STEVEN C. ELDENBURG (NPI# 1689662744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689662744 |
| Entity Type | Individual |
| Full Name | STEVEN C. ELDENBURG |
| Credential | D.O. |
| Practice Address |
115 W Broadway Blvd Ste 100 Sedalia MO 65301-5708 |
| Practice Telephone | 6609511091 |
| Practice Fax Number | 6609511046 |
| Mailing Telephone | 6609511091 |
| Mailing Fax Number | 6609511046 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2019-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | R5P86 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS BLUE SHIELD/KC | 17996015 | 01 |
| MO | RR MEDICARE | 080063381 | 01 |
| MO | 243181609 | 05 | |
| MO | AETNA PIN | 5804038 | 01 |
| MO | HEALTHCARE USA | 1880 | 01 |
| MO | MERCY PIN | 431592605 | 01 |
| Street Address |
115 W BROADWAY BLVD STE 100 |
| City | SEDALIA |
| State | MO |
| Zip Code | 65301-5708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932766383 | Monique S Canada | Physician Assistant | 115 W Broadway Blvd Ste 100, Sedalia, MO 65301-5708 | 2019-05-21 |
| 1922548841 | Sedalia Urgent Care LLC | Clinic/Center | 115 W Broadway Blvd Ste 100, Sedalia, MO 65301-5708 | 2017-02-24 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596877 | Stephanie R Nicholson | Family Medicine | 4500 S Park Ave, Sedalia, MO 65301-8525 | 2020-10-21 |
| 1376615054 | Mary Allison Fischer | Family Medicine | 1123 E Broadway Blvd, Sedalia, MO 65301-6103 | 2006-11-15 |
| 1114984952 | Family Medicine Associates, P.C. | Family Medicine | 3401 W 10th St, Sedalia, MO 65301-2112 | 2006-04-26 |
| 1154304624 | Ivette C Turner | Family Medicine | 821 Westwood Dr, Sedalia, MO 65301-2102 | 2005-11-29 |
| 1104808450 | Daniel John Feeney | Family Medicine | 5014 S Perry Park Rd, Sedalia, CO 80135-8209 | 2005-11-14 |
| 1184629958 | Joy S. Gronstedt | Family Medicine | 700 S Hancock Ave, Sedalia, MO 65301-4638 | 2005-06-16 |
| 1396747655 | Alan A Allmon | Family Medicine | 667 E 15th St, Sedalia, MO 65301-7656 | 2005-06-01 |
| 1194254367 | Lisa Wadowski | Family Medicine | 3401 W 10th St, Sedalia, MO 65301-2112 | 2017-06-09 |
| 1124433685 | James Tyler Merchant | Family Medicine | 910 Thompson Blvd, Sedalia, MO 65301-2241 | 2014-06-24 |
| 1033487194 | Bothwell Regional Health Center | Family Medicine | 3700 W 10th Street, Suite 203, Sedalia, MO 65301-2540 | 2011-12-05 |
| Find all providers in SEDALIA | ||||
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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.