ELIZABETH MARIE FAGIOLO


Address: 2511 W Edgewood Dr, Suite D, Jefferson City, MO 65109
Phone: 5737610304

ELIZABETH MARIE FAGIOLO (NPI# 1689038101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689038101
Entity Type Individual
Full Name ELIZABETH MARIE FAGIOLO
Credential RN
Practice Address 2511 W Edgewood Dr
Suite D
Jefferson City
MO 65109
Mailing Address 2511 W Edgewood Dr
Suite D
Jefferson City
MO 65109-5869
Practice Telephone 5737610304
Practice Fax Number 5736350726
Mailing Telephone 5737610304
Mailing Fax Number 5736350726
Enumeration Date 2016-04-11
Last Update Date 2018-08-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282N00000X General Acute Care Hospital 2001004433 MO Hospitals
N 363L00000X Nurse Practitioner 2016028015 MO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2511 W EDGEWOOD DR
SUITE D
City JEFFERSON CITY
State MO
Zip Code 65109

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467459503 Elizabeth Ann Hosmer Family Medicine 2511 W Edgewood Dr, Ste D, Jefferson City, MO 65109-5869 2005-07-05
1740720358 Erin Briana Gerloff Nurse Practitioner 2511 W Edgewood Dr, Suite D, Jefferson City, MO 65109-5869 2017-03-01
1689031254 Jillynn Rachele Hull Nurse Practitioner 2511 W Edgewood Dr, Suite G, Jefferson City, MO 65109-5869 2016-01-26
1295140432 Treesa Renee Riedel Nurse Practitioner 2511 W Edgewood Dr, Suite D, Jefferson City, MO 65109-5869 2014-06-26
1598995359 Sadia Malik Family Medicine 2511 W Edgewood Dr, Ste F, Jefferson City, MO 65109-5869 2009-07-15
1831288869 Ssm Regional Health Services Clinic/Center 2511 W Edgewood Dr, Suite D, Jefferson City, MO 65109-5869 2006-10-11
1629011812 Garry D Pearson Family Medicine 2511 W Edgewood Dr, Suite F, Jefferson City, MO 65109-5869 2006-06-14
1790722437 Neville Davis Emergency Medicine 2511 W Edgewood Dr, Ste D, Jefferson City, MO 65109-5869 2006-06-01
1144277815 James Alan Corbett Nurse Practitioner 2511 W Edgewood Dr, Ste D, Jefferson City, MO 65109-5869 2006-05-28
1528014123 Ssm Regional Health Services Owning & Operating St. Marys Health Cente Clinic/Center 2511 W Edgewood Dr, Ste F, Jefferson City, MO 65109-5869 2006-05-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518449321 Kara D Roderick Physical Therapist 1115 Fairgrounds Road, Jefferson City, MO 65109 2018-08-29
1851871214 Integrative Medicine, LLC Internal Medicine 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 2018-08-15
1972020394 Rehab Care Group East, LLC Clinic/Center Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 2017-08-25
1124558986 Nicholas Rehagen Specialist/Technologist 304 Timber Creek Rd, Jefferson City, MO 65109 2017-06-14
1982004214 Kara Elizabeth Wilbers Occupational Therapist 1105 Fairgrounds Rd, Jefferson City, MO 65109 2014-08-22
1942510334 Loftin Eyecare, LLC Optometrist 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 2010-10-19
1306077250 Paula Hancock Johnson Social Worker 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 2009-07-27
1679701296 Capital Region Medical Center Family Medicine 3308 W Edgewood, Suite B, Jefferson City, MO 65109 2009-06-23
1972730141 Nancy S Stork Counselor 204 Metro, Suite B, Jefferson City, MO 65109 2009-06-16
1356522916 Walk Easy LLC Durable Medical Equipment & Medical Supplies 4810 Rainbow Dr., Jefferson City, MO 65109 2007-11-23
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Taxonomy Information

Taxonomy Code 282N00000X
Grouping Hospitals
Classification General Acute Care Hospital

Taxonomy Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457737983 Mission Emergency General Acute Care Hospital 1125 Madison St, Jefferson City, MO 65101-5227 2015-08-06
1255715389 Capital Region Medical Center General Acute Care Hospital 1125 Madison St, Jefferson City, MO 65101-5227 2015-07-18
1053690669 Sharmila Suri Mohanram General Acute Care Hospital 1125 Madison St, Capital Region Physicians, Jefferson City, MO 65101-5227 2011-08-12
1508993239 Capital Region Medical Center Pharmacy General Acute Care Hospital 1125 Madison St, Jefferson City, MO 65101-5227 2007-02-28
1518065523 Ssm Regional Health Services General Acute Care Hospital 2505 Mission Dr, Jefferson City, MO 65109-9508 2006-09-21
1972585347 Jefferson County Hma LLC General Acute Care Hospital 110 Hospital Dr, Jefferson City, TN 37760-5281 2005-11-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295274256 St. Lukes Health System General Acute Care Hospital 8101 N Lawndale Ave, Unit 2a, Kansas City, MO 64119-7808 2017-02-22
1093265159 Missouri Delta Medical Center General Acute Care Hospital 2856 Vista Ridge Pl, Jackson, MO 63755-8105 2016-10-12
1285082040 Jessica Teschner General Acute Care Hospital 3201 Ballard Mill Dr, Columbia, MO 65203-1875 2016-06-01
1912368002 Emily Daniels General Acute Care Hospital 1737 Redbird Cv, Saint Louis, MO 63144-1610 2016-03-16
1225415417 Parkland Veterinary Services, Inc. General Acute Care Hospital 615 E Karsch Blvd, Farmington, MO 63640-1225 2015-04-27
1841698164 Mercy Clinic East Community General Acute Care Hospital 1021 Darwick Ct, Saint Louis, MO 63132-2909 2014-12-18
1831523695 Saint Francis Medical Center General Acute Care Hospital 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 2013-08-29
1730528662 Barnes Jewish Hospital General Acute Care Hospital 4512 Cleveland Ave, Apt 12, Saint Louis, MO 63110-3318 2013-06-25
1366796757 Barnes Jewish Hospital General Acute Care Hospital 2180 Splendor Dr, Florissant, MO 63031-2640 2012-11-06
1952651341 Faisal Alasmari General Acute Care Hospital 13928 Reflection Drive, Reflection Cove Apartments, Apt#235, Ballwin, MO 63021 2012-09-13
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Competitor

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City JEFFERSON CITY
Zip Code 65109

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Dataset Information

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.

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