MICHAEL SCOTT SEVERANCE (NPI# 1790708907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790708907 |
| Entity Type | Individual |
| Full Name | MICHAEL SCOTT SEVERANCE |
| Credential | MD |
| Practice Address |
3207 W Truman Blvd Jefferson City MO 65109-0578 |
| Practice Telephone | 5736365115 |
| Practice Fax Number | 5736362818 |
| Mailing Telephone | 5736365115 |
| Mailing Fax Number | 5736362818 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 101963 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942273149 | Michael E Severance | Physician Assistant | 5495 South 500 East, Suite 120, Ogden, UT 84405 | 2006-02-08 |
| Street Address |
3207 W TRUMAN BLVD |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-0578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174569883 | David Stephen Carron | Podiatrist | 3207 W Truman Blvd, Suite C, Jefferson City, MO 65109-0578 | 2006-06-21 |
| 1558682674 | Jerry Jeff Trulson | Urology | 3207 W Truman Blvd, Jefferson City, MO 65109-0892 | 2010-06-14 |
| 1780723205 | Urology Care, Inc. | Urology | 3207 W Truman Blvd, Jefferson City, MO 65109-0892 | 2007-02-05 |
| 1164534640 | Eric Ivan Vogt | Urology | 3207 W Truman Blvd, Jefferson City, MO 65109-0892 | 2006-08-31 |
| 1427071844 | Foot Health Center of Mid-missouri LLC | Podiatrist | 3207 W Truman Blvd, Jefferson City, MO 65109-0892 | 2006-07-26 |
| 1255352043 | Douglas Alan West | Urology | 3207 W Truman Blvd, Jefferson City, MO 65109-0578 | 2006-07-21 |
| 1538180393 | John Paul Koonce | Urology | 3207 W Truman Blvd, Jefferson City, MO 65109-0578 | 2006-07-21 |
| 1992724694 | Michael A Young | Internal Medicine | 3207 W Truman Blvd, Jefferson City, MO 65109-0892 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558682674 | Jerry Jeff Trulson | Urology | 3207 W Truman Blvd, Jefferson City, MO 65109-0892 | 2010-06-14 |
| 1780723205 | Urology Care, Inc. | Urology | 3207 W Truman Blvd, Jefferson City, MO 65109-0892 | 2007-02-05 |
| 1164534640 | Eric Ivan Vogt | Urology | 3207 W Truman Blvd, Jefferson City, MO 65109-0892 | 2006-08-31 |
| 1255352043 | Douglas Alan West | Urology | 3207 W Truman Blvd, Jefferson City, MO 65109-0578 | 2006-07-21 |
| 1538180393 | John Paul Koonce | Urology | 3207 W Truman Blvd, Jefferson City, MO 65109-0578 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699408 | Garth Sherman | Urology | 1 Hospital Dr # Mc301, Columbia, MO 65201-5276 | 2019-06-27 |
| 1902326622 | Alexander Anderson | Urology | 1 Hospital Drive University of Missouri Mc404, Columbia, MO 65212-0001 | 2017-06-23 |
| 1649633736 | Jack Campbell | Urology | 3101 Belinda Ct, Columbia, MO 65203-3848 | 2016-04-05 |
| 1962834390 | Midwest Urology Center, PC | Urology | 1905 W 32nd St Ste 302, Joplin, MO 64804-1512 | 2013-08-08 |
| 1932463940 | Brandi Dawn Miller | Urology | 1965 S Fremont Ave Ste 370, Springfield, MO 65804-2284 | 2012-06-25 |
| 1437412582 | Andrew T Blackburne | Urology | 11155 Dunn Rd Ste 309e, Saint Louis, MO 63136 | 2012-06-22 |
| 1699049395 | Harry L. Ellis | Urology | 5034 S Glenhaven Ave, Springfield, MO 65804-7804 | 2012-02-28 |
| 1083902852 | Gurdarshan S Sandhu | Urology | 607 South New Ballas Road, Suite 3100, Saint Louis, MO 63141 | 2011-07-14 |
| 1457672446 | Christopher D Jaeger | Urology | 112 Piper Hill Dr Ste 12, Saint Peters, MO 63376-1690 | 2010-06-14 |
| 1538486816 | Centerpoint Medical Specialists LLC | Urology | 725 Nw State Route 7, Suite C, Blue Springs, MO 64014-2426 | 2010-04-27 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
Please comment or provide details below to improve the information on MICHAEL SCOTT SEVERANCE.
| 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.