PARKVIEW SURGEONS, PC (NPI# 1780647164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780647164 |
| Entity Type | Organization |
| Organization Name | PARKVIEW SURGEONS, PC |
| Practice Address |
1300 N Oakland Ave Bolivar MO 65613-3018 |
| Practice Telephone | 4173262100 |
| Practice Fax Number | 4177776677 |
| Mailing Telephone | 4173262100 |
| Mailing Fax Number | 4177776677 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2008-04-08 |
| Authorized Official Name | MS. LINDA MILHOLEN (PARTNER OR CORPORATION) |
| Authorized Official Telephone | 4173262100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 2001029380 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RAILROAD MEDICARE | DC4673 | 01 |
| Street Address |
1300 N OAKLAND AVE |
| City | BOLIVAR |
| State | MO |
| Zip Code | 65613-3018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104474741 | Kaylee Jaynelle Ankrom | Nurse Practitioner | 1300 N Oakland Ave, Bolivar, MO 65613-3018 | 2019-08-27 |
| 1316452402 | Rachel Grainger | Social Worker | 1300 N Oakland Ave, Bolivar, MO 65613-3018 | 2017-12-11 |
| 1669891016 | Christina Marie Capps | Internal Medicine | 1300 N Oakland Ave, Bolivar, MO 65613-3018 | 2014-04-14 |
| 1952653487 | Hearing and Audiology Sevices, LLC | Audiologist | 1300 N Oakland Ave, Bolivar, MO 65613-3018 | 2012-10-08 |
| 1578824454 | Gabrielle Guhl | Family Medicine | 1300 N Oakland Ave, Bolivar, MO 65613-3018 | 2012-06-06 |
| 1780869883 | Timothy R Jump | Dentist | 1300 N Oakland Ave, Ste C, Bolivar, MO 65613 | 2008-01-08 |
| 1316145188 | Donald R Jump | Dentist | 1300 N Oakland Ave, Ste C, Bolivar, MO 65613 | 2007-07-03 |
| 1306044177 | Kim S Davison | Dentist | 1300 N Oakland Ave, Ste C, Bolivar, MO 65613 | 2007-07-03 |
| 1992912216 | Matt Havens | Social Worker | 1300 N Oakland Ave, Suite A, Bolivar, MO 65613-3018 | 2007-05-17 |
| 1831303502 | Citizens Memorial Healthcare | Clinic/Center | 1300 N Oakland Ave, Bolivar, MO 65613-3018 | 2007-05-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301552 | Casablanca Care Center, LLC | Home Health | 524 S. Albany Avenue, Bolivar, MO 65613 | 2020-09-18 |
| 1669087045 | Revive Medical LLC | Durable Medical Equipment & Medical Supplies | 5000, S Scenic, Bolivar, MO 65613 | 2020-09-11 |
| 1669097119 | Melanie Nicole Beckham | Nurse Practitioner | 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 | 2020-06-10 |
| 1932754744 | Caitlin M Williams | Specialist/Technologist | 1260 S Pike Avenue, Bolivar, MO 65613 | 2019-08-08 |
| 1073022406 | Jacquelyn Rose Kemnic | Dietitian, Registered | Heart Center, 1500 N Oakland Ave, Willard, MO 65613 | 2017-09-28 |
| 1164897161 | Ozarks Resource Group | Clinic/Center | 203 E. Broadway St., Bolivar, MO 65613 | 2015-12-02 |
| 1962895292 | Professional Christian Counseling | Counselor | 4888 S 139th Road, Bolivar, MO 65613 | 2015-03-11 |
| 1073916573 | Scott Leslie Dennis | Physician Assistant | 1500 North Oakland Ave, Citizens Memorial Hospital, Bolivar, MO 65613 | 2014-09-29 |
| 1053712109 | Citizens Memorial Hospital District | Pharmacy | 1301-b North Oakland, Bolivar, MO 65613 | 2014-09-09 |
| 1740680453 | Jamee M Stimpson | Occupational Therapist | 454 S. Main Avenue, Bolivar, MO 65613 | 2014-08-29 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679531545 | Walter Wayne Wolf IIi | Surgery | 1155 W Parkview St, Suite 1f, Bolivar, MO 65613-8279 | 2006-05-02 |
| 1447474762 | Brian Douglas Biggers | Surgery | 1500 N Oakland Ave, Bolivar, MO 65613-3011 | 2007-04-11 |
| 1851468987 | Martin S. Tyson | Surgery | 1155 W Parkview St, Suite 1g, Bolivar, MO 65613-8279 | 2006-11-30 |
| 1518062215 | Brent Allen Bartgis | Surgery | 1155 W Parkview, Suite 1f, Bolivar, MO 65613-7800 | 2006-09-14 |
| 1356455125 | James L Molchan | Surgery | 1125 N Butterfield, Bolivar, MO 65613 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134623317 | Kuirong Jiang | Surgery | 1 Hospital Dr Rm Mc520, Columbia, MO 65212-1000 | 2018-03-21 |
| 1962926311 | Blaire Lori Anderson | Surgery | 4921 Parkview Place Ste 8c, St Louis, MO 63110 | 2017-07-27 |
| 1578084349 | Shoaib Safiullah | Surgery | 1 Hospital Dr # Dc075.00, Columbia, MO 65212-1000 | 2017-07-03 |
| 1003336934 | Bradley Kushner | Surgery | 660 S Euclid Ave Fl 9, Saint Louis, MO 63110-1010 | 2017-06-21 |
| 1982088571 | Maxwell Tanyi Fohtung | Surgery | 4949 W Pine Blvd, Saint Louis, MO 63108 | 2015-07-14 |
| 1376920538 | Jordan M Kirsch | Surgery | 660 S. Euclid Ave, Cb 8109, Saint Louis, MO 63110-1020 | 2015-04-27 |
| 1194117861 | Kaitlyn Marie Rountree | Surgery | 1 Hospital Dr # Mc404, Columbia, MO 65212-1000 | 2015-03-04 |
| 1003231002 | Mysorekar Surgical | Surgery | 8342 Delcrest Dr, Apt 303, Saint Louis, MO 63124-2100 | 2014-02-27 |
| 1588099725 | Francis Milton Corry | Surgery | 2859 E. Utica, Springfield, MO 65804 | 2013-09-06 |
| 1710327879 | Jason Matthew Loden | Surgery | 1333 S Sam Houston Blvd Ste C, Houston, MO 65483-2046 | 2013-07-03 |
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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.