JEREMY MATTHEW GEBHARDT


Address: 1 S Keene St, Columbia, MO 65201-7199
Phone: 5734432402

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO STATE LICENSE 2015035959 01

Office Location

Street Address 1 S KEENE ST
City COLUMBIA
State MO
Zip Code 65201-7199

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City COLUMBIA
Zip Code 65201

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Dataset Information

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.

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