AVALON OBSTETRICS AND GYNECOLOGY, P.C. (NPI# 1619059417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619059417 |
| Entity Type | Organization |
| Organization Name | AVALON OBSTETRICS AND GYNECOLOGY, P.C. |
| Practice Address |
1105 W Liberty St Suite 2050 Farmington MO 63640-1921 |
| Practice Telephone | 5737019600 |
| Practice Fax Number | 5737019605 |
| Mailing Telephone | 5737019600 |
| Mailing Fax Number | 5737019605 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2010-01-21 |
| Authorized Official Name | MRS. KIM SNIDER (OFFICE MANAGER) |
| Authorized Official Telephone | 5737019600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | R9B54 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 241676840 | 05 | |
| MO | RAILROAD MEDICARE | DD7351 | 01 |
| Street Address |
1105 W LIBERTY ST SUITE 2050 |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639151657 | Myra Lyn Menjoulet | Nurse Practitioner | 1105 W Liberty St, Suite 3002, Farmington, MO 63640-1921 | 2005-11-16 |
| 1023432788 | Womack Counseling Services LLC | Social Worker | 1105 W Liberty St, Suite 4050, Farmington, MO 63640-1921 | 2014-02-14 |
| 1568734994 | Jefferson Physician Network, LLC | Internal Medicine | 1105 W Liberty St, Farmington, MO 63640-1921 | 2012-02-01 |
| 1740505197 | James Preston Womack | Social Worker | 1105 W Liberty St, Suite 4050, Farmington, MO 63640-1921 | 2010-03-29 |
| 1336264613 | Parkland Women's Health, PC | Obstetrics & Gynecology | 1105 W Liberty St, Ste 4020, Farmington, MO 63640-1921 | 2007-03-19 |
| 1780789206 | Madonna Weiss | Nurse Practitioner | 1105 W Liberty St, Suite 4050, Farmington, MO 63640-1921 | 2006-09-13 |
| 1437135241 | Julie M Koppeis Mctearnen | Nurse Practitioner | 1105 W Liberty St, Suite 4050, Farmington, MO 63640-1921 | 2005-12-22 |
| 1013993476 | Parkland Health Clinic | Family Medicine | 1105 W Liberty St, Ste 4050, Farmington, MO 63640-1921 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477787364 | Jennifer Zeliger | Obstetrics & Gynecology | Franklin Health Women's Care, 181 Franklin Health Commons, Farmington, ME 04938 | 2009-05-07 |
| 1427245240 | Farmington Clinic Company LLC | Obstetrics & Gynecology | 1216 Weber Road, Farmington, MO 63640-3325 | 2007-09-25 |
| 1518040476 | Kristean Porter Thorpe | Obstetrics & Gynecology | 610 W. Pinon St., Farmington, NM 87401 | 2006-10-23 |
| 1003852716 | Mark Allen Fisher | Obstetrics & Gynecology | 634 W Pinon St, Farmington, NM 87401-5915 | 2006-06-21 |
| 1225094808 | Daniel W Chang | Obstetrics & Gynecology | 610 W Pinon St, Farmington, NM 87401 | 2006-04-24 |
| 1831171560 | John Joseph Grechus | Obstetrics & Gynecology | 1103 Weber Rd Ste 203, Farmington, MO 63640-3302 | 2005-11-17 |
| 1578559084 | Phillip Lee Kintner | Obstetrics & Gynecology | 546 Maple Valley Dr, Farmington, MO 63640-1981 | 2005-09-21 |
| 1093717563 | Jerry Myron Karabin | Obstetrics & Gynecology | 814 W Maple St, Farmington, NM 87401-5631 | 2005-08-12 |
| 1821095225 | Ursula Steadman | Obstetrics & Gynecology | 499 Farmington Ave, Suite 220, Farmington, CT 06032-1943 | 2005-06-30 |
| 1770129025 | Planned Parenthood of The Rocky Mountains | Obstetrics & Gynecology | 1308 E 20th St, Farmington, NM 87401-9022 | 2019-11-21 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
Please comment or provide details below to improve the information on AVALON OBSTETRICS AND GYNECOLOGY, P.C..
| 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.