CHARLES THOMAS FIELDER (NPI# 1740200369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740200369 |
Entity Type | Individual |
Full Name | CHARLES THOMAS FIELDER |
Credential | M.D. |
Practice Address |
29 Nw 1st Lane Lamar MO 64759-8105 |
Practice Telephone | 4176815100 |
Practice Fax Number | 4176815510 |
Mailing Telephone | 4176815100 |
Mailing Fax Number | 4176815510 |
Enumeration Date | 2006-07-19 |
Last Update Date | 2014-01-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
R5G49 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100096060A | 05 | |
MO | 1740200369 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316245541 | Charles Richard Fielder | Surgery | 2905 Justin Matthews Dr, North Little Rock, AR 72116-8542 | 2011-03-11 |
Street Address |
29 NW 1ST LANE |
City | LAMAR |
State | MO |
Zip Code | 64759-8105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598297145 | Rochelle Gardner | Respiratory Therapist, Registered | 29 Nw 1st Lane, Lamar, MO 64759 | 2017-04-03 |
1407959760 | Brett Eugene Boice | Family Medicine | 29 Nw 1st Lane, Lamar, MO 64759-8105 | 2006-09-05 |
1013010370 | Michelle Adriana Boice | Obstetrics & Gynecology | 29 Nw 1st Lane, Lamar, MO 64759-8105 | 2006-09-05 |
1538182639 | Justin S Ogden | Orthopaedic Surgery | 29 Nw 1st Lane, Lamar, MO 64759-8105 | 2006-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265959118 | Alana Gilmartin | Pharmacist | 605 A W 12th St, Lamar, MO 64759 | 2017-08-22 |
1790989523 | Eden Christine Ogden | Registered Nurse | Second and Gulf St., Lamar, MO 64759 | 2007-06-14 |
1972699353 | Barton County Health Department | Public Health or Welfare | 1301 East 12th Street, Lamar, MO 64759 | 2006-10-05 |
1366478711 | Timothy Sprenkle | Family Medicine | 307 W 11th Street, Lamar, MO 64759 | 2006-06-25 |
1215432232 | Julie Lynn Turner | Nurse Practitioner | 29 Nw 1st Ln, Lamar, MO 64759 | 2018-03-30 |
1669904116 | Nico Linsteadt | Respiratory Therapist, Certified | 29 Nw 1st Ln, Lamar, MO 64759 | 2017-04-03 |
1487020418 | Ozark Tri-county Health Care Consortium | Clinic/Center | 210 W 10th St, Lamar, MO 64759 | 2015-08-13 |
1891107652 | Kevin M. Deao | Registered Nurse | 29 Nw 1st Ln, Lamar, MO 64759 | 2014-05-28 |
1073637138 | David Bryan Compton | Specialist/Technologist | 29 Nw 1st Ln, Lamar, MO 64759 | 2007-03-16 |
1790760411 | John J Yannucci II | Family Medicine | 29 Nw 1st Ln, Lamar, MO 64759 | 2005-12-15 |
Find all providers in zip 64759 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457371072 | Stephen C Tines | Radiology | 29 Nw 1st Ln, Lamar, MO 64759-8105 | 2006-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013534049 | Innovative Medical Solutions, Inc. | Radiology | 4218 Roanoke Rd Ste 304, Kansas City, MO 64111-4996 | 2020-06-25 |
1568092120 | Jeffrey Francis Schaffer | Radiology | 918 W Laurel Rd, Joplin, MO 64801-1052 | 2020-01-23 |
1093200966 | Alexander John Lubinski | Radiology | 1 Hospital Drive Dco6910, Columbia, MO 65212 | 2018-06-24 |
1275028136 | Austin Fletcher | Radiology | University Hospital One Hospital Drive, Department of Radiology Dc 069.10, Columbia, MO 65212-0001 | 2018-06-24 |
1578086310 | Missouri Telerad LLC | Radiology | 5117 South Neffleton Avenue, Springfiled, MO 65810 | 2017-07-24 |
1316467046 | Philip Silva | Radiology | 1 Hospital Drive University of Missouri, Columbia, MO 65212-0001 | 2017-06-23 |
1407389596 | Medical Mile Imaging | Radiology | 3905 E Windsmore Dr, Springfield, MO 65802 | 2017-04-06 |
1952832859 | Juhi Koolwal | Radiology | 1 Hospital Dirve Ddc06910, Columbia, MO 65212 | 2017-03-22 |
1508216920 | David Koch | Radiology | 1 Hospital Drive, Dc06910, Columbia, MO 65212 | 2016-06-16 |
1023462439 | Robert Michael Robbins | Radiology | 1 Hospital Drive Columbia Mo 65212, Columbia, MO 65212-4973 | 2016-04-21 |
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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.