DR. EBBY GEORGE VARGHESE (NPI# 1639200942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639200942 |
| Entity Type | Individual |
| Full Name | DR. EBBY GEORGE VARGHESE |
| Credential | M.D. |
| Practice Address |
3211 S Providence Rd Bldg. C Columbia MO 65203-3639 |
| Mailing Address |
Po Box 7687 Columbia MO 65205-7687 |
| Practice Telephone | 5738847100 |
| Practice Fax Number | 5738847706 |
| Mailing Telephone | 5738822259 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2011-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
2005021816 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 204463202 | 05 |
| Street Address |
3211 S PROVIDENCE RD BLDG. C |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65203-3639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891746426 | Thomas J Amolsch | Psychologist | 3211 S Providence Rd, Bldg C, Columbia, MO 65203-3639 | 2006-05-16 |
| 1982238572 | Erin P Hammerstone | Massage Therapist | 3211 S Providence Rd, Columbia, MO 65203-3644 | 2020-02-24 |
| 1013397132 | Blair Elise Lansford | Nurse Practitioner | 3211 S Providence Rd, Green Meadows Building C, Columbia, MO 65203-3639 | 2015-06-03 |
| 1407992282 | Sandra Lillard | Social Worker | 3211 S Providence Rd, Building C, Columbia, MO 65203-3639 | 2007-01-29 |
| 1710061601 | Curators of The University of Missouri | Clinic/Center | 3211 S Providence Rd, Columbia, MO 65203-3639 | 2006-10-25 |
| 1992742639 | Sarah C Narendorf | Social Worker | 3211 S Providence Rd, Bldg C, Columbia, MO 65203-3639 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
| 1144797101 | Mary Zhang | Family Medicine | 200 Southampton Drive, Ste 102, Columbia, MO 65203 | 2018-10-29 |
| 1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
| 1154820157 | David Vincent Spencer | Internal Medicine | 201 W Broadway Building, Suite E, Columbia, MO 65203 | 2018-02-05 |
| 1598283103 | Donna Strickland | Counselor | 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 | 2017-09-03 |
| 1134643182 | Anna Kathryn Christensen | Physician Assistant | 4107 Baurichter Dr., Columbia, MO 65203 | 2017-08-01 |
| 1558885871 | Juan Camilo Pineda | Internal Medicine | 210 Portland Street Suite 104, Columbia, MO 65203 | 2017-07-28 |
| 1922530096 | The Missing L Inc | Community/Behavioral Health | 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 | 2017-03-29 |
| 1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
| 1417313552 | Brittany Lea Ramirez | Chiropractor | 2001 Corona Rd Ste 205, Columbia, MO 65203 | 2016-01-05 |
| Find all providers in zip 65203 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861983249 | Southern Pain Specialists | Physical Medicine & Rehabilitation | 115 Blarney Dr Ste 111, Columbia, SC 29223 | 2018-05-22 |
| 1639333644 | Mariam Hameed | Physical Medicine & Rehabilitation | 5500 Knoll North Dr Ste 500, Columbia, MD 21045 | 2008-07-18 |
| 1730364647 | Gary D Eaton | Physical Medicine & Rehabilitation | 3705 Bethel St, Columbia, MO 65203-5603 | 2008-01-09 |
| 1336798388 | Global Pain Management | Physical Medicine & Rehabilitation | 8900 Columbia 100 Parkway, Suite C, Columbia, MD 21045-7346 | 2019-09-11 |
| 1679136469 | Advanced Pain Management Specialists, LLC | Physical Medicine & Rehabilitation | 5500 Knoll North Dr Ste 500, Columbia, MD 21045-2365 | 2019-04-17 |
| 1881945723 | Spine and Rehabilitation Physicians, P.a. | Physical Medicine & Rehabilitation | 5500 Knoll North Dr, Suite 235, Columbia, MD 21045-2370 | 2012-10-01 |
| 1134231996 | Arcis Healthcare | Physical Medicine & Rehabilitation | 114 Gateway Corporate Blvd, Suite 110, Columbia, SC 29203-9740 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043879471 | P.r.i.m.e. Health Centers - Chesterfield, LLC | Physical Medicine & Rehabilitation | 253 Chesterfield Industrial Blvd, Chesterfield, MO 63005-1201 | 2019-06-10 |
| 1396300505 | Russell Thurman | Physical Medicine & Rehabilitation | 305 Thornbrooke Dr, Rogersville, MO 65742-8737 | 2019-05-02 |
| 1841753209 | Ap Medical | Physical Medicine & Rehabilitation | 1131 W Main St Ste A, Blue Springs, MO 64015-3698 | 2019-04-11 |
| 1043774821 | Riley Stowe | Physical Medicine & Rehabilitation | 1301 Tullison Rd, Kansas City, MO 64116-2640 | 2019-01-26 |
| 1043762974 | St Louis Spine and Joint Pain Specialists LLC | Physical Medicine & Rehabilitation | 520 Center Street, Fenton, MO 63026-4246 | 2016-10-26 |
| 1477843985 | Diana Mekler | Physical Medicine & Rehabilitation | 1365 Nykiel Ct, Ballwin, MO 63011-4246 | 2011-04-18 |
| 1962707075 | Charles Mauldin, Md PC | Physical Medicine & Rehabilitation | 3003 E Chestnut Expy Ste 109, Springfield, MO 65802-2527 | 2011-01-20 |
| 1619081890 | Nehal P Modh | Physical Medicine & Rehabilitation | 1145b E Gannon Dr, Festus, MO 63028-2611 | 2006-08-18 |
| 1316908155 | Nabil Ahmad | Physical Medicine & Rehabilitation | 12855 N 40 Dr Ste 275, Saint Louis, MO 63141-8667 | 2006-03-31 |
| 1427035955 | Gurpreet Padda | Physical Medicine & Rehabilitation | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 | 2005-12-27 |
| Find all providers with the same taxonomy | ||||
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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.