DR. JACQUELINE A. HAUER (NPI# 1619289311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619289311 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE A. HAUER |
| Other Name | DR. JACQUELINE L. ANDERSON |
| Credential | M.D. |
| Practice Address |
1965 S Fremont Ave Suite 130 Springfield MO 65804-2201 |
| Mailing Address |
Po Box 505164 Saint Louis MO 63150-5164 |
| Practice Telephone | 4178209055 |
| Practice Fax Number | 4178209056 |
| Mailing Telephone | 4178294620 |
| Mailing Fax Number | 4178294316 |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2016-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
2015021019 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 210762001 | 05 | |
| MO | 1619289311 | 05 | |
| KS | 201120190A | 05 |
| Street Address |
1965 S FREMONT AVE SUITE 130 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205834074 | Tyrun Keith Richardson | Urology | 1965 S Fremont Ave, Ste 370, Springfield, MO 65804-2201 | 2005-07-14 |
| 1366934069 | Kelsi Brooke Yates | Registered Nurse | 1965 S Fremont Ave, Springfield, MO 65804 | 2018-05-30 |
| 1629515440 | Ashley Jenkins | Physician Assistant | 1965 S Fremont Ave, Ste 370, Springfield, MO 65804-2201 | 2017-01-31 |
| 1538602719 | Brianna Sikes | Registered Nurse | 1965 S Fremont Ave, Suite 230, Springfield, MO 65804-2201 | 2016-11-21 |
| 1497105779 | Krista Norrick | Occupational Therapist | 1965 S Fremont Ave, Ste 230, Springfield, MO 65804-2201 | 2016-06-16 |
| 1952750846 | Lori Pumphrey | Occupational Therapist | 1965 S Fremont Ave, Ste 230, Springfield, MO 65804-2201 | 2016-06-10 |
| 1306205414 | Jason Hall | Physician Assistant | 1965 S Fremont Ave, Ste 230, Springfield, MO 65804-2201 | 2016-02-17 |
| 1811382500 | Megan A. Martin | Nurse Practitioner | 1965 S Fremont Ave, Suite 300, Springfield, MO 65804-2201 | 2015-03-31 |
| 1588055578 | Inna L. Bates | Nurse Practitioner | 1965 S Fremont Ave, Suite 350, Springfield, MO 65804-2201 | 2015-02-11 |
| 1770990228 | Karina Marie Guffey | Nurse Practitioner | 1965 S Fremont Ave, Springfield, MO 65804-2201 | 2014-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205810082 | Michael R Pranzatelli | Psychiatry & Neurology | Southern Illinois University Healthcare Administration, Springfield, IL 62794 | 2005-12-05 |
| 1619382645 | Dusit Adstamongkonkul | Psychiatry & Neurology | 1000 E Primrose St Ste 200, Springfield, MO 65807 | 2014-06-28 |
| 1700146792 | Adam J David | Psychiatry & Neurology | 50 Wason Avenue, Springfield, MA 01107-1274 | 2012-05-23 |
| 1023246600 | Jeffrey Russell Frank | Psychiatry & Neurology | 1 Hayden Bridge Way, Springfield, OR 97477-9747 | 2009-06-23 |
| 1811105331 | James J Collins | Psychiatry & Neurology | 1965 S Fremont Ave Ste 130, Springfield, MO 65804-2252 | 2007-05-18 |
| 1366562159 | David C Dredge | Psychiatry & Neurology | 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 | 2007-03-29 |
| 1518058676 | Anthony H Jackson | Psychiatry & Neurology | 50 Wason Ave, 1st Floor, Springfield, MA 01107-1274 | 2006-09-27 |
| 1033200944 | Beth A. Rosen | Psychiatry & Neurology | 50 Wason Avenue, 1st Floor, Springfield, MA 01107-1274 | 2006-09-27 |
| 1255315065 | Theodore R Sunder | Psychiatry & Neurology | 421 N 9th St, Springfield, IL 62702-5317 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356478705 | Robin Chanel Ryther | Psychiatry & Neurology | 1 Childrens Pl Ste D, Ste D, Saint Louis, MO 63110-1002 | 2007-02-27 |
| 1902992696 | David J Callahan | Psychiatry & Neurology | 13001 N Outer 40 Rd Ste 1a, Ste 1a, Chesterfield, MO 63017-5941 | 2006-10-04 |
| 1912986332 | Robert Gordon Mcafee | Psychiatry & Neurology | 600 N Main, Mount Vernon, MO 65712 | 2006-01-13 |
| 1538542329 | Benjamin Paul Kay | Psychiatry & Neurology | 1 Barnes Jewish Hospital Plz, 1st Fl, Pediatric Neurology, Saint Louis, MO 63110-1003 | 2015-06-30 |
| 1023499001 | Regina Lindsay Triplett | Psychiatry & Neurology | 1 Childrens Pl, 3s34, Saint Louis, MO 63110-1002 | 2015-06-15 |
| 1881034866 | Shannon Christine Agner | Psychiatry & Neurology | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2013-07-05 |
| 1497195960 | Oleg V Lobanov | Psychiatry & Neurology | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2013-06-28 |
| 1255776704 | Nitin C Patel Md LLC | Psychiatry & Neurology | 1100 Club Village Dr Ste 102, Columbia, MO 65203-4411 | 2013-05-09 |
| 1497199640 | Keisuke Ueda | Psychiatry & Neurology | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2013-04-18 |
| 1780028043 | Lindsay Peglar | Psychiatry & Neurology | 1 Childrens Place, Suite 2d, St. Louis, MO 63110 | 2013-04-17 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
Please comment or provide details below to improve the information on DR. JACQUELINE A. HAUER.
| 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.