BRAD J ANGELOS (NPI# 1386733921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386733921 |
| Entity Type | Individual |
| Full Name | BRAD J ANGELOS |
| Credential | MD |
| Practice Address |
903 S Kingshighway St Sikeston MO 63801-4415 |
| Mailing Address |
1500 N Westwood Blvd Poplar Bluff MO 63901-3318 |
| Practice Telephone | 5734722139 |
| Mailing Telephone | 5734722139 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2013-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | R2G56 | MO | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | R2G56 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
903 S KINGSHIGHWAY ST |
| City | SIKESTON |
| State | MO |
| Zip Code | 63801-4415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821066242 | David Michael Van Pelt | Psychologist | 903 S Kingshighway St, Sikeston, MO 63801-4415 | 2006-03-10 |
| 1154884161 | Emily Michelle Shor | Pharmacist | 903 S Kingshighway St, Sikeston, MO 63801-4415 | 2019-04-08 |
| 1508270752 | Traci Baker | Social Worker | 903 S Kingshighway St, Sikeston, MO 63801-4415 | 2014-06-16 |
| 1508169053 | Anita Kay Green | Social Worker | 903 S Kingshighway St, Sikeston, MO 63801-4415 | 2010-12-06 |
| 1497988620 | St. Louis Jc Vamc | Clinic/Center | 903 S Kingshighway St, Sikeston, MO 63801-4415 | 2009-09-04 |
| 1558594630 | Mark L Trulsson | Dentist | 903 S Kingshighway St, Sikeston, MO 63801-4415 | 2009-08-24 |
| 1932371523 | Sheryl R Irvin | Nurse Practitioner | 903 S Kingshighway St, Sikeston, MO 63801-4415 | 2008-03-24 |
| 1669483863 | Kay Hunter | Counselor | 903 S Kingshighway St, Sikeston, MO 63801-4415 | 2006-08-11 |
| 1992716229 | Lori Adell | Dentist | 903 S Kingshighway St, Sikeston, MO 63801-4415 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285082 | Logan & Seiler Inc | Pharmacy | 102 Hospitality Drive, Suite B, Sikeston, MO 63801 | 2020-08-11 |
| 1992212153 | Sharaye Gilmore | Social Worker | 135 Plaza Dr Suite 102, Sikeston, MO 63801 | 2018-01-09 |
| 1730606385 | Megan Leann Schlosser | Occupational Therapy Assistant | Kenny Rogers Children's Center, 300 Floyd Dr., Sikeston, MO 63801 | 2017-08-24 |
| 1780130930 | Delta South Adult Care Center LLC | Clinic/Center | 640 Colonel George E Day Parkway, Sikeston, MO 63801 | 2016-08-28 |
| 1013236421 | Missouri Delta Medical Center | Clinic/Center | 1013 North Main, Sikeston, MO 63801 | 2010-05-25 |
| 1134361868 | Sikeston Rehab, LLC | Physical Therapy Assistant | 806 S. Kingshighway, Sikeston, MO 63801 | 2009-03-26 |
| 1508066978 | Paula Kaye Beck | Occupational Therapist | 2016 Oklahoma Ave, Sikeston, MO 63801 | 2007-07-23 |
| 1740497551 | James D West | Audiologist | 903 South Kingshighway, Sikeston, MO 63801 | 2007-05-17 |
| 1619190162 | Syed Muhammad Shahab Sayeed | Psychiatry & Neurology | 1008 N Main, Missouri Delta Medical Centre, Sikeston, MO 63801 | 2007-04-11 |
| 1629195607 | Melissa A Stewart | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 106 Dacus, Sikeston, MO 63801 | 2007-03-23 |
| Find all providers in zip 63801 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1316387319 | Abdel-qader Al-bashabsheh | Internal Medicine | 1008 N Main St, Sikeston, MO 63801-5044 | 2013-07-05 |
| 1518245216 | Ramez Sunna | Internal Medicine | 1008 N Main St, Sikeston, MO 63801-5044 | 2011-07-28 |
| 1225346802 | Luis Clemente Arcay Montagne | Internal Medicine | 1008 N Main St, Sikeston, MO 63801-5044 | 2010-09-17 |
| 1063618932 | Laurel Campbell | Internal Medicine | 123 Smith Ave, Sikeston, MO 63801-5239 | 2007-06-26 |
| 1437369527 | Justin Heath Bain | Internal Medicine | 1012 N Main St, Sikeston, MO 63801-5044 | 2007-05-23 |
| 1205956661 | Ferguson Medical Group | Internal Medicine | 1012 N Main St, Sikeston, MO 63801-5044 | 2007-03-30 |
| 1972658979 | Madhu Sahai | Internal Medicine | 1019 N Main St, Sikeston, MO 63801-5043 | 2007-01-23 |
| 1265537104 | Syed K Hashmi | Internal Medicine | 1008 N Main St, Sikeston, MO 63801-5044 | 2006-09-14 |
| 1881617116 | Penny Shelton | Internal Medicine | 1008 N Main St, Sikeston, MO 63801-5044 | 2006-07-26 |
| 1508832841 | Omar Mohammad Khan | Internal Medicine | 1008 N Main St, Sikeston, MO 63801-5044 | 2006-02-27 |
| Find all providers in SIKESTON | ||||
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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.