DR. THOMAS B. CORSOLINI (NPI# 1255478970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255478970 |
| Entity Type | Individual |
| Full Name | DR. THOMAS B. CORSOLINI |
| Credential | MD |
| Practice Address |
3520 S Culpepper Circle Ste. D Springfield MO 65804 |
| Practice Telephone | 4178827500 |
| Practice Fax Number | 4178812840 |
| Mailing Telephone | 4178827500 |
| Mailing Fax Number | 4178812840 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 104716 | MO | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
104716 | MO | Allopathic & Osteopathic Physicians |
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
104716 | MO | Allopathic & Osteopathic Physicians |
| N | 204R00000X | Electrodiagnostic Medicine | 104716 | MO | Allopathic & Osteopathic Physicians |
| N | 202C00000X | Independent Medical Examiner | 104716 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 206847808 | 05 |
| Street Address |
3520 S CULPEPPER CIRCLE STE. D |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804 |
| 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 | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700393840 | Healthstat American National Insurance Co | Preventive Medicine | 1949 E Sunshine St, Springfield, MO 65899-0001 | 2018-01-10 |
| 1679671473 | Thomas Peter Pirotte | Preventive Medicine | 1423 North Jefferson, Cox Health Occupational Medicine K500, Springfield, MO 65802 | 2006-09-20 |
| 1073788998 | David William Brown | Preventive Medicine | 1423 N Jefferson Ave, Suite K500, Springfield, MO 65802-1917 | 2008-04-23 |
| 1386742104 | Cary Mahla Bisbey | Preventive Medicine | 1423 North Jefferson, Cox Health Occupational Medicine K500, Springfield, MO 65802 | 2006-09-20 |
| 1396843108 | William Hal Berner | Preventive Medicine | 1423 North Jefferson, Cox Health Occupational Medicine K500, Springfield, MO 65802 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821609421 | Healthstat Inc Parker Sporlan | Preventive Medicine | 206 Lange Dr, Washington, MO 63090-1040 | 2020-08-17 |
| 1699279604 | Kim Krystal Koike | Preventive Medicine | 13 Great Lakes Dr, Saint Peters, MO 63376-3225 | 2018-03-23 |
| 1720486756 | Healthstat On-site Clinic Watlow Hannibal Mo | Preventive Medicine | 6 Industrial Loop, Hannibal, MO 63401-6052 | 2014-12-08 |
| 1558769596 | Healthstat On-site Clinic Watlow Columbia Mo | Preventive Medicine | 2101 Pennsylvania Dr, Columbia, MO 65202-1937 | 2014-12-08 |
| 1376940080 | Healthstat On-site Clinic Watlow St. Louis | Preventive Medicine | 12001 Lackland Rd, Saint Louis, MO 63146-4001 | 2014-11-24 |
| 1437555729 | Health On-site Clinic Polsinelli Kansas City Mo | Preventive Medicine | 900 W 48th Pl, Suite 900, Kansas City, MO 64112-1895 | 2014-11-13 |
| 1255684452 | Healthstat On-site Clinic/mcc | Preventive Medicine | 3444 Broadway St, Kansas City, MO 64111-2412 | 2012-10-25 |
| 1194075788 | Healthstat- Independence School District | Preventive Medicine | 1516 W. Maple, Independence, MO 64050 | 2012-09-12 |
| 1659677656 | Belisario R Cabanilla | Preventive Medicine | 800 N Lindbergh Blvd # Lc1f, Saint Louis, MO 63167-0001 | 2011-02-08 |
| 1376748863 | Midwest Occupational Medicine, PC | Preventive Medicine | 3037 Main St, Suite 201, Kansas City, MO 64108-3357 | 2007-06-15 |
| Find all providers with the same taxonomy | ||||
| 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.