PROSYRE, LLC (NPI# 1346680154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346680154 |
| Entity Type | Organization |
| Organization Name | PROSYRE, LLC |
| Practice Address |
1735 Elm Ct Jefferson City MO 65101-4129 |
| Practice Telephone | 5736382012 |
| Practice Fax Number | 5737614249 |
| Mailing Telephone | 5736382012 |
| Mailing Fax Number | 5737614249 |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2013-06-26 |
| Authorized Official Name | DR. STANLEY R HORNER (OWNER) |
| Authorized Official Telephone | 5736382012 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
36946 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1735 ELM CT |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65101-4129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932196433 | John D Despain | Dermatology | 1735 Elm Ct, Jefferson City, MO 65101-4129 | 2005-09-30 |
| 1306345624 | Stephanie Rae Summers | Nurse Practitioner | 1735 Elm Ct, Jefferson City, MO 65101-4129 | 2018-02-02 |
| 1396296265 | Elaine Hobein | Nurse Practitioner | 1735 Elm Ct, Jefferson City, MO 65101-4129 | 2016-10-17 |
| 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 | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962902353 | Dana P. Williams | Preventive Medicine | 906 Olive St Ste 904, Saint Louis, MO 63101-1431 | 2018-02-13 |
| 1285142711 | The Community Wellness Project | Preventive Medicine | 906 Olive Street, Suite 904, St. Louis, MO 63101 | 2018-01-18 |
| 1730330911 | Raymond Don Baker | Preventive Medicine | 5476 Stone Ledge Cir, Osage Beach, MO 65065 | 2008-10-06 |
| 1912193582 | Sharon Christine Hoffarth | Preventive Medicine | 15027 Ridge Lake Dr, Chesterfield, MO 63017-7638 | 2007-09-18 |
| 1619985694 | St.louis Chinese Community Service Ctr | Preventive Medicine | 8225 Olive Blvd, Saint Louis, MO 63132-2708 | 2006-08-04 |
| 1861939886 | Terra Forward | Preventive Medicine | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2017-01-28 |
| 1225174311 | Lakeland Hospital Acquisition Corporation, LLC | Preventive Medicine | 440 S Market Ave, Springfield, MO 65806-2026 | 2007-01-29 |
| 1790858074 | James L Hilburn | Preventive Medicine | 440 S Market Ave, Springfield, MO 65806-2026 | 2006-11-16 |
| 1649380122 | Prospective Healthcare Consultants | Preventive Medicine | 930 1st Capitol Dr, Saint Charles, MO 63301-2734 | 2006-08-30 |
| City | JEFFERSON CITY |
| Zip Code | 65101 |
Please comment or provide details below to improve the information on PROSYRE, LLC.
| 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.