DR. JAMES A DIRENNA (NPI# 1326066408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326066408 |
| Entity Type | Individual |
| Full Name | DR. JAMES A DIRENNA |
| Credential | D.O. |
| Practice Address |
5514 Corporate Dr Ste 120 Saint Joseph MO 64507-7754 |
| Mailing Address |
2101 Corona Rd Ste 102 Columbia MO 65203-2582 |
| Practice Telephone | 8162717169 |
| Practice Fax Number | 8162718810 |
| Mailing Telephone | 5736074618 |
| Mailing Fax Number | 5732341799 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | R6C32 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | AETNA | 4001425 | 01 |
| MO | COMMUNITY HEALTH PLAN | 10001696500 | 01 |
| KS | 200301660A | 05 | |
| MO | CLIA | 26D0896653 | 01 |
| MO | 246807846 | 05 | |
| MO | BLUECROSS/BLUE SHIELD KC | 09561143 | 01 |
| Street Address |
5514 CORPORATE DR STE 120 |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64507-7754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891728408 | Diane E Waddell | Nurse Practitioner | 5514 Corporate Dr Ste 120, Saint Joseph, MO 64507-7754 | 2006-07-08 |
| 1710511258 | Marti Jean Burri | Nurse Practitioner | 5514 Corporate Dr Ste 120, Saint Joseph, MO 64507-7754 | 2020-02-24 |
| 1750870846 | Crystal Lyn Ashburn | Nurse Practitioner | 5514 Corporate Dr Ste 120, Saint Joseph, MO 64507-7754 | 2018-05-04 |
| 1578001038 | Story Peterson | Nurse Practitioner | 5514 Corporate Dr Ste 120, Saint Joseph, MO 64507-7754 | 2017-02-05 |
| 1730321621 | Katherine Anne Lane | Nurse Practitioner | 5514 Corporate Dr Ste 120, Saint Joseph, MO 64507-7754 | 2009-03-24 |
| 1740358282 | Thomas R. Holda | Internal Medicine | 5514 Corporate Dr Ste 120, Saint Joseph, MO 64507-7754 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346644044 | Janaha Anderson | Dental Hygienist | 4073 Se Cunningham Rd, St. Joseph, MO 64507 | 2014-10-09 |
| 1518229772 | Andrew L Walker | Radiology | 902 N Riverside Rd Ste 201, Saint Joseph, MO 64507 | 2012-06-13 |
| 1619105731 | Pamela M. Lotz | Clinical Nurse Specialist | 902 No. Riverside Rd, Suite 200, St. Joseph, MO 64507 | 2009-06-26 |
| 1356300735 | St Joseph Oncology Inc | Internal Medicine | 902 No Riverside Rd, Suite 200, St Joseph, MO 64507 | 2006-03-22 |
| 1962478560 | Douglas Chyatte | Neurological Surgery | 802 N Riverside Rd Ste 120, Saint Joseph, MO 64507 | 2006-02-24 |
| 1073089546 | Chaz Caleb Johnson | Physical Therapist | 5506 Corporate Dr Ste 1800, Saint Joseph, MO 64507 | 2018-10-22 |
| 1295228344 | Julie Odonnell Phd LLC | Clinic/Center | 708 S Woodbine Rd Ste A, Saint Joseph, MO 64507 | 2018-06-13 |
| 1912369695 | Luke Nathan Prest | Pediatrics | 902 N Riverside Rd Ste 100, Saint Joseph, MO 64507 | 2016-03-22 |
| 1396007894 | Brian Wright Roe | Internal Medicine | 5514 Corporate Dr Ste 150, Saint Joseph, MO 64507 | 2012-06-11 |
| 1861873952 | Edison Derr II | Specialist/Technologist | 2214 Maple St, Saint Joseph, MO 64507-1413 | 2015-06-15 |
| Find all providers in zip 64507 | ||||
| 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 |
|---|---|---|---|---|
| 1770032708 | Robert Church | Family Medicine | 2402 S State St, Saint Joseph, MI 49085-1914 | 2016-10-03 |
| 1861646168 | Northwest Health Services, Inc. | Family Medicine | 503 S 6th St, Saint Joseph, MO 64501-2224 | 2008-11-13 |
| 1710186671 | Corinne M Ridens | Family Medicine | 105 Far West Dr., Ste. 100, Saint Joseph, MO 64506-3514 | 2007-07-12 |
| 1720283633 | James Driscoll Gendernalik | Family Medicine | 2500 Niles Rd Ste 1, 2nd Floor, Saint Joseph, MI 49085-3225 | 2007-06-19 |
| 1194847830 | Merlin D Brown Md PC | Family Medicine | 6503 N Us Highway 71, Saint Joseph, MO 64506-1048 | 2007-04-04 |
| 1437291671 | Aref Zaman | Family Medicine | 1515 Saint Joseph Ave, Saint Joseph, MO 64505-2631 | 2007-02-13 |
| 1609920891 | Beth L Booker | Family Medicine | 3921 Sherman Ave, Saint Joseph, MO 64506-3649 | 2007-01-23 |
| 1881786085 | Genesis Family Health Center, Plc | Family Medicine | 3916 Stonegate Park, Saint Joseph, MI 49085-9144 | 2006-09-28 |
| 1427151695 | David Cathcart | Family Medicine | 401 Illinois, Saint Joseph, MO 64504 | 2006-09-06 |
| 1396753422 | Randy S. Buckles, Do, Family Health Care, LLC | Family Medicine | 220 South Woodbine Rd, Saint Joseph, MO 64506 | 2006-08-04 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 64507 |
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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.