DR. LYDIA W KEISLER (NPI# 1407817737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407817737 |
| Entity Type | Individual |
| Full Name | DR. LYDIA W KEISLER |
| Credential | M.D. |
| Practice Address |
1515 Hazel St Suite 101 Carthage MO 64836-2850 |
| Practice Telephone | 4173580188 |
| Practice Fax Number | 4173584612 |
| Mailing Telephone | 4173580188 |
| Mailing Fax Number | 4173584612 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2009-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 101562 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 209731827 | 05 | |
| MO | TAXONOMY | 207V00000X | 01 |
| Street Address |
1515 HAZEL ST SUITE 101 |
| City | CARTHAGE |
| State | MO |
| Zip Code | 64836-2850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447591573 | Mercy Hospital Carthage | Internal Medicine | 1515 Hazel St, Carthage, MO 64836-2850 | 2013-03-14 |
| 1861743627 | Mercy Hospital Carthage | Clinic/Center | 1515 Hazel St, Carthage, MO 64836-2850 | 2012-09-19 |
| 1558628222 | Mercy Hospital Carthage | Internal Medicine | 1515 Hazel St, Carthage, MO 64836-2850 | 2012-04-18 |
| 1992074959 | Mercy Hospital Carthage | Clinic/Center | 1515 Hazel St, Suite 101, Carthage, MO 64836 | 2011-12-21 |
| 1013298983 | Melinda Sue Burchfield | Social Worker | 1515 Hazel St, Carthage, MO 64836-2850 | 2011-09-06 |
| 1215221809 | Mccune Brooks Hospital | Clinic/Center | 1515 Hazel St, Suite 101, Carthage, MO 64836-2850 | 2011-06-01 |
| 1346533569 | Mccune Brooks Hospital | Clinic/Center | 1515 Hazel St, Suite 204, Carthage, MO 64836-2850 | 2011-05-20 |
| 1629236948 | William G Herrington | Dentist | 1515 Hazel St, Suite 200, Carthage, MO 64836-2850 | 2008-05-23 |
| 1003081530 | Carthage Radiologosts | Radiology | 1515 Hazel St, Carthage, MO 64836-2850 | 2008-04-25 |
| 1578731063 | Linda Louise Lee | Counselor | 1515 Hazel St, Suite 201, Carthage, MO 64836-2850 | 2008-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043871908 | Cura Personalis, (care for The Whole Person), LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11650 Bobwhite Road, Carthage, MO 64836 | 2019-06-21 |
| 1477098531 | Grace Theios, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6031 County Road 105, Carthage, MO 64836 | 2016-12-28 |
| 1386095255 | Ozark Tri County Healthcare Consortium | Dentist | 215 E 3rd Street, Carthage, MO 64836 | 2016-06-22 |
| 1861668972 | Allison D. O'dell | Social Worker | 2411 Fairlawn Drive, Carthage, MO 64836 | 2008-05-08 |
| 1619142064 | Earl L Kirn | Social Worker | 2411 Fairlawn Ave, Carthage, MO 64836 | 2008-04-28 |
| 1235283912 | Mark F Saladin | Dentist | 1604 Missouri Avenue, Carthage, MO 64836 | 2007-01-22 |
| 1962570465 | Carthage Counseling LLC | Community/Behavioral Health | 2411 Fairlawn Dr, Carthage, MO 64836 | 2006-12-01 |
| 1023191665 | Wal-mart Stores East, Lp | Technician/Technologist | 2705 Grand Ave., Carthage, MO 64836 | 2006-10-24 |
| 1356437180 | Jannette Eldred | Social Worker | 1500 South Case Steet, Carthage, MO 64836 | 2006-10-05 |
| 1144251646 | Peter Richardson | Family Medicine | 719 W Centennial, Carthage, MO 64836 | 2006-07-05 |
| Find all providers in zip 64836 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093957128 | Mccune Brooks Regional Hospital | Obstetrics & Gynecology | 1515 Hazel St Ste 101, Carthage, MO 64836-2842 | 2009-04-06 |
| 1982788394 | Gaston F Dacosta | Obstetrics & Gynecology | 117 N. Mechanic Street, Carthage, NY 13619 | 2006-10-24 |
| 1275558306 | Richard G Hofmann | Obstetrics & Gynecology | 117 N Mechanic Street, Carthage, NY 13619 | 2006-07-12 |
| 1770524050 | Kimberly Michele Ginyard | Obstetrics & Gynecology | 117 N Mechanic St, Carthage, NY 13619-1252 | 2006-06-09 |
| 1093251217 | Sumner Physician Practices | Obstetrics & Gynecology | 133 Hospital Dr, Suite 500, Carthage, TN 37030-4004 | 2017-01-11 |
| 1972815181 | John Barry Kelly Sr. | Obstetrics & Gynecology | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2010-07-06 |
| 1861421406 | Jonathan J Bruno | Obstetrics & Gynecology | 1100 Highway 16 E, Carthage, MS 39051-4222 | 2006-07-03 |
| 1033159363 | Christopher Martin Jones | Obstetrics & Gynecology | 403 S Adams St, Suite 239, Carthage, IL 62321-1624 | 2006-06-07 |
| 1346298353 | Elizabeth M Barlet | Obstetrics & Gynecology | 1515 Hazel St, Carthage, MO 64836-2850 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403334 | Sarah Mai Truong | Obstetrics & Gynecology | 402 N Keene St # Dc570.00, Columbia, MO 65201-6986 | 2020-06-30 |
| 1962049593 | Michael Wayne Mccullough | Obstetrics & Gynecology | 500 N Keene St Ste 400, Columbia, MO 65201-8104 | 2019-12-02 |
| 1144881509 | Stephanie Barata | Obstetrics & Gynecology | 402 N Keene St Ste 402, Columbia, MO 65201-6986 | 2019-06-26 |
| 1447814181 | Obstetrical Associates of St. Luke's, LLC | Obstetrics & Gynecology | 224 S Woods Mill Rd Ste 750s, Chesterfield, MO 63017-3623 | 2019-04-29 |
| 1508328782 | Lauren Marie Rackovan | Obstetrics & Gynecology | 1011 Bowles Ave Ste 215, Fenton, MO 63026-2387 | 2019-04-04 |
| 1144798737 | Frg Rlt Holdings, Inc. | Obstetrics & Gynecology | 1747 Smizer Station Rd Ste 1, Fenton, MO 63026-2784 | 2018-11-13 |
| 1568984367 | Gsh Lab LLC | Obstetrics & Gynecology | 621 S New Ballas Rd Ste 1017b, Saint Louis, MO 63141-8264 | 2017-07-13 |
| 1851825715 | Sydni Fazenbaker Crowell | Obstetrics & Gynecology | 621 S New Ballas Rd Ste 2009b, Saint Louis, MO 63141 | 2017-04-18 |
| 1063945517 | Donald R Jones Enterprises, LLC | Obstetrics & Gynecology | 225 Physicians Park Ste 300, Poplar Bluff, MO 63901-3930 | 2017-04-11 |
| 1184157984 | Robert Mcdavid | Obstetrics & Gynecology | 3609 Arbor Ct, Columbia, MO 65201-6542 | 2017-04-07 |
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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.