CHARLES S FILLINGANE II (NPI# 1275854465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275854465 |
| Entity Type | Individual |
| Full Name | CHARLES S FILLINGANE II |
| Other Name | CHIP FILLINGANE |
| Credential | DO |
| Practice Address |
2336 S Main St Lowr Level Maryville MO 64468-3622 |
| Practice Telephone | 6602202123 |
| Practice Fax Number | 6605627911 |
| Mailing Telephone | 6602202123 |
| Mailing Fax Number | 6605627911 |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2016039415 | MO | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | P7438 | TX | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | R-8941 | IA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2016 S Main St, Maryville, MO 644682655 | 6605622600 | 6605627911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346261195 | Charles Samuel Fillingane | Emergency Medicine | 27 Lake Forgetful Apt 528, Hattiesburg, MS 39402-8275 | 2006-07-21 |
| Street Address |
2336 S MAIN ST LOWR LEVEL |
| City | MARYVILLE |
| State | MO |
| Zip Code | 64468-3622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619315603 | William Sean Prescott | Counselor | 318 North Main, Maryville, MO 64468 | 2013-06-12 |
| 1215284617 | Janet Luzmoor | Counselor | 109 East Summit Dr, Maryville, MO 64468 | 2012-08-06 |
| 1629336177 | Kristi Renee White | Social Worker | 423 N Market St, Maryville, MO 64468 | 2012-05-02 |
| 1285942474 | Kyle William Bowers | Physical Therapist | 2016 South Main Street, Maryville, MO 64468 | 2010-09-22 |
| 1861600660 | Debra Anne Hopkins | Physical Therapist | 2416 South Main St, Maryville, MO 64468 | 2007-05-18 |
| 1023235975 | Susan Kay Grispino | Occupational Therapist | Area Cooperative for Educational Support, 1429 South Munn Avenue, Maryville, MO 64468 | 2007-04-20 |
| 1760542567 | North West Missouri State University | Clinic/Center | 800 University Drive, Maryville, MO 64468 | 2006-12-11 |
| 1528154994 | Bruce E Twaddle | Dentist | 231 Summit Drive, Maryville, MO 64468 | 2006-10-05 |
| 1669588075 | Stanley David Snyder | Dentist | 2825 South Main Street, Maryville, MO 64468 | 2006-08-21 |
| 1710906896 | Ileen Richey-arellin | Social Worker | 109 E Summit Drive, Family Guidance Center, Maryville, MO 64468 | 2006-07-19 |
| Find all providers in zip 64468 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124633995 | Continuum Family Care LLC | Family Medicine | 2336 S Main St, Maryville, MO 64468-3622 | 2020-09-09 |
| 1619530029 | Pamela Gail Byrd | Family Medicine | 934 Dunkirk Dr, Maryville, TN 37801-8990 | 2019-04-22 |
| 1710495965 | Sarah Elizabeth Barto | Family Medicine | 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 | 2018-01-22 |
| 1134504012 | Dallas Mullock | Family Medicine | 2332 S Main St, Maryville, MO 64468-3622 | 2015-07-21 |
| 1649538802 | Easterly Family Medicine | Family Medicine | 104 Parliament Drive, Maryville, TN 37804-6209 | 2012-04-25 |
| 1407144819 | Norah Claire Farley Baker | Family Medicine | 10 Professional Park Dr., Maryville, IL 62062 | 2011-07-19 |
| 1083767479 | Metro East Healthcare Limited | Family Medicine | 2133 Vadalabene Dr Ste 5b, Maryville, IL 62062-5839 | 2007-01-19 |
| 1356368310 | Blount Memorial Hospital, Inc. | Family Medicine | 116 Chantilly Ln, Maryville, TN 37803-6102 | 2006-07-16 |
| 1821032285 | Jonathan F Greene | Family Medicine | 720 Foothills Mall Dr, Maryville, TN 37801-3519 | 2006-06-16 |
| 1386698223 | Robert David Proffitt | Family Medicine | 611 S Washington St, Maryville, TN 37804-5805 | 2006-05-22 |
| Find all providers in MARYVILLE | ||||
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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.