JEREMY MATTHEW GEBHARDT (NPI# 1801266259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801266259 |
| Entity Type | Individual |
| Full Name | JEREMY MATTHEW GEBHARDT |
| Credential | PA-C |
| Practice Address |
1 S Keene St Columbia MO 65201-7199 |
| Practice Telephone | 5734432402 |
| Practice Fax Number | 5734430574 |
| Mailing Telephone | 5734432402 |
| Mailing Fax Number | 5734430574 |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | STATE LICENSE | 2015035959 | 01 |
| Street Address |
1 S KEENE ST |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-7199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689673592 | David H Neighbors | Physician Assistant | 1 S Keene St, Columbia, MO 65201-7199 | 2005-07-21 |
| 1801414800 | Brianne Ketterlin | Registered Nurse | 1 S Keene St, Columbia, MO 65201-7199 | 2020-07-07 |
| 1831721141 | Alyssa Fancher | Pharmacist | 1 S Keene St, Columbia, MO 65201-7199 | 2020-02-05 |
| 1932673670 | Lauren Elizabeth Monesmith | Physician Assistant | 1 S Keene St, Columbia, MO 65201-7199 | 2019-01-16 |
| 1407360217 | Greg Allen Nagel | Specialist/Technologist | 1 S Keene St, Columbia, MO 65201-7199 | 2017-12-01 |
| 1821510389 | Ashley Rose Burr | Nurse Practitioner | 1 S Keene St, Columbia, MO 65201-7199 | 2017-07-16 |
| 1801321161 | Amy Dentlinger | Physician Assistant | 1 S Keene St, Columbia, MO 65201 | 2017-04-25 |
| 1245775295 | Michael Bozung | Nurse Anesthetist, Certified Registered | 1 S Keene St, Columbia, MO 65201-7199 | 2016-12-29 |
| 1083164370 | Alaina R Durk | Nurse Practitioner | 1 S Keene St, Columbia, MO 65201-7199 | 2016-10-11 |
| 1104375864 | Jennifer Miller | Nurse Practitioner | 1 S Keene St, Columbia, MO 65201-7199 | 2016-09-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619500691 | Ivanka M Mora | Physician Assistant | 5910 Watch Chain Way Apt 603, Columbia, MD 21044-3875 | 2020-02-18 |
| 1316579287 | Christina Verzi | Physician Assistant | 5681 Columbia Rd Apt 301, Columbia, MD 21044-1960 | 2020-02-10 |
| 1225668064 | Steven Ebers | Physician Assistant | 1201 International Dr, Columbia, MO 65202-1612 | 2020-01-21 |
| 1780228197 | Jeremy M Barth | Physician Assistant | 5886 Morningbird Ln, Columbia, MD 21045-3508 | 2019-10-30 |
| 1730749920 | Ann Marie Schlafly | Physician Assistant | 1 Hospital Drive, Mc 413, Columbia, MO 65212-0001 | 2019-06-19 |
| 1619532363 | Casey Burner Skinner | Physician Assistant | 2126 Tugaloo Ave, Columbia, SC 29205-3330 | 2019-05-08 |
| 1205491040 | Meghan Catherine Monk | Physician Assistant | 229 Route 87, Columbia, CT 06237-1050 | 2019-05-07 |
| 1124594999 | Candace Rachel Skulkety | Physician Assistant | 612 Whaley St Apt 348, Columbia, SC 29201-6329 | 2018-10-19 |
| 1508346396 | Hannah Marie Dewes | Physician Assistant | 3 Medical Park Rd #310, Columbia, SC 29203 | 2018-08-21 |
| 1295236438 | Helen Mckinney | Physician Assistant | 234 Castlebury Dr, Columbia, SC 29229-7566 | 2018-02-22 |
| Find all providers in COLUMBIA | ||||
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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.