ASHISH RISAL (NPI# 1720326150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720326150 |
Entity Type | Individual |
Full Name | ASHISH RISAL |
Practice Address |
181 N Kentucky Ave Ste 100 West Plains MO 65775-2092 |
Mailing Address |
181 N Kentucky Avenue Ste 100 West Plains MO 65775-5504 |
Practice Telephone | 4172576786 |
Mailing Telephone | 4172576786 |
Enumeration Date | 2013-01-18 |
Last Update Date | 2017-06-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
2014023817 | MO | Allopathic & Osteopathic Physicians |
N | 282N00000X | General Acute Care Hospital | Hospitals |
Street Address |
181 N KENTUCKY AVE STE 100 |
City | WEST PLAINS |
State | MO |
Zip Code | 65775-2092 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457616872 | Mary K Pendergrass | Family Medicine | 181 N Kentucky Ave Ste 100, West Plains, MO 65775-2092 | 2012-07-11 |
1497221006 | Suzanne R Huddleston | Nurse Practitioner | 181 N Kentucky Ave Ste 100, West Plains, MO 65775-2092 | 2018-10-22 |
1417469693 | Julie Diane Gunter | Nurse Practitioner | 181 N Kentucky Ave Ste 100, West Plains, MO 65775-2092 | 2017-10-28 |
1407197684 | Samuel Charles Evans | Family Medicine | 181 N Kentucky Ave Ste 100, West Plains, MO 65775-2092 | 2013-03-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
Find all providers in zip 65775 |
Taxonomy Code | 2080P0207X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Hematology-Oncology |
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952737066 | Emily Jane Guyer | Pediatrics | 2015 Wolcott Dr, Columbia, MO 65202-1902 | 2013-09-20 |
1083858336 | John David Bouhasin | Pediatrics | 7629 Bracken Circle, St. Louis, MO 63123 | 2009-04-29 |
1477908432 | Kayeleigh Higgerson | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2016-04-27 |
1043500416 | Lauren Rhae Draper | Pediatrics | 1465 S Grand Blvd, Department of Pediatrics Division of Heme/onc, St. Louis, MO 63104 | 2011-04-19 |
1518278480 | Amanda Jo Graul-conroy | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108 | 2010-06-25 |
1225352297 | Joel C Thompson | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2010-03-19 |
1043454713 | Jaszianne Ashtrelle Tolbert | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2009-04-26 |
1336386341 | Terrie G Flatt | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108 | 2009-01-13 |
1588825509 | Melanie A Villanueva | Pediatrics | 2401 Gillham Rd, Division of Hematology/oncology, Kansas City, MO 64108-4619 | 2008-06-23 |
1598924508 | Rael Caspari | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2008-06-04 |
Find all providers with the same taxonomy |
City | WEST PLAINS |
Zip Code | 65775 |
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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.