MAURICIO JOSE PASQUALE (NPI# 1609170018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609170018 |
| Entity Type | Individual |
| Full Name | MAURICIO JOSE PASQUALE |
| Credential | PA-C |
| Practice Address |
1225 W Stadium Blvd Jefferson City MO 65109-6003 |
| Mailing Address |
Po Box 104240 Jefferson City MO 65110-4240 |
| Practice Telephone | 5736358000 |
| Practice Fax Number | 5735561710 |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2018-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2018004251 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1225 W STADIUM BLVD |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-6003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215913488 | John J. Krautmann | Orthopaedic Surgery | 1225 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2005-12-20 |
| 1902230345 | Hannah Elizabeth Libbert | Physical Therapist | 1225 W Stadium Blvd, Jefferson City, MO 65109-6003 | 2013-08-21 |
| 1093925703 | Joyce Marie Wilson | Orthopaedic Surgery | 1225 W Stadium Blvd, Jefferson City, MO 65109-6003 | 2007-05-23 |
| 1629196811 | Matthew M Ragsdell | Orthopaedic Surgery | 1225 W Stadium Blvd, Jefferson City, MO 65109-6003 | 2007-03-26 |
| 1396801353 | Jefferson City Medical Group, P.C. | Physical Medicine & Rehabilitation | 1225 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2006-12-27 |
| 1780789032 | Bradley S Sloan | Family Medicine | 1225 W Stadium Blvd, Jefferson City, MO 65109-6003 | 2006-09-13 |
| 1003871609 | Christopher Coker | Specialist/Technologist | 1225 W Stadium Blvd, Jefferson City, MO 65109-6003 | 2006-04-18 |
| 1487634234 | Thomas J. Folz | Physical Medicine & Rehabilitation | 1225 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760016141 | Julianna Christine Link | Physician Assistant | 1002 Diamond Rdg Ste 1200, Jefferson City, MO 65109-7911 | 2020-02-25 |
| 1215363841 | Lindsey Ann Clyde | Physician Assistant | 120 Hospital Dr Ste 130, Jefferson City, TN 37760 | 2013-09-14 |
| 1730646084 | Angela Brooke Burkhalter | Physician Assistant | 120 Hospital Dr, Jefferson City, TN 37760-5287 | 2019-02-22 |
| 1972076750 | Jennifer Esther Wekenborg | Physician Assistant | 1125 Madison St, Jefferson City, MO 65101-5200 | 2019-01-04 |
| 1871075754 | Zamara W Qureshi | Physician Assistant | 1511 Christy Dr, Jefferson City, MO 65101-2854 | 2018-09-06 |
| 1013374503 | Aaron C. Harris | Physician Assistant | 120 Hospital Dr, Suite 130, Jefferson City, TN 37760-5287 | 2016-01-28 |
| 1376948927 | Sarah E. Chapman | Physician Assistant | 120 Hospital Dr Ste 130, Jefferson City, TN 37760-5279 | 2014-10-24 |
| 1952724403 | Russell Walters | Physician Assistant | 110 Hospital Dr, Jefferson City, TN 37760-5281 | 2014-02-03 |
| 1144578659 | Cole Physician Services LLC | Physician Assistant | 100 St. Mary's Medical Plaza, Jefferson City, MO 65101 | 2012-08-15 |
| 1053697565 | Joanna P. Smith | Physician Assistant | 2505 Mission Dr, Suite 200, Jefferson City, MO 65109-9508 | 2011-10-27 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
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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.