MARIJA TONKOVIC-CAPIN (NPI# 1275731010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275731010 |
| Entity Type | Individual |
| Full Name | MARIJA TONKOVIC-CAPIN |
| Credential | MD |
| Practice Address |
1600 E Evergreen St Cameron MO 64429-2400 |
| Practice Telephone | 8166493208 |
| Practice Fax Number | 8166493204 |
| Mailing Telephone | 8166493208 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2016-05-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 193200000X | Multi-Specialty | 94-06648 | KS | Group |
| Y | 193200000X | Multi-Specialty | 2011006615 | MO | Group |
| N | 207N00000X | Dermatology | 2011006615 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1275731010 | 05 |
| Street Address |
1600 E EVERGREEN ST |
| City | CAMERON |
| State | MO |
| Zip Code | 64429-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316921430 | Kathy Clydean Erickson | Nurse Practitioner | 1600 E Evergreen St, Suite C, Cameron, MO 64429-2400 | 2005-12-01 |
| 1841839487 | Lindsay Mae Berry | Physical Therapy Assistant | 1600 E Evergreen St, Cameron, MO 64429-2400 | 2019-12-30 |
| 1578039988 | Lindsay Ortega | Nurse Practitioner | 1600 E Evergreen St, Cameron, MO 64429-2400 | 2018-10-23 |
| 1649745860 | Joshua D Murdock | Specialist/Technologist | 1600 E Evergreen St, Cameron, MO 64429-2400 | 2018-10-04 |
| 1134606908 | Amy Leigh Daily | Nurse Practitioner | 1600 E Evergreen St, Cameron, MO 64429-2400 | 2018-07-25 |
| 1295283067 | Jacob M Barton | Registered Nurse | 1600 E Evergreen St, Mp II Ste C, Cameron, MO 64429-2400 | 2016-09-21 |
| 1669855839 | Jessica Gilgour | Nurse Practitioner | 1600 E Evergreen St, Cameron, MO 64429-2400 | 2015-07-06 |
| 1760884894 | Cameron Regional Medical Center | Clinic/Center | 1600 E Evergreen St, Mp II Ste A, Cameron, MO 64429-2400 | 2014-09-19 |
| 1235481219 | Cameron Regional Medical Center Inc | Clinic/Center | 1600 E Evergreen St, Mp IIi Ste A, Cameron, MO 64429 | 2012-10-15 |
| 1134427735 | Joshua Wayne Ford | Respiratory Therapist, Certified | 1600 E Evergreen St, Cameron, MO 64429-2400 | 2011-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609498492 | Marci Rhea Cline | Nurse Practitioner | 901 N Walnut, Cameron, MO 64429 | 2020-05-14 |
| 1679116743 | Heartland Hearing Center | Hearing Instrument Specialist | 616 Lana, Cameron, MO 64429 | 2019-10-22 |
| 1801283601 | Sabeen Khaliq | Psychiatry & Neurology | 1600 E Evergreen Street, Cameron, MO 64429 | 2015-04-20 |
| 1982975363 | Stephanie Caldwell | Physical Therapy Assistant | 1007 Ensign, Apt. D, Cameron, MO 64429 | 2012-01-18 |
| 1568775377 | Renee K Hahn | Physical Therapy Assistant | 612 N Cedar St, Cameron, MO 64429 | 2010-07-21 |
| 1548587934 | Betsy Anne Fox Mcclure | Family Medicine | 2401 Se Hwy 36, Cameron, MO 64429 | 2010-04-26 |
| 1427239318 | Laura Leigh Harbison | Family Medicine | 221 E 7th, Cameron, MO 64429 | 2007-11-19 |
| 1750560611 | Audrey Christine Niemann | Speech-Language Pathologist | 1405 West Grand Avenue, Cameron, MO 64429 | 2007-10-29 |
| 1902097439 | Shahzad Shafique | Internal Medicine | 1600 E Evergreen St., Cameron Regional Medical Center, Cameron, MO 64429 | 2007-08-08 |
| 1376734145 | Douglas A Wyckoff Dds PC | Dentist | 1801 N Walnut, Cameron, MO 64429 | 2007-08-07 |
| Find all providers in zip 64429 | ||||
| Taxonomy Code | 193200000X |
| Grouping | Group |
| Classification | Multi-Specialty |
| A business group of one or more individual practitioners, who practice with different areas of specialization. |
| Notes: [7/1/2003: new] |
Please comment or provide details below to improve the information on MARIJA TONKOVIC-CAPIN.
| 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.