MATTHEW THERIAC, D.D.S. LLC (NPI# 1760679401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760679401 |
| Entity Type | Organization |
| Organization Name | MATTHEW THERIAC, D.D.S. LLC |
| Practice Address |
905 Jackson St Macon MO 63552-2016 |
| Practice Telephone | 6603853623 |
| Mailing Telephone | 6603853623 |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-09-26 |
| Authorized Official Name | DR. MATTHEW THERIAC (DOCTOR/OWNER) |
| Authorized Official Telephone | 6603853623 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | 15187 | MO | Managed Care Organizations |
| Street Address |
905 JACKSON ST |
| City | MACON |
| State | MO |
| Zip Code | 63552-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831269158 | Matthew Theriac | Dentist | 905 Jackson St, Macon, MO 63552-2016 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891194783 | Dialysis Clinic Inc | Clinic/Center | 1203 N. Missouri St, Macon, MO 63552 | 2014-08-18 |
| 1477624161 | Charles Edgar Averill Jr. | Occupational Therapist | 704a South Missouri, Macon, MO 63552 | 2006-11-13 |
| 1629035084 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 1105 N Rutherford St, Macon, MO 63552 | 2006-04-28 |
| 1659560688 | Iris Ladawn Gaerditz | Speech-Language Pathologist | 702 N Missouri St, Macon, MO 63552 | 2007-10-16 |
| 1841316296 | Paul Vincent Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-03-21 |
| 1891908612 | Mid Missouri Physical Therapy | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-05-08 |
| 1366568735 | Lara Beth Jones | Physical Therapist | 2005 N. Missouri St., Suite D., Macon, MO 63552-0381 | 2007-03-21 |
| 1871619262 | Abby M Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0387 | 2007-03-21 |
| 1457715906 | Kimberly Oroke | Social Worker | 821 Charles St, Columbia, MO 63552-1064 | 2016-04-11 |
| 1679100507 | Macon County Sheltered Workshop | Private Vehicle | 1103 Enterprise Rd, Macon, MO 63552-1305 | 2020-03-23 |
| Find all providers in zip 63552 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
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|---|---|---|---|---|
| 1346794484 | Marquez Fallings Advocacy Center Inc | Health Maintenance Organization | 1227 Santa Fe Trl, Macon, GA 31220-3718 | 2016-08-06 |
| 1811354947 | Bell Senior Services | Health Maintenance Organization | 2940 Riverside Dr, Suite 103, Macon, GA 31204-1285 | 2016-01-20 |
| 1932410644 | Ruthie's Assisted Living Inc. | Health Maintenance Organization | 1441 Jeffersonville Rd, Macon, GA 31217-4370 | 2010-06-28 |
| 1356384721 | Complete Care & Pain Management Institute,llc | Health Maintenance Organization | 3106 Mercer University Dr, Macon, GA 31204-5109 | 2006-06-14 |
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| 1194257600 | Perfect Care Health Service LLC | Health Maintenance Organization | 1033 Corporate Square Dr Ste 110, Saint Louis, MO 63132-2928 | 2017-04-03 |
| 1255879011 | Exceptional Care Home Health Inc | Health Maintenance Organization | 5600 Delmar Blvd, Saint Louis, MO 63112-2616 | 2017-02-01 |
| 1992252746 | Acts of Kindness Home Health Services | Health Maintenance Organization | 2808 N Grand Blvd, Saint Louis, MO 63107-2605 | 2016-09-08 |
| 1699126342 | Kandkseniorservicesllc | Health Maintenance Organization | 4110 Botanical Ave, Saint Louis, MO 63110-3908 | 2016-06-23 |
| 1366892820 | Endeavor Home Care LLP | Health Maintenance Organization | Rr 2 Box 2141, Ellsinore, MO 63937-9533 | 2016-06-15 |
| 1972962330 | Faithful Foundation LLC | Health Maintenance Organization | 2116 Ne 111th Ter, Kansas City, MO 64155-8537 | 2016-02-14 |
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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.