HEALTHSTAT ON-SITE CLINIC WATLOW COLUMBIA MO (NPI# 1558769596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558769596 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT ON-SITE CLINIC WATLOW COLUMBIA MO |
| Practice Address |
2101 Pennsylvania Dr Columbia MO 65202-1937 |
| Mailing Address |
4651 Charlotte Park Dr Suite 300 Charlotte NC 28217-1956 |
| Practice Telephone | 7045296161 |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2014-12-08 |
| Authorized Official Name | WARREN HUTTON (COO) |
| Authorized Official Telephone | 7045296161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
2101 PENNSYLVANIA DR |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65202-1937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374629 | Curators of The University of Missouri | Pharmacy | 7115 East St. Charles Road, Columbia, MO 65202 | 2020-10-21 |
| 1245871540 | Ranshell Micole Harrington | Registered Nurse | 7455 Noah Court Columbia, Mo65202, Columbia, MO 65202 | 2019-10-08 |
| 1326514381 | Clark Supported Living | Registered Nurse | 303 Macaw Dr, Columbia, MO 65202 | 2018-10-17 |
| 1851873608 | Phoenix Programs, Inc. | Counselor | 90 E. Leslie Ln., Columbia, MO 65202 | 2018-08-29 |
| 1760973044 | Centerpointe Hospital of Columbia, LLC | Psychiatric Hospital | 1201 International Drive, Columbia, MO 65202 | 2018-05-23 |
| 1710409198 | Lena-frances Sheets | Counselor | 3509 Deer Run Drive, Columbia, MO 65202 | 2017-07-07 |
| 1235669037 | Henry William Clark | Counselor | 409 Vandiver West Bldg 6, Suite 102a, Great Circle, Columbia, MO 65202 | 2017-06-14 |
| 1083065148 | Waleed Raheem Abood Abood | Psychiatry & Neurology | 1 Hospital Drive, Ste 507, Columbia, MO 65202 | 2016-06-29 |
| 1871993923 | Li Ma | Physician Assistant | 1909 Mayberry Drive, Columbia, MO 65202 | 2014-08-26 |
| 1134543614 | Meghan Lees | Nurse Anesthetist, Certified Registered | 4608 Waterloo Driv, Ste 170, Columbia, MO 65202 | 2014-02-05 |
| Find all providers in zip 65202 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083012298 | Healthstat On-site Clinic-milliken-kasbar | Preventive Medicine | 801 N James Campbell Blvd, Columbia, TN 38401-2680 | 2014-12-22 |
| 1376640185 | Richard W Stahlhut | Preventive Medicine | 194 W Green Meadows Rd, Columbia, MO 65203-3635 | 2006-09-20 |
| 1043211014 | Janie Rhea Vale | Preventive Medicine | 1012 Bourn Ave, Columbia, MO 65203-1455 | 2005-08-02 |
| 1952635146 | Olabisi Badmus | Preventive Medicine | 3209 Colonial Dr, Columbia, SC 29203-6930 | 2009-09-22 |
| 1194773713 | Dana Anthony Rawl | Preventive Medicine | 114 Gateway Corporate Blvd, Suite 430, Columbia, SC 29203-9740 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821609421 | Healthstat Inc Parker Sporlan | Preventive Medicine | 206 Lange Dr, Washington, MO 63090-1040 | 2020-08-17 |
| 1699279604 | Kim Krystal Koike | Preventive Medicine | 13 Great Lakes Dr, Saint Peters, MO 63376-3225 | 2018-03-23 |
| 1700393840 | Healthstat American National Insurance Co | Preventive Medicine | 1949 E Sunshine St, Springfield, MO 65899-0001 | 2018-01-10 |
| 1720486756 | Healthstat On-site Clinic Watlow Hannibal Mo | Preventive Medicine | 6 Industrial Loop, Hannibal, MO 63401-6052 | 2014-12-08 |
| 1376940080 | Healthstat On-site Clinic Watlow St. Louis | Preventive Medicine | 12001 Lackland Rd, Saint Louis, MO 63146-4001 | 2014-11-24 |
| 1437555729 | Health On-site Clinic Polsinelli Kansas City Mo | Preventive Medicine | 900 W 48th Pl, Suite 900, Kansas City, MO 64112-1895 | 2014-11-13 |
| 1255684452 | Healthstat On-site Clinic/mcc | Preventive Medicine | 3444 Broadway St, Kansas City, MO 64111-2412 | 2012-10-25 |
| 1194075788 | Healthstat- Independence School District | Preventive Medicine | 1516 W. Maple, Independence, MO 64050 | 2012-09-12 |
| 1659677656 | Belisario R Cabanilla | Preventive Medicine | 800 N Lindbergh Blvd # Lc1f, Saint Louis, MO 63167-0001 | 2011-02-08 |
| 1376748863 | Midwest Occupational Medicine, PC | Preventive Medicine | 3037 Main St, Suite 201, Kansas City, MO 64108-3357 | 2007-06-15 |
| 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.