CENTRAL METHODIST UNIVERSITY (NPI# 1467903971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467903971 |
| Entity Type | Organization |
| Organization Name | CENTRAL METHODIST UNIVERSITY |
| Other Organization Name | CENTRAL METHODIST UNIVERSITY SPORTS MEDICINE |
| Practice Address |
411 Central Methodist Sq Fayette MO 65248-1104 |
| Mailing Address |
5050 Spring Valley Rd. Dallas TX 75244-3909 |
| Practice Telephone | 6602486346 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |
| Authorized Official Name | MOUZON BASS III (AGENT) |
| Authorized Official Telephone | 9723674845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 2001007784 | MO | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Central Methodist University Sports Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952836645 | Central Methodist University | Psychologist | 411 Central Methodist Sq, Rm 206, Fayette, MO 65248-1104 | 2017-05-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Central Methodist University | 411 Central Methodist Square, Fayette, MO 65248 |
| Street Address |
411 CENTRAL METHODIST SQ |
| City | FAYETTE |
| State | MO |
| Zip Code | 65248-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952399776 | Rick Errett Sage | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248-1104 | 2005-10-06 |
| 1346734423 | Kimberly Mikulan | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248-1104 | 2018-06-21 |
| 1013429851 | Kelsey Nicole Stuenkel | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248-1104 | 2017-11-02 |
| 1023520863 | Bray Dempsey | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248-1104 | 2017-11-02 |
| 1841702685 | Jacob Ryan Kent | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248-1104 | 2017-11-02 |
| 1295247039 | Trevor Michael Barbour | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248-1104 | 2017-11-02 |
| 1114439957 | Zach G Hentges | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248-1104 | 2017-11-02 |
| 1750893590 | Ashley Elizabeth Wills | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248-1104 | 2017-11-02 |
| 1205348042 | Mackenzie Lee Cullifer | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248-1104 | 2017-11-02 |
| 1932611779 | Samuel Lee Niedergerke | Specialist/Technologist | 411 Central Methodist Sq, Fayette, MO 65248-1104 | 2017-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871658799 | Health Care Consultants of Mid Missouri, Inc. | Assisted Living Facility | 420 County Road 112, Fayette, MO 65248 | 2006-12-22 |
| 1326075391 | Robert Neal Buffaloe | Family Medicine | 308 S Church St, Fayette, MO 65248 | 2006-06-27 |
| 1740376219 | Howard County Home Health and Hospice | Hospice Care, Community Based | 101 Furr St, Fayette, MO 65248-1069 | 2006-10-04 |
| 1861496531 | Howard County Home Health and Hospice | Home Health | 101 Furr Street, Fayette, MO 65248-1069 | 2005-06-09 |
| 1013342955 | Howard County Home Health and Hospice | In Home Supportive Care | 101 Furr St, Fayette, MO 65248-1069 | 2013-09-11 |
| 1346242484 | Howard County Commission | Public Health or Welfare | 600 W Morrison St, Ste 7, Fayette, MO 65248-1075 | 2005-06-01 |
| 1700125382 | Jessica Michelle Beasley | Counselor | 600 W Morrison St, Ste 18, Fayette, MO 65248-1075 | 2013-02-02 |
| 1376840090 | Nathan Reed Hepner | Counselor | 600 W Morrison St, Suite 18, Fayette, MO 65248-1075 | 2011-02-15 |
| 1477855336 | Solcollin Aliscia Heard | Counselor | 600 W Morrison St, Ste. 18, Fayette, MO 65248-1075 | 2010-11-29 |
| 1992006399 | Leann Elizabeth Williams | Nurse Practitioner | 600 W Morrison St, Suite 5, Fayette, MO 65248-1075 | 2010-11-16 |
| Find all providers in zip 65248 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245725605 | Brian Geraghty | Orthopaedic Surgery | 201 Nw R D Mize Road, Blue Springs, MO 64014 | 2018-06-28 |
| 1588164347 | Orthopedic Associates of Jc, LLC | Orthopaedic Surgery | 19201 E Valley View Pkwy Ste C, Independence, MO 64055-6913 | 2018-02-19 |
| 1760903850 | Adam J Martin | Orthopaedic Surgery | 621 S New Ballas Rd Ste 3005b, Saint Louis, MO 63141-8266 | 2017-06-29 |
| 1922528249 | Chikezie Okeagu | Orthopaedic Surgery | 621 South New Ballas, St. Louis, MO 63141 | 2017-06-27 |
| 1669901997 | Patrick David Rowan | Orthopaedic Surgery | 1100 Virginia Avenue Dc 953 00, Columbia, MO 65212-0001 | 2017-06-09 |
| 1003268087 | Advanced Orthopedics and Sports Medicine | Orthopaedic Surgery | 2861 Ne Independence Ave Ste 201, Lees Summit, MO 64064-2379 | 2016-07-01 |
| 1801254164 | St. Anthony's Physician Organization | Orthopaedic Surgery | 12700 Southfork Rd Ste 100, Saint Louis, MO 63128-3201 | 2016-02-02 |
| 1699156760 | Paul Hutchinson | Orthopaedic Surgery | 1100 Virginia Ave Rm 4056, Columbia, MO 65212-0001 | 2015-06-15 |
| 1447660451 | Tyson Travis | Orthopaedic Surgery | 2820 E Rock Haven Rd Ste 120, Harrisonville, MO 64701-4413 | 2014-04-29 |
| 1285051482 | Michael Joseph Reiter | Orthopaedic Surgery | 3009 N Ballas Rd Ste 269c, Saint Louis, MO 63131-2339 | 2014-03-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CENTRAL METHODIST UNIVERSITY.
| 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.