JAMES PATRICK STANNARD (NPI# 1720030190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720030190 |
| Entity Type | Individual |
| Full Name | JAMES PATRICK STANNARD |
| Credential | MD |
| Practice Address |
1100 Virginia Ave Columbia MO 65212-0001 |
| Mailing Address |
Po Box 843966 Kansas City MO 64184-3966 |
| Practice Telephone | 5738822663 |
| Practice Fax Number | 5738849063 |
| Mailing Telephone | 5738843300 |
| Mailing Fax Number | 5738840943 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2019-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 2009024744 | MO | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 19898 | AL | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
2009024744 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS | 051528934 | 01 |
| AL | BLUE CROSS | 000036624 | 01 |
| AL | 000036624 | 05 | |
| AL | RAILROAD MEDICARE | 990006333 | 01 |
| AL | VIVA | G30839 | 01 |
| AL | 009932278 | 05 |
| Street Address |
1100 VIRGINIA AVE |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65212-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457355810 | John F Nettrour | Orthopaedic Surgery | 1100 Virginia Ave, Columbia, MO 65212-0001 | 2005-06-13 |
| 1598386534 | Luai Sobhi Mustafa | Student in an Organized Health Care Education/Training Program | 1100 Virginia Ave, Columbia, MO 65212-0001 | 2020-04-30 |
| 1477111342 | Pierre-emmanuel Schwab | Orthopaedic Surgery | 1100 Virginia Ave, Columbia, MO 65212 | 2019-06-05 |
| 1093371288 | Tzu Chuan Yen | Student in an Organized Health Care Education/Training Program | 1100 Virginia Ave, Columbia, MO 65201 | 2019-05-14 |
| 1629533237 | Shelby Reed | Physician Assistant | 1100 Virginia Ave, Columbia, MO 65212-0001 | 2019-02-07 |
| 1912493495 | Gregory Weldon Caplinger | Nurse Practitioner | 1100 Virginia Ave, Columbia, MO 65212-0001 | 2018-07-08 |
| 1447745245 | Devin St. Clair | Orthopaedic Surgery | 1100 Virginia Ave, Columbia, MO 65212-0001 | 2018-06-25 |
| 1861990731 | Sebastien Lalonde | Orthopaedic Surgery | 1100 Virginia Ave, Columbia, MO 65212-0001 | 2018-01-25 |
| 1588177034 | Curators of The University Of | Durable Medical Equipment & Medical Supplies | 1100 Virginia Ave, Columbia, MO 65212-0001 | 2017-11-07 |
| 1699294975 | Kathryn Anne King | Pharmacist | 1100 Virginia Ave, Columbia, MO 65212-0001 | 2017-09-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225594112 | Hee Young Lee | Student in an Organized Health Care Education/Training Program | 1100 Virginia Avenue, University of Missouri Health Car, Columbia, MO 65212 | 2019-02-15 |
| 1093200966 | Alexander John Lubinski | Radiology | 1 Hospital Drive Dco6910, Columbia, MO 65212 | 2018-06-24 |
| 1235638156 | Jami Bates | Physician Assistant | University of Missouri Hospital 1 Hospital Drive, Columbia, MO 65212 | 2018-02-06 |
| 1124554589 | John Wuennenberg | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Floor, Columbia, MO 65212 | 2017-05-04 |
| 1336672005 | William Paul Christensen | Physical Medicine & Rehabilitation | One Hospital Dr Dc046.00, Dc046.00, Columbia, MO 65212 | 2017-04-09 |
| 1881127108 | Kelli Danielle Bryant | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Florr, Columbia, MO 65212 | 2017-04-04 |
| 1952832859 | Juhi Koolwal | Radiology | 1 Hospital Dirve Ddc06910, Columbia, MO 65212 | 2017-03-22 |
| 1518319136 | Joseph Patrick Herbert | Neurological Surgery | One Hospital Drive, Dc048.00, Mc314 Mchaney Hall, Columbia, MO 65212 | 2016-07-07 |
| 1407207319 | Jesse Schmid | Otolaryngology | One Hosital Dr Ma314, Columbia, MO 65212 | 2016-06-22 |
| 1508216920 | David Koch | Radiology | 1 Hospital Drive, Dc06910, Columbia, MO 65212 | 2016-06-16 |
| Find all providers in zip 65212 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932369030 | Guillaume David Dumont | Orthopaedic Surgery | 2 Medical Park Road, Suite 104, Columbia, SC 29203-6875 | 2008-06-11 |
| 1013965789 | Southern Orthopaedic Sports Medicne | Orthopaedic Surgery | 1718 Saint Julian Pl, Columbia, SC 29204-2410 | 2006-05-05 |
| 1770583817 | Robert Mario Dasilva | Orthopaedic Surgery | 1910 Blanding St, Columbia, SC 29201-3520 | 2005-07-29 |
| 1992227946 | Prisma Health Medical Group-midlands | Orthopaedic Surgery | 2 Medical Park Rd Ste 104, Columbia, SC 29203-6839 | 2017-07-12 |
| 1487107736 | Betina Hinckel | Orthopaedic Surgery | 1100 Virginia Ave Rm 4056, Columbia, MO 65212-0001 | 2016-08-03 |
| 1497198139 | Shawn Sahota | Orthopaedic Surgery | 1 S Keene St, Columbia, MO 65201-7199 | 2013-04-11 |
| 1942541610 | Bluetail Medical Group, LLC. | Orthopaedic Surgery | 1410 Forum Katy Pkwy, Ste. 100, Columbia, MO 65203-6325 | 2013-03-06 |
| 1972809192 | Mickey F Plymale | Orthopaedic Surgery | 14 Richland Medical Park Dr, Suite 200, Columbia, SC 29203-6877 | 2011-02-04 |
| 1699900084 | Tameem Mahmoud Yehyawi | Orthopaedic Surgery | 1 S Keene St, Columbia, MO 65201-7199 | 2009-05-28 |
| 1982844783 | Bradley Aspey | Orthopaedic Surgery | 1910 Blanding St, Columbia, SC 29201-3520 | 2009-03-06 |
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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.