LISA GERETTE KOLB (NPI# 1336135276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336135276 |
| Entity Type | Individual |
| Full Name | LISA GERETTE KOLB |
| Credential | M.D. |
| Practice Address |
1125 Madison St Jefferson City MO 65101-5227 |
| Practice Telephone | 5736342620 |
| Practice Fax Number | 5736342033 |
| Mailing Telephone | 5736342620 |
| Mailing Fax Number | 5736342033 |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2016-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
106050 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RAILROAD MEDICARE | 110095712 | 01 |
| MO | 206994907 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316158454 | Lisa H Kolb | Pharmacist | 129 N Washington St, Sumter, SC 29150-4949 | 2007-05-24 |
| Street Address |
1125 MADISON ST |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65101-5227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900085 | Elizabeth A Blanchard | Obstetrics & Gynecology | 1125 Madison St, Jefferson City, MO 65101-5227 | 2005-05-23 |
| 1740807031 | Courtney R Kunze | Nurse Practitioner | 1125 Madison St, Jefferson City, MO 65101-5200 | 2020-07-02 |
| 1528685906 | Garrett Hull | Family Medicine | 1125 Madison St, Jefferson City, MO 65101-5227 | 2020-07-01 |
| 1508499278 | Amy L Wyatt | Nurse Practitioner | 1125 Madison St, Jefferson City, MO 65101-5227 | 2020-02-20 |
| 1982257960 | Kahlil A Gaiters | Student in an Organized Health Care Education/Training Program | 1125 Madison St, Jefferson City, MO 65101-5200 | 2019-07-19 |
| 1710548821 | Erin Nicole Smallmon | Family Medicine | 1125 Madison St, Jefferson City, MO 65101-5200 | 2019-06-28 |
| 1215598602 | Brian Vause | Family Medicine | 1125 Madison St, Jefferson City, MO 65101-5227 | 2019-06-26 |
| 1770147266 | Heghineh Galstian | Family Medicine | 1125 Madison St, Jefferson City, MO 65101-5227 | 2019-04-30 |
| 1659935005 | Anna Marie Milner | Registered Nurse | 1125 Madison St, Jefferson City, MO 65101-5227 | 2019-04-30 |
| 1972076750 | Jennifer Esther Wekenborg | Physician Assistant | 1125 Madison St, Jefferson City, MO 65101-5200 | 2019-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619468527 | Lhcg Cxxxxiii, LLC | Home Health | 1125 Madison St Ste C, Jefferson City, MO 65101 | 2018-05-25 |
| 1396254629 | Lauren Mellon | Speech-Language Pathologist | 6124 Falcon Lane, Jefferson City, MO 65101 | 2017-09-29 |
| 1518375708 | Daven Nanda | Pharmacist | 2101 N Schotthill Woods Dr., Jefferson City, MO 65101 | 2014-07-31 |
| 1699183228 | Mark Nitz | Pharmacist | 2101 N Schotthill Dr, Jefferson City, MO 65101 | 2014-07-28 |
| 1386923472 | Lorinda Jo Leer | Occupational Therapist | 1403 Riverside Drive, Jefferson City, MO 65101 | 2011-08-08 |
| 1124334503 | Kimberly K Baumhoer | Hearing Instrument Specialist | 315 Ellis Blvd. Suite 202, Hearing Aid Consultants, Jefferson City, MO 65101 | 2010-08-24 |
| 1780867341 | Health Enhancements, P.C. | Family Medicine | 1739 Elm Court Plaza, Suite 106, Jefferson City, MO 65101 | 2007-12-06 |
| 1336364819 | Jerome Satorre | Occupational Therapist | 505 Ellis Blvd, Apt B20, Jefferson, MO 65101 | 2007-04-17 |
| 1326263450 | Bryan M. Pope, Dds Inc. | Dentist | 200 St. Mary's Medical Plaza, Suite 101, Jefferson City, MO 65101 | 2007-04-16 |
| 1104948769 | Kenneth Mark Skouby | Social Worker | 515a East Mccarty, Jefferson City, MO 65101 | 2007-04-04 |
| Find all providers in zip 65101 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538269873 | Fayyaz Hussain Sagarwala | Internal Medicine | 1505 Southwest Blvd, Jefferson City, MO 65109-2431 | 2006-09-25 |
| 1992724694 | Michael A Young | Internal Medicine | 3207 W Truman Blvd, Jefferson City, MO 65109-0892 | 2006-07-19 |
| 1255337390 | Blake Jay Brooks | Internal Medicine | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811549389 | Sana Hasan | Internal Medicine | Ce 422, One Hospital Drive University of Missouri, Columbia, MO 65212-0001 | 2019-07-15 |
| 1295291409 | Zeeshan Azeem | Internal Medicine | 1 Hospital Drive University Hospital, Columbia, MO 65212-0001 | 2019-02-12 |
| 1932614153 | Mohammad Walid Abuzeineh | Internal Medicine | 1 Hospital Drive Department of Nephrology, Columbia, MO 65211-0001 | 2017-12-11 |
| 1548788896 | Nephrology Care of St Louis | Internal Medicine | 224 S Woods Mill Rd Ste 460, Chesterfield, MO 63017-3513 | 2017-09-07 |
| 1033649819 | Taewoo Lee | Internal Medicine | 3635 Vista Ave Saint Louis University Medical Center, Division of Nephrology, Saint Louis, MO 63110 | 2017-06-14 |
| 1528502978 | Bill Lauderdale | Internal Medicine | 288 State Hwy Y, Forsyth, MO 65653-0010 | 2016-12-05 |
| 1780058727 | St Louis Kidney Care LLC | Internal Medicine | 11155 Dunn Rd Ste 211n, Saint Louis, MO 63136-6166 | 2015-11-13 |
| 1104239888 | Sadaf Sheikh | Internal Medicine | 222 S Woods Mill Rd Ste 750n, Chesterfield, MO 63017-3653 | 2014-06-10 |
| 1225441538 | Tomonori Alan Oyadomari | Internal Medicine | 1009 W Saint Maartens Dr Ste F, Saint Joseph, MO 64506-2990 | 2014-06-04 |
| 1184056830 | Ralph Robert Hatlelid | Internal Medicine | 318 E Swon Ave, Saint Louis, MO 63119-3112 | 2013-08-05 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON CITY |
| Zip Code | 65101 |
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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.