TEODORO C. VARGAS (NPI# 1427015726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427015726 |
| Entity Type | Individual |
| Full Name | TEODORO C. VARGAS |
| Credential | M.D. |
| Practice Address |
319 N 1st St Pacific MO 63069-1505 |
| Practice Telephone | 6362713500 |
| Practice Fax Number | 6362713508 |
| Mailing Telephone | 6362713500 |
| Mailing Fax Number | 6362713508 |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2020-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 34914 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | HEALTHCARE USA | 2052 | 01 |
| MO | EXCLUSIVE CHOICE | K92006 | 01 |
| MO | UNITED HEALTH CARE | 100922001 | 01 |
| MO | 200864908 | 05 | |
| MO | GROUP HEALTH PLAN | 5523 | 01 |
| MO | HEALTHLINK | 101254 | 01 |
| MO | BLUE CROSS/SHIELD | 18297 | 01 |
| Street Address |
319 N 1ST ST |
| City | PACIFIC |
| State | MO |
| Zip Code | 63069-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891962072 | Ted C. Vargas, Inc. | Family Medicine | 319 N 1st St, Pacific, MO 63069-1505 | 2008-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558884262 | Nicole Lynn Sitton | Occupational Therapist | 315 North 1st Street, Pacific, MO 63069 | 2017-07-25 |
| 1891222022 | Melissa Marie Georgevitch | Chiropractor | 724 W Osage St, Pacific, MO 63069 | 2017-05-18 |
| 1912238254 | Jeannine Lisa Liebmann | Counselor | 791 New Beginnings Dr., Pacific, MO 63069 | 2010-01-27 |
| 1801038724 | Pacific Care Center LLC | Skilled Nursing Facility | 105 South Sixth Street, Pacific, MO 63069 | 2009-03-25 |
| 1649428152 | Evelyn Alice Sdrulla | Physician Assistant | 300 North First St, Premier Medical Associates, Pacific, MO 63069 | 2008-09-09 |
| 1790106011 | Shawna Jo Surman | Nurse Practitioner | 307 Noonan Dr, Pacific, MO 63069 | 2014-01-05 |
| 1619371077 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2120 W Osage St, Pacific, MO 63069-1101 | 2014-10-14 |
| 1568811461 | Crystal Welch | Nurse Practitioner | 2120 W Osage St, Pacific, MO 63069-1101 | 2016-06-10 |
| 1902016959 | Sandra Joy Winder | Social Worker | 160 Western Ave, Pacific, MO 63069-1115 | 2007-05-22 |
| 1649577198 | Jennifer L Schmidt | Nurse Practitioner | 307 Noonan Drive, Pacific, MO 63069-1118 | 2011-02-18 |
| Find all providers in zip 63069 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770677742 | Gary Lee Sattman | Family Medicine | 208 W St Louis St, Pacific, MO 63069-1499 | 2006-10-03 |
| 1578959193 | Samera Majeed | Family Medicine | 307 Noonan Dr, Pacific, MO 63069-1136 | 2015-04-09 |
| 1891962072 | Ted C. Vargas, Inc. | Family Medicine | 319 N 1st St, Pacific, MO 63069-1505 | 2008-05-15 |
| 1790971836 | Patients First Health Care LLC | Family Medicine | 307 Noonan Dr, Pacific, MO 63069-1118 | 2007-09-21 |
| 1215148341 | Stephanie M Meyer | Family Medicine | 307 Noonan Dr, Pacific, MO 63069-1136 | 2007-05-24 |
| 1871520544 | Craig J Schmidt | Family Medicine | 307 Noonan Dr, Pacific, MO 63069-1118 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596877 | Stephanie R Nicholson | Family Medicine | 4500 S Park Ave, Sedalia, MO 65301-8525 | 2020-10-21 |
| 1053919514 | Kelli Lichte | Family Medicine | 601 S 13 Hwy, Lexington, MO 64067-1511 | 2020-10-15 |
| 1053927228 | Cox- Monett Hospital, Inc. | Family Medicine | 1000 E Hwy 60, Monett, MO 65708 | 2020-09-22 |
| 1104432806 | Jefferson Medical Group | Family Medicine | 807 E Broadway St, Brunswick, MO 65236-1468 | 2020-09-17 |
| 1124633995 | Continuum Family Care LLC | Family Medicine | 2336 S Main St, Maryville, MO 64468-3622 | 2020-09-09 |
| 1326652579 | Linda Diane Watson | Family Medicine | 338 Emerson Rd Apt 104, High Ridge, MO 63049-2530 | 2020-09-04 |
| 1447868005 | Brittany Mechelle Waterworth | Family Medicine | 3700 I 70 Dr Se Ste 106, Columbia, MO 65201-6587 | 2020-07-20 |
| 1013542828 | Johns Healthcare Services LLC | Family Medicine | 2001 Independence St Ste A, Cape Girardeau, MO 63703-5805 | 2020-03-12 |
| 1972133460 | Fnp4jc, LLC | Family Medicine | 215 North Street, Waynesville, MO 65583 | 2020-01-23 |
| 1568092732 | Scotland County Memorial Hospital | Family Medicine | 55682 State Highway 6, Edina, MO 63537-4267 | 2020-01-16 |
| Find all providers with the same taxonomy | ||||
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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.