboratory | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2020-07-16 |
| 1891246617 | Missouri Baptist Hospital of Sullivan | Clinic/Center | 751 Sappington Bridge Rd, Administration, Sullivan, MO 63080-2354 | 2016-10-17 |
| 1083165807 | Missouri Baptist Hospital of Sullivan | Clinic/Center | 510 W Main St, Steelville, MO 65565 | 2016-10-17 |
| 1184174567 | Missouri Baptist Hospital of Sullivan | Clinic/Center | 240 College St, Bourbon, MO 65441-8308 | 2016-10-10 |
| 1689124166 | Missouri Baptist Hospital of Sullivan | Clinic/Center | 102 Ozark Dr Ste B, Cuba, MO 65453-1664 | 2016-10-10 |
| 1851841332 | Missouri Baptist Hospital of Sullivan | Clinic/Center | 965 Mattox Dr, Sullivan, MO 63080-2365 | 2016-10-10 |
| 1770764193 | Missouri Baptist Hospital of Sullivan | Family Medicine | 510 West Main Street, Steelville, MO 65565 | 2007-11-15 |
| Street Address |
751 SAPPINGTON BRIDGE RD |
| City | SULLIVAN |
| State | MO |
| Zip Code | 63080-2354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679598247 | Bc Missouri Emergency Physicians, LLP | Physician Assistant | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2006-07-13 |
| 1528676475 | Missouri Baptist Hospital of Sullivan | Clinical Medical Laboratory | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2020-07-16 |
| 1942841390 | Katherine M Jasper | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2019-10-07 |
| 1477034437 | Lisa Ann Nelson | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2018-08-27 |
| 1831613074 | Margaret Lacuesta | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2017-07-31 |
| 1891246617 | Missouri Baptist Hospital of Sullivan | Clinic/Center | 751 Sappington Bridge Rd, Administration, Sullivan, MO 63080-2354 | 2016-10-17 |
| 1558729905 | Kelly Hinson | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2016-01-31 |
| 1881059202 | Megan Turnbough | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2015-12-30 |
| 1679941546 | Courtney Dulworth | Registered Nurse | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2015-09-09 |
| 1083019020 | Cinnamon Dale Michalik | Nurse Practitioner | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2014-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669896650 | Lindsay Nicole Arnette | Physical Therapist | 940 Mattox Drive, Meramec Nursing Center, Sullivan, MO 63080 | 2014-02-11 |
| 1407099500 | Victorian Manor of Sullivan | Assisted Living Facility | 1250 East Springfield Rd, Sullivan, MO 63080 | 2009-04-20 |
| 1578729992 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 123 Progress Parkway, Sullivan, MO 63080 | 2008-08-05 |
| 1386826089 | Sellers Family Chiropractic PC | Chiropractor | 405 Wal Mart Drive, Sullivan, MO 63080 | 2007-12-04 |
| 1740495282 | Tasha Marie Rodriguez | Physical Therapist | 107 Congress Dr., Sullivan, MO 63080 | 2007-05-10 |
| 1033261649 | Clyde William Sellers II | Chiropractor | 405 Walmart Dr., Sullivan, MO 63080 | 2007-01-17 |
| 1407954209 | Sara Skidmore | Occupational Therapist | 2022 Phoenix Drive, Sullivan, MO 63080 | 2006-09-20 |
| 1083724116 | Sharon A Titter | Physical Therapist | 107 Progress Dr, Sullivan, MO 63080 | 2006-08-30 |
| 1437135571 | Thanh Duy Vo | Pediatrics | 486 N Church St, Sullivan, MO 63080 | 2005-12-20 |
| 1508849316 | Air Evac Ems Inc | Ambulance | 673 Sappington Bridge Rd, Sullivan, MO 63080 | 2005-11-25 |
| Find all providers in zip 63080 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679987481 | Ziad Sayedahmad | Hospitalist | 3635 Vista Ave Fl 13, Saint Louis, MO 63110-2539 | 2014-06-19 |
| 1063708238 | Ramya Chinnasamy | Hospitalist | 621 S New Ballas Rd Ste 112a, Saint Louis, MO 63141-8252 | 2011-06-25 |
| 1720231483 | Holzum Healthcare LLC | Hospitalist | 2 Progress Point, Ste 101a, O Fallon, MO 63368-2208 | 2008-10-28 |
| 1164688552 | Landmark Hospital of Cape Girardeau, LLC | Hospitalist | 3255 Independence St, Cape Girardeau, MO 63701-4914 | 2008-08-05 |
| 1639235203 | Brian Craig Silverman | Hospitalist | 901 East 5th Street, St. John's Mercy Hospital, Washington, MO 63090 | 2006-12-28 |
| 1093826935 | Northland Hospitalsts LLC | Hospitalist | 3724 N Quincy Circle, Kansas City, MO 64119-0278 | 2006-08-31 |
| 1194779579 | Inpatient Consultants of Missouri Inc | Hospitalist | 12125 Woodcrest Executive Dr, Suite 220, Saint Louis, MO 63141-5001 | 2006-05-20 |
| 1699329086 | Stanley Wade Balch II | Hospitalist | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2019-07-24 |
| 1992362776 | Margaret Fonseca | Hospitalist | 224 S Woods Mill Rd Ste 580, Chesterfield, MO 63017-3513 | 2019-05-28 |
| 1033671243 | Sol Allan Enriquez | Hospitalist | 19600 E 39th St S, Independence, MO 64057-2301 | 2019-04-05 |
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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.