DR. JERRY L WAIT (NPI# 1316013675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316013675 |
| Entity Type | Individual |
| Full Name | DR. JERRY L WAIT |
| Credential | DO |
| Practice Address |
130 E Lockling St Brookfield MO 64628-2337 |
| Mailing Address |
21819 Wait Trl Kirksville MO 63501-7753 |
| Practice Telephone | 6602581050 |
| Practice Fax Number | 6602581048 |
| Mailing Telephone | 6607851000 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2009-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | R9B40 | MO | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | R9B40 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
130 E LOCKLING ST |
| City | BROOKFIELD |
| State | MO |
| Zip Code | 64628-2337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568463354 | Sisenando P Galvez Jr. | Family Medicine | 130 E Lockling St, Brookfield, MO 64628-2337 | 2005-08-03 |
| 1104322866 | Rebecca Frieda Krc | Emergency Medicine | 130 E Lockling St, Brookfield, MO 64628 | 2018-04-02 |
| 1174979439 | General John J, Pershing Memorial Hospital Association | Clinic/Center | 130 E Lockling St, Brookfield, MO 64628-2337 | 2016-05-05 |
| 1023345923 | David Loris Dollins | Emergency Medicine | 130 E Lockling St, Brookfield, MO 64628-2337 | 2009-11-13 |
| 1689811929 | General John J Pershing Memorial Hospital | Nurse Anesthetist, Certified Registered | 130 E Lockling St, Brookfield, MO 64628-2337 | 2009-01-08 |
| 1649457060 | Kimmy Ann Minkler | Physical Therapist | 130 E Lockling St, Brookfield, MO 64628-2337 | 2008-01-28 |
| 1427251750 | General John J. Pershing Memorial Hospital | Dietitian, Registered | 130 E Lockling St, Brookfield, MO 64628 | 2007-06-06 |
| 1881731776 | Gary W Fite | Physical Therapist | 130 E Lockling St, Brookfield, MO 64628-2337 | 2007-01-31 |
| 1932275286 | Irene Newman Parsonson | Nurse Practitioner | 130 E Lockling St, Brookfield, MO 64628-2337 | 2006-11-28 |
| 1639197361 | General John J Pershing Memorial Hospital Association | Medicare Defined Swing Bed Unit | 130 E Lockling St, Brookfield, MO 64628-2337 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548821747 | Shirley L Arnold | Nurse Practitioner | 624 West Lockling Avenue, Brookfield, MO 64628 | 2019-06-27 |
| 1861761611 | Kristen Marie Butterfield | Physical Therapist | 116 East Pratt, Brookfield, MO 64628 | 2011-12-23 |
| 1588933386 | Jacey Lynne Mohr | Physical Therapy Assistant | 116 E Pratt, Brookfield, MO 64628 | 2011-12-22 |
| 1497841902 | Thomas Ervin Pitts | Dentist | 121 E Brooks St, Brookfield, MO 64628 | 2006-10-04 |
| 1902909559 | Hutchinson Clinic Inc | Allergy & Immunology | 624 W Lockling Ave, Brookfield, MO 64628 | 2006-09-07 |
| 1447257373 | Minerva C Concepcion-rivera | Internal Medicine | 125 East Lockling Avenue, Brookfield, MO 64628 | 2005-07-07 |
| 1992702823 | Pepito C Rivera | Surgery | 130 East Lockling Avenue, Brookfield, MO 64628 | 2005-07-07 |
| 1407874126 | General John J Pershing Memorial Hospital Association | Home Health | 130 E Lockling Ave, Brookfield, MO 64628-0408 | 2006-07-18 |
| 1073521555 | General John J Pershing Memorial Hospital Association | Hospice Care, Community Based | 130 E Lockling Ave, Brookfield, MO 64628-0408 | 2006-08-03 |
| 1982612461 | General John J Pershing Memorial Hospital Association | Personal Emergency Response Attendant | 130 E Lockling Ave, Brookfield, MO 64628-0408 | 2006-08-03 |
| Find all providers in zip 64628 | ||||
| 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 |
|---|---|---|---|---|
| 1831464643 | Associates In Family Practice | Family Medicine | 246 Federal Rd Ste D12, Brookfield, CT 06804-2648 | 2012-03-12 |
| 1790937340 | James Herbert Zellmer | Family Medicine | 3145 Old Lantern Dr, Brookfield, WI 53005-3021 | 2008-10-15 |
| 1104081256 | Hendrik Leering | Family Medicine | 2885 N River Birch Dr, Unit D, Brookfield, WI 53045-3118 | 2008-07-28 |
| 1457562944 | James C Gariti | Family Medicine | 245 S Executive Dr, Suite 350, Brookfield, WI 53005-4204 | 2007-05-25 |
| 1306972112 | George Tomecki | Family Medicine | 8905 Burlington Ave, Brookfield, IL 60513 | 2007-02-26 |
| 1033212279 | Brian Kevin Knowles | Family Medicine | 624 W. Lockling St, Brookfield, MO 64628-2336 | 2006-09-06 |
| 1568480341 | Shani Vaturi | Family Medicine | 7264 Warren Sharon Rd, Brookfield, OH 44403-9665 | 2006-07-18 |
| 1457323099 | Mark A. Dorow | Family Medicine | 2085 N Calhoun Rd, Brookfield, WI 53005-5003 | 2006-02-07 |
| 1134192677 | Erin J. Trampe | Family Medicine | 2085 N. Calhoun Road, Prohealth Care Medical Associates, Brookfield, WI 53005 | 2006-02-07 |
| 1548240054 | Michael R Crist | Family Medicine | 814 Fairlane Dr, Brookfield, MO 64628-2318 | 2006-01-19 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 64628 |
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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.