DR. GRANT MICHAEL BARNUM (NPI# 1639178445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639178445 |
| Entity Type | Individual |
| Full Name | DR. GRANT MICHAEL BARNUM |
| Credential | D.O. |
| Practice Address |
1870 Bagnell Dam Blvd Lake Ozark MO 65049-8658 |
| Mailing Address |
54 Hospital Dr Osage Beach MO 65065-3050 |
| Practice Telephone | 5733652318 |
| Practice Fax Number | 5733653009 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2008-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
DOR4GO2 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 242978211 | 05 | |
| MO | RAILROAD MEDICARE | P00303899 | 01 |
| Street Address |
1870 BAGNELL DAM BLVD |
| City | LAKE OZARK |
| State | MO |
| Zip Code | 65049-8658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003812918 | Karen S. Hayes | Nurse Practitioner | 1870 Bagnell Dam Blvd, Lake Ozark, MO 65049-8658 | 2005-06-24 |
| 1962853986 | Kimber Guinn | Pediatrics | 1870 Bagnell Dam Blvd, Lake Ozark, MO 65049-8658 | 2016-06-30 |
| 1760848410 | Jennifer Covie Vargas | Nurse Practitioner | 1870 Bagnell Dam Blvd, Lake Ozark, MO 65049-8658 | 2016-01-11 |
| 1700177128 | Lake Regional Health System | Clinic/Center | 1870 Bagnell Dam Blvd, Lake Ozark, MO 65049-8658 | 2011-04-20 |
| 1205067477 | Dennis L Albers | Pharmacist | 1870 Bagnell Dam Blvd, Lake Ozark, MO 65049-8658 | 2009-08-05 |
| 1043460322 | Colleen Annette Cueni-smith | Physical Therapist | 1870 Bagnell Dam Blvd, Lake Ozark, MO 65049-8658 | 2008-09-24 |
| 1255364311 | Teresa E Loney | Psychologist | 1870 Bagnell Dam Blvd, Suite B, Lake Ozark, MO 65049-8658 | 2006-07-09 |
| 1477595684 | Jeffrey L Piontek | Family Medicine | 1870 Bagnell Dam Blvd, Lake Ozark, MO 65049-8658 | 2006-06-12 |
| 1396783445 | Virginia A Nagy | Family Medicine | 1870 Bagnell Dam Blvd, Lake Ozark, MO 65049-8658 | 2006-06-02 |
| 1164472973 | Laura Rogers | Specialist/Technologist | 1870 Bagnell Dam Blvd, Suite B, Lake Ozark, MO 65049-8658 | 2006-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679099725 | Embark By Calo | Counselor | 110 Crossing Drive Suite 1, Lake Ozark, MO 65049 | 2017-08-21 |
| 1184006843 | Whitney Lodge | Pharmacist | 1870-c Bagnell Blvd, Lake Ozark, MO 65049 | 2015-06-18 |
| 1083907869 | Darin Thomas Puppel | Massage Therapist | 121 Crossings W, Ste F, Lake Ozark, MO 65049 | 2011-05-26 |
| 1407011851 | The Lime In The Coconut Specialty Compounding Pharmacy, LLC | Pharmacy | 121 Crossings West, # F, Lake Ozark, MO 65049 | 2008-07-25 |
| 1821270620 | Barnes Medical Clinic PC | Clinic/Center | 121 Crossings West Drive, #5, Lake Ozark, MO 65049 | 2007-12-04 |
| 1316130784 | Change Academy At Lake of The Ozarks | Psychiatric Residential Treatment Facility | 130 Calo Lane, Lake Ozark, MO 65049 | 2007-08-20 |
| 1891825592 | Karen L. Jenkins | Speech-Language Pathologist | 1571 Bagnell Dam Blvd., Box 1960, Lake Ozark, MO 65049 | 2007-03-06 |
| 1689741035 | Morrow Chiropractic Clinic PC | Chiropractor | 3225 Bagnell Dam Boulevard, Lake Ozark, MO 65049 | 2006-11-29 |
| 1891802443 | Lake Regional Medical Management, Inc | Durable Medical Equipment & Medical Supplies | 1870-c Bagnell Dam Blvd, Lake Ozark, MO 65049 | 2006-08-23 |
| 1033659545 | Marshal Morrow | Chiropractor | 3225 Bagnell Dam Boulevard, Lake Ozark, MO 65049 | 2017-03-02 |
| Find all providers in zip 65049 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164037875 | Visiting Physicians LLC | Internal Medicine | 108 E Green Meadows Rd Ste 3, Columbia, MO 65203-3633 | 2020-09-10 |
| 1023572690 | Specialist In Aging Successfully LLC | Internal Medicine | 12255 De Paul Dr Ste 260, Bridgeton, MO 63044-2510 | 2019-01-28 |
| 1023592946 | Institute of Medicine LLC | Internal Medicine | 6824 Balson Ave, Saint Louis, MO 63143-2603 | 2018-09-17 |
| 1104235241 | Generation Clinical Partners LLC | Internal Medicine | 11500 Olive Blvd Ste 235, Saint Louis, MO 63141-7141 | 2014-08-02 |
| 1477967883 | Medical Directors of The Ozarks LLC | Internal Medicine | 302 Veterans Blvd, Branson, MO 65616-2091 | 2014-06-13 |
| 1306133012 | Karen Markeisha Sobers | Internal Medicine | 901 Patients First Dr Ste 3881, Washington, MO 63090-4700 | 2011-07-01 |
| 1285881912 | Gopal K Nair, Md, PC | Internal Medicine | 1023 Arlington Oaks Ter, Chesterfield, MO 63017-5936 | 2008-08-25 |
| 1154577799 | Stanley Sharp Md Lc | Internal Medicine | 1310 Carondelet Dr Ste 230, Kansas City, MO 64114-4853 | 2008-08-14 |
| 1558563890 | Hassan Dawoud Elsiddig | Internal Medicine | 3660 Vista Ave # 204, Saint Louis, MO 63110-2540 | 2007-05-31 |
| 1871795104 | Shehla Sadiq | Internal Medicine | 3660 Vista Ave # 2104, Saint Louis, MO 63110-2540 | 2007-05-31 |
| Find all providers with the same taxonomy | ||||
| City | LAKE OZARK |
| Zip Code | 65049 |
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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.