CODY WEISBROD (NPI# 1275789323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275789323 |
| Entity Type | Individual |
| Full Name | CODY WEISBROD |
| Practice Address |
3411 Division Dr West Plains MO 65775-5789 |
| Practice Telephone | 4172579152 |
| Practice Fax Number | 4172579162 |
| Mailing Telephone | 4172579152 |
| Mailing Fax Number | 4172579162 |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3411 DIVISION DR |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775-5789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578666723 | Kelley Gaye Wilbanks | Counselor | 3411 Division Dr, West Plains, MO 65775-5789 | 2006-09-06 |
| 1730790031 | Brittney Lange | Technician, Other | 3411 Division Dr, West Plains, MO 65775-5789 | 2020-08-11 |
| 1881218303 | Michael Fuller | Health Educator | 3411 Division Dr, West Plains, MO 65775-5789 | 2020-06-01 |
| 1750903084 | Joel Brockett | Technician | 3411 Division Dr, West Plains, MO 65775-5789 | 2020-05-08 |
| 1497381297 | Richard Alverson | Technician | 3411 Division Dr, West Plains, MO 65775-5789 | 2020-03-12 |
| 1497387872 | Eulesa Johnson | Technician | 3411 Division Dr, West Plains, MO 65775-5789 | 2020-02-04 |
| 1720627268 | Kimberley Faber | Technician | 3411 Division Dr, West Plains, MO 65775-5789 | 2020-01-02 |
| 1720626393 | Emily Swan | Technician | 3411 Division Dr, West Plains, MO 65775-5789 | 2019-12-13 |
| 1043852668 | Dianna Hogan | Technician | 3411 Division Dr, West Plains, MO 65775-5789 | 2019-10-15 |
| 1346881539 | Lauren Franz | Marriage & Family Therapist | 3411 Division Dr, West Plains, MO 65775-5789 | 2019-09-30 |
| 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 | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730790031 | Brittney Lange | Technician, Other | 3411 Division Dr, West Plains, MO 65775-5789 | 2020-08-11 |
| 1982258182 | Cynthia Kiesling | Technician, Other | 3411 Division Dr, West Plains, MO 65775-5789 | 2019-07-26 |
| 1699335976 | Velinda Farris | Technician, Other | 3411 Division Dr, West Plains, MO 65775-5789 | 2019-06-18 |
| 1912467184 | Cheryl Holloway | Technician, Other | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2019-03-22 |
| 1942760558 | Jordan Good | Technician, Other | 3411 Division Dr, West Plains, MO 65775-5789 | 2019-03-20 |
| 1154806420 | Brittany Bryant | Technician, Other | 3411 Division Dr, West Plains, MO 65775-5789 | 2018-10-02 |
| 1558849240 | Amanda Dragos | Technician, Other | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2018-08-03 |
| 1801374517 | Harley Kerley | Technician, Other | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2018-08-03 |
| 1326526021 | Anna Castleberry | Technician, Other | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2018-08-03 |
| 1760998231 | Tiffany Iott | Technician, Other | 1015 Lanton Rd, West Plains, MO 65775-3854 | 2017-12-20 |
| Find all providers in WEST PLAINS | ||||
| 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.