WILBUR BASTIN (NPI# 1235376476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235376476 |
| Entity Type | Individual |
| Full Name | WILBUR BASTIN |
| Credential | BS |
| Practice Address |
1015 Lanton Rd West Plains MO 65775-3854 |
| Practice Telephone | 4172562570 |
| Practice Fax Number | 4172566497 |
| Mailing Telephone | 4172562570 |
| Mailing Fax Number | 4172566497 |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | Other Service Providers |
| Street Address |
1015 LANTON RD |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775-3854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558498014 | Karen Marie Will | Counselor | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2007-02-28 |
| 1942832779 | Jason Ferrebee | Peer Specialist | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2020-02-10 |
| 1730711888 | Emily Schlegel | Peer Specialist | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2020-02-06 |
| 1245878065 | Denise Chaney | Case Manager/Care Coordinator | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2019-12-11 |
| 1184260234 | Sandra Lorene Collins | Recreational Therapist Assistant | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2019-11-25 |
| 1144862681 | Jaden Lilly Bowles | Behavior Technician | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2019-10-16 |
| 1972151298 | Johnna Sherman | Health Educator | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2019-08-29 |
| 1174183404 | Camron Howell | Nurse's Aide | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2019-06-18 |
| 1063071546 | Cretia Lynne Ussery | Counselor | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2019-06-10 |
| 1922665678 | Kevin Culver | Technician | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2019-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
| 1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
| 1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
| 1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
| 1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
| 1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| Find all providers in zip 65775 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244285 | Margo Armstrong | Driver | 12336 Lusher Rd, Saint Louis, MO 63138-1455 | 2020-08-04 |
| 1679100895 | Damon Lamont Newton | Driver | 9508 E 57th St, Raytown, MO 64133-3205 | 2020-03-26 |
| 1235764234 | Mack Lee Campbell | Driver | 3634 Marble Hill Rd, Poplar Bluff, MO 63901-2228 | 2020-03-10 |
| 1053969139 | Shermaine Cierra Church | Driver | 3469 Saint Mark Ln, Saint Ann, MO 63074-2909 | 2019-08-31 |
| 1659928554 | Rundall T Mosley | Driver | 3850 W Edgewood St, Springfield, MO 65807-5584 | 2019-08-25 |
| 1518512565 | Harry George Jr. | Driver | 7891 Nw Roanridge Rd, K, Kansas City, MO 64151-5258 | 2019-08-06 |
| 1437713351 | Philip Joseph Hintz | Driver | 327 Lost Pines, Union, MO 63084-3071 | 2019-04-25 |
| 1013474170 | Tatyana Uglova | Driver | 6508 Ne 44th Ter, Kansas City, MO 64117-1583 | 2019-02-25 |
| 1447735865 | Kevin Dean Krause | Driver | 14 Horizon Dr, Saint Peters, MO 63376-3555 | 2018-10-02 |
| 1629551718 | James Kenneth Hecker | Driver | 4629 S Eastland Center Dr # At1528, Independence, MO 64055-7830 | 2018-09-13 |
| Find all providers with the same taxonomy | ||||
| City | WEST PLAINS |
| Zip Code | 65775 |
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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.