CENTRAL MISSOURI CARDIOVASCULAR ASSOCIATES, INC. (NPI# 1568630093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568630093 |
| Entity Type | Organization |
| Organization Name | CENTRAL MISSOURI CARDIOVASCULAR ASSOCIATES, INC. |
| Practice Address |
5780 Osage Beach Pkwy Suite 200 Osage Beach MO 65065-3188 |
| Practice Telephone | 5733020032 |
| Practice Fax Number | 5733020378 |
| Mailing Telephone | 5733020032 |
| Mailing Fax Number | 5733020378 |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2013-09-10 |
| Authorized Official Name | DR. COLIN ERNEST BAILEY (PRESIDENT) |
| Authorized Official Telephone | 5733020032 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 105982 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 207677733 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Central Missouri Cardiovascular Associates, Inc | 5780 Osage Beach Parkway, Suite 200, Osage Beach, MO 65065 |
| Street Address |
5780 OSAGE BEACH PKWY SUITE 200 |
| City | OSAGE BEACH |
| State | MO |
| Zip Code | 65065-3188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457372997 | Colin Ernest Bailey | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5780 Osage Beach Pkwy, Suite 200, Osage Beach, MO 65065-3188 | 2006-07-21 |
| 1003225962 | Tasha Stuckenschneider | Physical Therapist | 5780 Osage Beach Pkwy, Suite 220, Osage Beach, MO 65065-3188 | 2014-08-05 |
| 1912267576 | Matthew Ryan Rockelman | Physical Therapy Assistant | 5780 Osage Beach Pkwy, 220, Osage Beach, MO 65065-3188 | 2012-05-16 |
| 1922310820 | Jessica D Chaney | Physical Therapist | 5780 Osage Beach Pkwy, Suite 220, Osage Beach, MO 65065-3188 | 2010-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437778859 | Suzanne Marie Harris | Social Worker | 1191 State Highway Kk, Suite 101, Osage Beach, MO 65065 | 2020-04-15 |
| 1982172342 | Arrowhead Retirement Operations LLC | Skilled Nursing Facility | 6100 Arrowhead Drive, Osage Beach, MO 65065 | 2018-11-05 |
| 1245723337 | William T Mcfail | Counselor | 1191 State Hwy Kk, Suite 101, Osage Beach, MO 65065 | 2018-06-13 |
| 1588102263 | Jennifer Kiske | Physical Therapist | 5780 Osage Beach Parkway, Ste 220, Osage Beach, MO 65065 | 2017-02-02 |
| 1700207586 | Brenda Renee Spies | Pharmacist | 4252 Osage Beach Parkway, Osage Beach, MO 65065 | 2013-12-23 |
| 1154668465 | Paige Hedgpath Od, PC | Optometrist | 4645g Osage Beach Parkway, Osage Beach, MO 65065 | 2013-01-07 |
| 1649548330 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 300 Kestrel Lane, Lake Ozark, MO 65065 | 2011-12-08 |
| 1437399821 | Melissa Nicole Morgan | Physical Therapy Assistant | 5177 Vicus Castri, Osage Beach, MO 65065 | 2009-02-25 |
| 1730330911 | Raymond Don Baker | Preventive Medicine | 5476 Stone Ledge Cir, Osage Beach, MO 65065 | 2008-10-06 |
| 1457514259 | Lake Family Dentistry | Dentist | 1037 Palisades Blvd Ste 9, Osage Beach, MO 65065 | 2008-07-02 |
| Find all providers in zip 65065 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164744199 | Scott James Brick | Surgery | 54 Hospital Dr, Suite 205, Osage Beach, MO 65065-3050 | 2010-02-18 |
| 1518187467 | Justin Thomas Shatto | Surgery | 54 Hospital Dr, Ste 205, Osage Beach, MO 65065-3050 | 2007-04-25 |
| 1194737346 | John C Patton | Surgery | 54 Hospital Dr, Ste 205, Osage Beach, MO 65065-3050 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134623317 | Kuirong Jiang | Surgery | 1 Hospital Dr Rm Mc520, Columbia, MO 65212-1000 | 2018-03-21 |
| 1962926311 | Blaire Lori Anderson | Surgery | 4921 Parkview Place Ste 8c, St Louis, MO 63110 | 2017-07-27 |
| 1578084349 | Shoaib Safiullah | Surgery | 1 Hospital Dr # Dc075.00, Columbia, MO 65212-1000 | 2017-07-03 |
| 1003336934 | Bradley Kushner | Surgery | 660 S Euclid Ave Fl 9, Saint Louis, MO 63110-1010 | 2017-06-21 |
| 1982088571 | Maxwell Tanyi Fohtung | Surgery | 4949 W Pine Blvd, Saint Louis, MO 63108 | 2015-07-14 |
| 1376920538 | Jordan M Kirsch | Surgery | 660 S. Euclid Ave, Cb 8109, Saint Louis, MO 63110-1020 | 2015-04-27 |
| 1194117861 | Kaitlyn Marie Rountree | Surgery | 1 Hospital Dr # Mc404, Columbia, MO 65212-1000 | 2015-03-04 |
| 1003231002 | Mysorekar Surgical | Surgery | 8342 Delcrest Dr, Apt 303, Saint Louis, MO 63124-2100 | 2014-02-27 |
| 1588099725 | Francis Milton Corry | Surgery | 2859 E. Utica, Springfield, MO 65804 | 2013-09-06 |
| 1710327879 | Jason Matthew Loden | Surgery | 1333 S Sam Houston Blvd Ste C, Houston, MO 65483-2046 | 2013-07-03 |
| Find all providers with the same taxonomy | ||||
| City | OSAGE BEACH |
| Zip Code | 65065 |
Please comment or provide details below to improve the information on CENTRAL MISSOURI CARDIOVASCULAR ASSOCIATES, INC..
| 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.