MID-MISSOURI ENT AND FACIAL PLASTIC SURGERY SPECIALSTS INC. (NPI# 1619089836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619089836 |
| Entity Type | Organization |
| Organization Name | MID-MISSOURI ENT AND FACIAL PLASTIC SURGERY SPECIALSTS INC. |
| Practice Address |
3527 W Truman Blvd Ste 200 Jefferson City MO 65109 |
| Practice Telephone | 5736357901 |
| Practice Fax Number | 5736354805 |
| Mailing Telephone | 5736357901 |
| Mailing Fax Number | 5736354805 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | DOUGLAS J HOWLAND (PHYSICIAN) |
| Authorized Official Telephone | 5736357901 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Street Address |
3527 W TRUMAN BLVD STE 200 |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922099506 | Patrick G. Sporleder | Family Medicine | 3527 W Truman Blvd, Jefferson City, MO 65109-5715 | 2005-11-02 |
| 1619427945 | Kassie Thoenen | Nurse Practitioner | 3527 W Truman Blvd, Jefferson City, MO 65109-5715 | 2016-10-11 |
| 1689083511 | Ashley R Sandbothe | Nurse Practitioner | 3527 W Truman Blvd, Suite 100, Jefferson City, MO 65109-5715 | 2014-08-05 |
| 1700130168 | Jefferson City Medical Group, PC | Family Medicine | 3527 W Truman Blvd, Suite 100, Jefferson City, MO 65109-5715 | 2012-11-06 |
| 1710244140 | Jessica Marie Helmig | Speech-Language Pathologist | 3527 W Truman Blvd, Suite 300, Jefferson City, MO 65109-5715 | 2012-04-23 |
| 1033184007 | Robert J Mcdonald Jr. | Otolaryngology | 3527 W Truman Blvd, Ste 200, Jefferson City, MO 65109-5715 | 2006-02-22 |
| 1366425340 | Associated Family Physicians, LLC | Family Medicine | 3527 W Truman Blvd, Suite 100, Jefferson City, MO 65109-5715 | 2005-11-23 |
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386700326 | Jefferson City Medical Group, P.C. | Otolaryngology | 1241 W Stadium Blvd, Suite 1000, Jefferson City, MO 65109-6023 | 2006-12-27 |
| 1245342468 | Douglas J Howland | Otolaryngology | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2006-09-01 |
| 1366554586 | Michael Joseph Simmons | Otolaryngology | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2006-09-01 |
| 1033184007 | Robert J Mcdonald Jr. | Otolaryngology | 3527 W Truman Blvd, Ste 200, Jefferson City, MO 65109-5715 | 2006-02-22 |
| 1922071992 | Reese E. Thompson | Otolaryngology | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2006-02-09 |
| 1972580710 | David R. Marty | Otolaryngology | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205308871 | Head and Neck Surgical Associates of Lees Summit LLC | Otolaryngology | 3340 Ne Ralph Powell Rd, Lees Summit, MO 64064-2368 | 2018-12-20 |
| 1811480601 | Omar Ahmad Karadaghy | Otolaryngology | 600 E 8th St Apt 10s, Kansas City, MO 64106-1622 | 2018-06-07 |
| 1003337809 | Andrew John Vanbruggen | Otolaryngology | 1031 Mcintosh Cir, Joplin, MO 64804-3643 | 2017-06-30 |
| 1972043107 | Robert Christopher Loynd | Otolaryngology | 301 N. 2nd Street, St. Charles, MO 63301 | 2017-03-07 |
| 1649621921 | Zachary Farhood | Otolaryngology | 3635 Vista Ave, 6fdt, St. Louis, MO 63110 | 2016-06-28 |
| 1538510961 | Haley Nicole Bray | Otolaryngology | 3635 Vista Ave # 6dt, Saint Louis, MO 63110-2539 | 2016-06-27 |
| 1407207319 | Jesse Schmid | Otolaryngology | One Hosital Dr Ma314, Columbia, MO 65212 | 2016-06-22 |
| 1013304914 | Andrea Lee Hanick | Otolaryngology | Facial Plastic Surgery Center, 1044 North Mason Road, Mob4, Suite L10, Creve Coeur, MO 63141 | 2015-04-20 |
| 1023419405 | Arya W Namin | Otolaryngology | One Hospital Dr Ma314, Columbia, MO 65212 | 2014-09-04 |
| 1740689181 | David Sherman | Otolaryngology | 8350 State Route 30, Dittmer, MO 63023-1909 | 2014-08-21 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
Please comment or provide details below to improve the information on MID-MISSOURI ENT AND FACIAL PLASTIC SURGERY SPECIALSTS 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.