MR. JOHN MICHAEL DANDURAND (NPI# 1225461098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225461098 |
| Entity Type | Individual |
| Full Name | MR. JOHN MICHAEL DANDURAND |
| Credential | PHD, LPC |
| Practice Address |
107 W Broadway St El Dorado Springs MO 64744-1133 |
| Mailing Address |
1800 Community Clinton MO 64735-8804 |
| Practice Telephone | 8884031071 |
| Mailing Telephone | 6608908186 |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2019-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
2016018613 | MO | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2016035939 | MO | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 320 Mac Blvd, Nevada, MO 647723990 | 8884031071 | |
| 805 N Orange St, Butler, MO 647309382 | 8884031071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497901680 | John M Dandurand | Hearing Instrument Specialist | 740 Lomas Santa Fe Dr, Ste. 110, Solana Beach, CA 92075-1495 | 2008-08-07 |
| Street Address |
107 W BROADWAY ST |
| City | EL DORADO SPRINGS |
| State | MO |
| Zip Code | 64744-1133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346233533 | Melissa B Jones | Psychiatry & Neurology | 107 W Broadway St, El Dorado Springs, MO 64744-1133 | 2005-08-24 |
| 1922522317 | Brooke Mckenna Hamilton | Dental Hygienist | 107 W Broadway St, El Dorado Springs, MO 64744-1133 | 2017-07-28 |
| 1396275616 | Jennifer Strickler | Licensed Practical Nurse | 107 W Broadway St, El Dorado Springs, MO 64744-1133 | 2017-06-19 |
| 1184014946 | Christine Whitworth | Counselor | 107 W Broadway St, El Dorado Springs, MO 64744-1133 | 2015-02-02 |
| 1710380688 | Compass Health, Inc. | Clinic/Center | 107 W Broadway St, El Dorado Springs, MO 64744-1133 | 2014-10-06 |
| 1063814606 | Teddi Taylor | Licensed Practical Nurse | 107 W Broadway St, El Dorado Springs, MO 64744-1133 | 2014-09-25 |
| 1144629270 | Debbie Taylor | Licensed Practical Nurse | 107 W Broadway St, El Dorado Springs, MO 64744-1133 | 2014-08-14 |
| 1053660860 | David A. Mcgatha | Registered Nurse | 107 W Broadway St, El Dorado Springs, MO 64744-1133 | 2012-09-07 |
| 1508198235 | Carla Renelle Mcewan | Licensed Practical Nurse | 107 W Broadway St, El Dorado Springs, MO 64744-1133 | 2010-02-05 |
| 1740516723 | Sandra Jo Mcgatha | Social Worker | 107 W Broadway St, El Dorado Springs, MO 64744 | 2009-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295251742 | Rachel Kauffman | Pharmacist | 1403 S. Park St., El Dorado Springs, MO 64744 | 2017-08-16 |
| 1457898603 | Stephanie Louise Miller | Nurse Practitioner | 322 E Hospital Rd, El Dorado Springs, MO 64744 | 2017-01-26 |
| 1902200645 | Kimberly Denise Souza | Nurse Practitioner | 1317 South Hwy. 32, El Dorado Springs, MO 64744 | 2014-10-09 |
| 1376843714 | Sandra Jeanne Moore | Registered Nurse | 107 W Broadway, Pathway's Behavioral Health Care, Eldorado Springs, MO 64744 | 2010-11-02 |
| 1275674715 | Michael Lee Housh | Dentist | 605 E Hospital Road, Suite #1, El Dorado Springs, MO 64744 | 2007-02-09 |
| 1932269446 | State of Missouri | Case Management | 1301 Industrial Prkwy E, El Dorado Springs, MO 64744 | 2006-12-12 |
| 1720195845 | Wilkinson Pharmacy Inc | Pharmacy | 200 E Hwy 54, El Dorado Springs, MO 64744 | 2006-08-24 |
| 1881608685 | Cedar County Memorial Hospital | Clinic/Center | 1317 S. Highway 32, El Dorado Springs, MO 64744 | 2006-07-28 |
| 1942243639 | Todd P. Hill | Dentist | 107 Broadway Street, El Dorado Springs, MO 64744 | 2006-06-13 |
| 1902379266 | El Dorado Vision LLC | Optometrist | 701 E Hospital Rd, El Dorado Springs, MO 64744 | 2019-01-09 |
| Find all providers in zip 64744 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911370 | Sarah Marie Whitman | Psychologist | 500 Huber Park Ct Ste 205, Weldon Spring, MO 63304-8683 | 2020-10-27 |
| 1215541040 | Charles A Burgess | Psychologist | 119 Parker Hall, Columbia, MO 65211-2340 | 2020-08-31 |
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1174147649 | Melissa Turkel | Psychologist | 915 N Grand Blvd # 116-jc, Saint Louis, MO 63106-1621 | 2020-06-01 |
| 1851910335 | Columbia Psychology Healing Center LLC | Psychologist | 1900 N Providence Rd Ste 327, Columbia, MO 65202-3710 | 2020-04-14 |
| 1629600085 | Dr Richard Heise LLC | Psychologist | 10621 Midland Manor Ct, Saint Louis, MO 63114-1202 | 2020-02-04 |
| 1598302226 | Taylor Montgomery | Psychologist | 12837 Flushing Meadows Dr Ste 220, Saint Louis, MO 63131-1824 | 2019-12-02 |
| 1528523420 | Daniel Franco | Psychologist | 4501 Kentsfield Ln, Columbia, MO 65201-3587 | 2019-02-05 |
| 1265917884 | Gillian Sloane Mayersohn | Psychologist | 1 Childrens Pl Ste 3n14, Saint Louis, MO 63110-1002 | 2018-09-28 |
| 1215421581 | Samuel L Kramer | Psychologist | 16216 Baxter Rd Ste 205, Chesterfield, MO 63017-4778 | 2018-06-19 |
| Find all providers with the same taxonomy | ||||
| City | EL DORADO SPRINGS |
| Zip Code | 64744 |
Please comment or provide details below to improve the information on MR. JOHN MICHAEL DANDURAND.
| 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.