DR. LORENE ANN VAN DAM


Address: 4870 W Kingsbury St, Springfield, MO 65802-7710
Phone: 4172997602

DR. LORENE ANN VAN DAM (NPI# 1265588479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265588479
Entity Type Individual
Full Name DR. LORENE ANN VAN DAM
Credential DPM
Practice Address 4870 W Kingsbury St
Springfield
MO 65802-7710
Practice Telephone 4172997602
Mailing Telephone 4172997602
Enumeration Date 2007-01-28
Last Update Date 2010-06-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0131X Podiatrist
Specialization: Foot Surgery
686 MO Podiatric Medicine & Surgery Service Providers

Office Location

Street Address 4870 W KINGSBURY ST
City SPRINGFIELD
State MO
Zip Code 65802-7710

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407454549 Andrea Strauch Counselor 2024 W Chestnut Expressway Way, Springfield, MO 65802 2020-10-12
1962968867 Chad Michael Linck Specialist/Technologist 2125 N Glenstone Ave, Springfield, MO 65802 2019-02-15
1790254647 Meds To Live By Pharmacist 1134 N. Scarlett Way, Springfield, MO 65802 2018-11-21
1568945103 Ficom Non-Pharmacy Dispensing Site 1308 North Glenstone Avenue, Springfield, MO 65802 2018-09-10
1982194775 Karla Caballero Marriage & Family Therapist 8627 Montant Fort Way, 145, Sprinfield, MO 65802 2018-05-16
1780191809 Tiffany Chawntay Coryell Pharmacist 1134 North Scarlett Way, Springfield, MO 65802 2018-01-10
1083134902 Trevor Conner Family Medicine 1423 N Jefferson Ave, B100, Springfield, MO 65802 2017-06-21
1407389596 Medical Mile Imaging Radiology 3905 E Windsmore Dr, Springfield, MO 65802 2017-04-06
1346619103 Jill A Knight Occupational Therapist 1601 E. Pythian, Green Valley State School, Springfield, MO 65802 2015-09-22
1447653258 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 3720 E Sunshine St, Springfield, MO 65802 2014-10-07
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Taxonomy Information

Taxonomy Code 213ES0131X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538480678 Dr. David Plotkin P.a. Podiatrist 619 Morris Avenue, Springfield, NJ 07081-1511 2010-06-11
1336368745 Foot Doctors, P.C. Podiatrist 929 E Montclair Stuite 100, Springfield, MO 65807-5068 2007-04-24
1730302589 Elenora Aimee Williams-fell Podiatrist 251 Morris Ave Ste 201, Springfield, NJ 07081-1213 2007-04-10
1225142409 Russell T Dirksen Podiatrist 929 E Montclair St, Suite 100, Springfield, MO 65807-5068 2006-08-18
1831388552 Benjamin C Dickert Podiatrist 780 Chestnut Street, Suite #8, Springfield, MA 01107 2007-10-18
1861691396 Daniel B. Charney Dpm Podiatrist 415 E Home Rd, Springfield, OH 45503-2708 2007-07-14
1336249622 Patrick Matthew Jones Podiatrist 780 Chestnut St, Suite 8, Springfield, MA 01107-1610 2006-09-25
1588770390 Mark A Seiden Podiatrist 929 E Montclair St, Suite 100, Springfield, MO 65807-5068 2006-08-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649587122 Jla Senior Footcare Mo LLC Podiatrist 640 W 67th Ter, Kansas City, MO 64113-1945 2010-09-07
1982810222 Dr. Robert A Shemwell, Dpm Podiatrist 2700 Clay Edwards Dr Ste 370, N Kansas City, MO 64116-3270 2007-05-15
1598989428 Robert A. Bondi, Dpm Podiatrist 115 Bradford Ln, Belton, MO 64012-2086 2007-04-12
1265545966 Elijah Lorenzo Davis Podiatrist 5202 Faraon St., Ste. A, St. Joseph, MO 64506-3480 2006-08-16
1336154574 Mark P Comess Podiatrist 1390 Hwy 61, Suite G1000, Festus, MO 63028-2612 2006-07-29
1790719128 Michael Yankowitz Podiatrist 1216 W Main St Lowr Level, Festus, MO 63028-1654 2006-07-10
1083656391 Larry Randolph Narup Podiatrist 8816 W Pendleton Ave, Brentwood, MO 63144-2604 2006-06-12
1215985940 Betty Louise Baldridge Podiatrist 204 Mcmenamy Rd, St Peters, MO 63376-1514 2006-05-05
1003874181 Matthew B Richins Podiatrist 2024 S Maiden Lane, Ste 201, Joplin, MO 64804-1611 2006-05-01
1518928464 Robert A Bondi Podiatrist 224 Ne Tudor Rd, Lees Summit, MO 64086-5696 2006-03-30
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Competitor

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City SPRINGFIELD
Zip Code 65802

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Dataset Information

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.

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