ANGELA R MENZ (NPI# 1619081593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619081593 |
| Entity Type | Individual |
| Full Name | ANGELA R MENZ |
| Credential | NP-C |
| Practice Address |
611 W Main St Fredericktown MO 63645 |
| Mailing Address |
611 W Main St Fredericktown MO 63645-1111 |
| Practice Telephone | 5737834111 |
| Practice Fax Number | 5737831065 |
| Mailing Telephone | 5737834111 |
| Mailing Fax Number | 5737831065 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2018-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
147218 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1008 N Main St, Sikeston, MO 638015044 | 5734726001 | 5734726006 |
| 1403 E Marshall St, Charleston, MO 63834 | 5736832327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134681471 | Angela Menz | Behavior Technician | 238 S Meridian Rd, Youngstown, OH 44509-2925 | 2019-04-04 |
| Street Address |
611 W MAIN ST |
| City | FREDERICKTOWN |
| State | MO |
| Zip Code | 63645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548235419 | Ashvin D. Patel | Emergency Medicine | 611 W Main St, Fredericktown, MO 63645-1111 | 2006-02-22 |
| 1306402680 | Alanna Guess | Nurse Practitioner | 611 W Main St, Fredericktown, MO 63645-1111 | 2019-05-13 |
| 1225487143 | Heather Cheaney | Clinical Nurse Specialist | 611 W Main St, Fredericktown, MO 63645-1111 | 2016-06-10 |
| 1225355027 | Craig J. Millham | Mechanotherapist | 611 W Main St, Fredericktown, MO 63645-1111 | 2010-05-03 |
| 1154648954 | Michele Rubel | Mechanotherapist | 611 W Main St, Fredericktown, MO 63645-1111 | 2010-05-03 |
| 1760630032 | Madison County Ambulance District | Ambulance | 611 W Main St, Fredericktown, MO 63645-1111 | 2008-08-28 |
| 1558545871 | Corinna D Defrancesco | Nurse Practitioner | 611 W Main St, Fredericktown, MO 63645-1111 | 2007-12-21 |
| 1780802512 | Susan Lee Krydynski | Occupational Therapist | 611 W Main St, Fredericktown, MO 63645-1111 | 2007-04-24 |
| 1669514436 | Madison Medical Center | Emergency Medicine | 611 W Main St, Fredericktown, MO 63645-1111 | 2007-02-12 |
| 1801948880 | Madison Medical Center | Pharmacy | 611 W Main St, Fredericktown, MO 63645-1111 | 2007-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093193880 | Emily Engers | Counselor | 206 W Marvin Ave, Fredericktown, MO 63645 | 2015-05-12 |
| 1871823955 | Covenant Care Services, LLC | Custodial Care Facility | 1610 W. Hwy 72, Fredericktown, MO 63645 | 2010-01-12 |
| 1518110279 | East Missouri Action Agency, Inc. | Clinic/Center | 806 West College Rd, Fredericktown, MO 63645 | 2008-10-28 |
| 1679737324 | Linda Carole Cravens | Dentist | 731 W Main St, Guy A Walker Dds, Fredericktown, MO 63645 | 2008-07-11 |
| 1629286976 | Community Health Care Associates, Inc | Social Worker | 735 West Main, Fredericktown, MO 63645 | 2007-05-18 |
| 1467539031 | Madison Medical Center Stockhoff Memorial Nursing Home | Clinic/Center | 611 West Main Street, Fredericktown, MO 63645 | 2006-11-01 |
| 1487749537 | Covenant Care Services, LLC | Registered Nurse | 120 S. Mine Lamotte, Fredericktown, MO 63645 | 2006-10-04 |
| 1215577945 | Modern Mental Health | Community/Behavioral Health | 151 South Main Street, Suite B, Fredericktown, MO 63645 | 2020-01-10 |
| 1235392309 | Humberto Jose Olivero Lara | Family Medicine | 611 West Main Street, Fredericktown, MO 63645 | 2008-07-08 |
| 1003983859 | Madison Memorial Hospital Stockhoff Memorial Nursing Home | Pharmacy | 611 West Main Street, Fredericktown, MO 63645 | 2006-11-29 |
| Find all providers in zip 63645 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998078 | Melissa Jordan | Nurse Practitioner | 605 Lincoln Dr, Fredericktown, MO 63645-6200 | 2020-07-01 |
| 1689286999 | Christina Lombard | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2020-08-18 |
| 1912543422 | Daniel Ryan Hinderliter | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2019-11-19 |
| 1306402680 | Alanna Guess | Nurse Practitioner | 611 W Main St, Fredericktown, MO 63645-1111 | 2019-05-13 |
| 1891251625 | Amber Marie Prebeg | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2019-02-17 |
| 1003397365 | Alexandria Marie Bakos | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2018-08-24 |
| 1417434358 | Gary Butler II | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2018-07-24 |
| 1336655539 | Kelsey Marie Kinneman | Nurse Practitioner | 355 N Chamber Dr, Fredericktown, MO 63645-7947 | 2017-12-26 |
| 1114433729 | Jill Marie Miscovich | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2017-12-18 |
| 1053839282 | Danielle M Guerrieri | Nurse Practitioner | 1070 Old National Pike Road, Fredericktown, PA 15333-2114 | 2017-09-08 |
| Find all providers in FREDERICKTOWN | ||||
| City | FREDERICKTOWN |
| Zip Code | 63645 |
Please comment or provide details below to improve the information on ANGELA R MENZ.
| 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.