BOTHWELL REGIONAL HEALTH CENTER (NPI# 1659632016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659632016 |
| Entity Type | Organization |
| Organization Name | BOTHWELL REGIONAL HEALTH CENTER |
| Other Organization Name | BRH EAR NOSE & THROAT |
| Practice Address |
3700 W 10th St Ste 300 Sedalia MO 65301-2540 |
| Mailing Address |
Po Box 1706 601 E 14th Street Sedalia MO 65302-1706 |
| Practice Telephone | 6608265226 |
| Practice Fax Number | 6608265246 |
| Mailing Telephone | 6608268833 |
| Mailing Fax Number | 6608273742 |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2014-03-29 |
| Authorized Official Name | JAMES A ROBERTSON (CFO) |
| Authorized Official Telephone | 6608279482 |
| Is Organization Subpart | Y |
| Parent Organization Name | BOTHWELL REGIONAL HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BC BS OF KC | 47681077 | 01 | |
| MEDICARE RR | CK7172 | 01 | |
| MO | PENDING | 05 |
| Other Name | Type Code |
|---|---|
| BRH Ear Nose & Throat | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548401896 | Bothwell Regional Health Center | Psychiatry & Neurology | 600 East 12th St, Sedalia, MO 65301 | 2009-03-17 |
| 1043401284 | Bothwell Regional Health Center | Internal Medicine | 110 Tower Dr, Sutie B, Warsaw, MO 65355 | 2007-08-05 |
| 1497705313 | Bothwell Regional Health Center | Family Medicine | 1201 E Main Street, Cole Camp, MO 65325-1256 | 2006-05-11 |
| 1871568790 | Bothwell Regional Health Center | General Acute Care Hospital | 3143 West Broadway, Sedalia, MO 65301-2116 | 2006-02-22 |
| 1588281844 | Bothwell Regional Health Center | Clinic/Center | 2925 Clinton Rd, Sedalia, MO 65301-7915 | 2020-07-02 |
| 1801410865 | Bothwell Regional Health Center | Clinic/Center | 2925 Clinton Rd, Sedalia, MO 65301-7915 | 2020-06-04 |
| 1508239781 | Bothwell Regional Health Center | General Practice | 3700 W 10th St, Sedalia, MO 65301-2540 | 2015-11-10 |
| 1962875146 | Bothwell Regional Health Center | General Practice | 3700 W 10th St, Sedalia, MO 65301-2540 | 2015-11-10 |
| 1891040317 | Bothwell Regional Health Center | Surgery | 3300 W 10th St, Sedalia, MO 65301-2111 | 2012-07-20 |
| 1033487194 | Bothwell Regional Health Center | Family Medicine | 3700 W 10th Street, Suite 203, Sedalia, MO 65301-2540 | 2011-12-05 |
| Street Address |
3700 W 10TH ST STE 300 |
| City | SEDALIA |
| State | MO |
| Zip Code | 65301-2540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396742599 | Elizabeth A Current | Advanced Practice Midwife | 3700 W 10th St, Suite 100, Sedalia, MO 65301-2540 | 2005-07-01 |
| 1508239781 | Bothwell Regional Health Center | General Practice | 3700 W 10th St, Sedalia, MO 65301-2540 | 2015-11-10 |
| 1962875146 | Bothwell Regional Health Center | General Practice | 3700 W 10th St, Sedalia, MO 65301-2540 | 2015-11-10 |
| 1275886947 | Bothwell Internal Medicine | Internal Medicine | 3700 W 10th St, Suite 301, Sedalia, MO 65301-2540 | 2012-10-18 |
| 1811008097 | Christine Deeths | Family Medicine | 3700 W 10th St, Suite 203, Sedalia, MO 65301-2540 | 2006-08-31 |
| 1700803756 | Henry C. Marquez | Internal Medicine | 3700 W 10th St, Suite 200, Sedalia, MO 65301-2540 | 2006-07-16 |
| 1740239581 | Grant Victor Hammons | Internal Medicine | 3700 W 10th St, Ste: 301, Sedalia, MO 65301-2540 | 2006-05-09 |
| 1902854037 | Bothwell Regional Health Center | Obstetrics & Gynecology | 3700 W 10th St, Suite 1, Sedalia, MO 65301-2540 | 2006-05-04 |
| 1588650741 | Gregory A Doak | Internal Medicine | 3700 W 10th St, Suite 301, Sedalia, MO 65301-2540 | 2005-09-23 |
| 1770580656 | Fay C Evans | Nurse Practitioner | 3700 W 10th St, Suite 100, Sedalia, MO 65301-2540 | 2005-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760024962 | Eve's Doting Doula Care LLC | Doula | 28226 Hwy Tt, Sedalia, MO 65301 | 2019-10-09 |
| 1568938322 | Judith Jean Patrick | Occupational Therapist | 1520 Thompson Blvd, Sedalia, MO 65301 | 2018-10-19 |
| 1558843623 | Teddy Santiago | Contractor | 101b South Wasington, Sedalia, MO 65301 | 2018-09-05 |
| 1063991859 | Empowerme Rehabilitation Mo Agency | Occupational Therapist | 3751 West 10thstreet, Sedalia, MO 65301 | 2018-08-13 |
| 1780174375 | Sarah Elizabeth Cheatham | Specialist/Technologist | 115 W Broadway Blvd Ste 300, Sedalia, MO 65301 | 2018-05-18 |
| 1033617790 | Megan Marie Yonker | Nurse Practitioner | 821 Westwood Dr., Sedalia, MO 65301 | 2018-01-29 |
| 1801326236 | Angel Verlee Hale | Dentist | 4400 S. Limit, Sedalia, MO 65301 | 2017-06-18 |
| 1487192514 | Kami Parney | Emergency Medical Technician, Basic | 601 E 16th Street, Bothwell Regional Health Center, Sedalia, MO 65301 | 2017-02-09 |
| 1407216344 | Sylvia G. Thompson Residence Center, Inc. | Alzheimer Center (Dementia Center) | 975 Mitchell Road, Sedalia, MO 65301 | 2016-03-04 |
| 1174968721 | John Buckley | Physical Therapy Assistant | 1630 Hickory Lane, Sedalia, MO 65301 | 2013-05-08 |
| Find all providers in zip 65301 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
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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.