ISMAEL AGUILO -RODRIGUEZ (NPI# 1467581199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467581199 |
Entity Type | Individual |
Full Name | ISMAEL AGUILO -RODRIGUEZ |
Credential | M.D. |
Practice Address |
401 N Main St Ste 1 Gravois Mills MO 65037-6253 |
Mailing Address |
Po Box 1519 Laurie MO 65038-1519 |
Practice Telephone | 5733745800 |
Practice Fax Number | 5733745697 |
Mailing Telephone | 5733745800 |
Mailing Fax Number | 5733745697 |
Enumeration Date | 2007-03-06 |
Last Update Date | 2013-10-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 6369 | PR | Allopathic & Osteopathic Physicians |
Y | 208D00000X | General Practice | 2010042688 | MO | Allopathic & Osteopathic Physicians |
Street Address |
401 N MAIN ST STE 1 |
City | GRAVOIS MILLS |
State | MO |
Zip Code | 65037-6253 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902384993 | Show-me Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 31358 Aqua Vita Rd, Gravois Mills, MO 65037 | 2018-08-01 |
1871778977 | Laurie Family Eyecare, Inc. | Optometrist | 138 S. Main, Suite C, Laurie, MO 65037 | 2008-01-08 |
1770635880 | Irene Toth | Pharmacist | 29530 Royal Oak Ln, Gravois Mills, MO 65037-4325 | 2007-01-17 |
1942323738 | Jamaica Cottage Isl II | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 31360 Aqua Vita Rd, Gravois Mills, MO 65037-4762 | 2007-04-09 |
1487785341 | Jamaica Cottage II, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 31360 Aqua Vita Rd, Gravois Mills, MO 65037-4803 | 2007-03-09 |
1124023940 | Kenneth L Derrington | Family Medicine | 156 Missouri Blvd Ste B, Gravois Mills, MO 65037-5394 | 2005-06-17 |
1619321817 | Anton Kosov | Internal Medicine | 156 Missouri Blvd Ste B, Gravois Mills, MO 65037-5394 | 2016-04-14 |
1932203262 | Kimberly Collins | Nurse Practitioner | 156 Missouri Blvd Ste B, Gravois Mills, MO 65037-5394 | 2006-09-08 |
1205815461 | Candace Malson | Nurse Practitioner | 156 Missouri Blvd Ste B, Gravois Mills, MO 65037-5394 | 2006-01-15 |
1811103773 | Bristol Care, Inc. | Assisted Living Facility | 299 Highway Ra, Laurie, MO 65037-6024 | 2007-05-15 |
Find all providers in zip 65037 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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1760001598 | Md Sarefin Zaman | General Practice | 2715 W 76 Country Blvd Ste 103, Branson, MO 65616-2344 | 2020-04-12 |
1437707551 | Home Docs Medical Associates, LLC | General Practice | 7584 Olive Blvd Ste 204, University City, MO 63130-1600 | 2019-09-02 |
1912462912 | Thomas George Brett | General Practice | 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 | 2019-02-04 |
1295208403 | Sme Kentucky Psc | General Practice | 5728 Pergola Dr Apt 207, Columbia, MO 65201-2897 | 2019-01-10 |
1821579798 | Healthy Schools Missouri LLC | General Practice | 3675 S Noland Rd Ste 200, Independence, MO 64055-3369 | 2018-08-28 |
1902300825 | Landmark Medical of Missouri PC | General Practice | 312 Sw Greenwich Dr # 315, Lees Summit, MO 64082-4408 | 2018-03-23 |
1740784214 | Bridge Integrative Medicine LLC | General Practice | 305 Nw Englewood Ct Ste 200, Kansas City, MO 64118 | 2018-03-20 |
1093218224 | Andrew Jason Doppelt | General Practice | 200 E Southampton Dr Ste 104, Columbia, MO 65203-3032 | 2018-03-14 |
1114427606 | Khrystal Robinson | General Practice | 902 E Reed St, Hayti, MO 63851-1243 | 2018-02-20 |
Find all providers with the same taxonomy |
City | GRAVOIS MILLS |
Zip Code | 65037 |
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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.