TIMOTHY G BUSCH (NPI# 1649826777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649826777 |
| Entity Type | Individual |
| Full Name | TIMOTHY G BUSCH |
| Practice Address |
1195 S Deer Trl Fredericktown MO 63645-7833 |
| Practice Telephone | 5737720949 |
| Mailing Telephone | 5737720949 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346201704 | Timothy Busch | Physician Assistant | 5 Calle Medico Ste A, Santa Fe, NM 87505-4762 | 2006-03-28 |
| Street Address |
1195 S DEER TRL |
| City | FREDERICKTOWN |
| State | MO |
| Zip Code | 63645-7833 |
| 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 | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062156 | Sherri Ramsey Hawkins | Technician | 9155 Cozens Ave, Saint Louis, MO 63136-4078 | 2020-11-01 |
| 1760009575 | Simone Mcgary | Technician | 2480 Lampong Dr Apt 100c, Saint Louis, MO 63125-3145 | 2020-06-26 |
| 1396367025 | Rebekah Joy Carlson | Technician | 111 Walkin Rd, Iberia, MO 65486-9700 | 2020-05-15 |
| 1962024752 | Brittany Evans | Technician | 8301 Hawkesbury Dr, Saint Louis, MO 63121-1004 | 2020-05-14 |
| 1487276309 | Diana Denise Norman | Technician | 7218 Virginia Ave, Saint Louis, MO 63111-3018 | 2020-05-13 |
| 1023639762 | Mary Morlean | Technician | 2489 Ripley Route T, Oxly, MO 63955-5963 | 2020-05-05 |
| 1992324438 | Betty Anne Bogart | Technician | 19108 Old Bb, Holt, MO 64048-8751 | 2020-04-14 |
| 1689208332 | Josie Ryan Smith | Technician | 10450 Ne Reinking Rd, Kansas City, MO 64156-1122 | 2020-03-02 |
| 1669017331 | Adria Marie Mckenna | Technician | 5028 Clayridge Dr Apt 309, Saint Louis, MO 63129-1251 | 2019-11-16 |
| 1629613054 | Theodore Laux | Technician | 707 E 7th St, Portageville, MO 63873-1507 | 2019-11-08 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKTOWN |
| Zip Code | 63645 |
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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.