NODAWAY PHYSICIAN SERVICES, LLC (NPI# 1356622161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356622161 |
| Entity Type | Organization |
| Organization Name | NODAWAY PHYSICIAN SERVICES, LLC |
| Practice Address |
2016 S Main St Maryville MO 64468-2655 |
| Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
| Practice Telephone | 6605622600 |
| Mailing Telephone | 3373541153 |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2016-01-14 |
| Authorized Official Name | LISHA C FALK (VP OF CONTRACTING) |
| Authorized Official Telephone | 8008939698 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1356622161 | 05 |
| Street Address |
2016 S MAIN ST |
| City | MARYVILLE |
| State | MO |
| Zip Code | 64468-2655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619970761 | Lorraine M Dodson | Specialist | 2016 S Main St, Maryville, MO 64468-2655 | 2005-05-23 |
| 1275183055 | Alison Sporleder | Family Medicine | 2016 S Main St, Maryville, MO 64468-2655 | 2019-09-13 |
| 1982251856 | Paula Goodridge | Family Medicine | 2016 S Main St, Maryville, MO 64468-2655 | 2019-08-24 |
| 1184189797 | Mosaic Medical Center - Maryville | Internal Medicine | 2016 S Main St, Maryville, MO 64468-2655 | 2019-02-07 |
| 1568936995 | Mosaic Medical Center - Maryville | Medicare Defined Swing Bed Unit | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
| 1477027803 | Mosaic Medical Center - Maryville | Psychiatric Unit | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
| 1265906663 | Mosaic Medical Center - Maryville | General Acute Care Hospital | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
| 1821562265 | Mosaic Medical Center - Maryville | Clinic/Center | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
| 1194241349 | Angela Nicole Williamson | Nurse Practitioner | 2016 S Main St, Maryville, MO 64468-2655 | 2017-08-18 |
| 1225577372 | Estella Myrick | Nurse Practitioner | 2016 S Main St, Maryville, MO 64468-2655 | 2017-02-21 |
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| 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 | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
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|---|---|---|---|---|
| 1538546148 | Illinois Hospitalists, LLP | Hospitalist | 6800 State Route 162, Maryville, IL 62062-8500 | 2015-05-04 |
| 1023384740 | Uptown Emergency Physicians LLP | Hospitalist | 6800 State Route 162, Maryville, IL 62062-8500 | 2012-03-27 |
| 1679876411 | Blount Hospitalists PC | Hospitalist | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2010-12-17 |
| 1700064060 | Hospitalists of East Tennessee, PC | Hospitalist | 907 E Lamar Alexander Pkwy, Maryville, TN 37804-5015 | 2008-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679987481 | Ziad Sayedahmad | Hospitalist | 3635 Vista Ave Fl 13, Saint Louis, MO 63110-2539 | 2014-06-19 |
| 1063708238 | Ramya Chinnasamy | Hospitalist | 621 S New Ballas Rd Ste 112a, Saint Louis, MO 63141-8252 | 2011-06-25 |
| 1720231483 | Holzum Healthcare LLC | Hospitalist | 2 Progress Point, Ste 101a, O Fallon, MO 63368-2208 | 2008-10-28 |
| 1164688552 | Landmark Hospital of Cape Girardeau, LLC | Hospitalist | 3255 Independence St, Cape Girardeau, MO 63701-4914 | 2008-08-05 |
| 1639235203 | Brian Craig Silverman | Hospitalist | 901 East 5th Street, St. John's Mercy Hospital, Washington, MO 63090 | 2006-12-28 |
| 1093826935 | Northland Hospitalsts LLC | Hospitalist | 3724 N Quincy Circle, Kansas City, MO 64119-0278 | 2006-08-31 |
| 1194779579 | Inpatient Consultants of Missouri Inc | Hospitalist | 12125 Woodcrest Executive Dr, Suite 220, Saint Louis, MO 63141-5001 | 2006-05-20 |
| 1699329086 | Stanley Wade Balch II | Hospitalist | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2019-07-24 |
| 1992362776 | Margaret Fonseca | Hospitalist | 224 S Woods Mill Rd Ste 580, Chesterfield, MO 63017-3513 | 2019-05-28 |
| 1033671243 | Sol Allan Enriquez | Hospitalist | 19600 E 39th St S, Independence, MO 64057-2301 | 2019-04-05 |
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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.