ANGELA J BRECKENRIDGE (NPI# 1801976261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801976261 |
| Entity Type | Individual |
| Full Name | ANGELA J BRECKENRIDGE |
| Credential | DO |
| Practice Address |
1511 Christy Dr Jefferson City MO 65101-2854 |
| Practice Telephone | 5726322777 |
| Practice Fax Number | 5736322769 |
| Mailing Telephone | 5726322777 |
| Mailing Fax Number | 5736322769 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 2014028840 | MO | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 38154 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INTERNAL ID-MOTOR VEHICLE ID | 2001 | 01 |
| Street Address |
1511 CHRISTY DR |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65101-2854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669080214 | Jordan E Immel | Dentist | 1511 Christy Dr, Jefferson City, MO 65101-2854 | 2020-07-20 |
| 1861032732 | Abigail Aguilar | Nurse Practitioner | 1511 Christy Dr, Jefferson City, MO 65101-2854 | 2020-01-08 |
| 1649832833 | Sheryl Denise Cade | Nurse Practitioner | 1511 Christy Dr, Jefferson City, MO 65101-2854 | 2019-07-08 |
| 1124689005 | Ryan J Smith | Dentist | 1511 Christy Dr, Jefferson City, MO 65101-2854 | 2019-06-22 |
| 1871075754 | Zamara W Qureshi | Physician Assistant | 1511 Christy Dr, Jefferson City, MO 65101-2854 | 2018-09-06 |
| 1356836266 | April Lynn Miller | Nurse Practitioner | 1511 Christy Dr, Jefferson City, MO 65101-2854 | 2018-06-25 |
| 1609369057 | Chelsea Marie Schmitz | Dentist | 1511 Christy Dr, Jefferson City, MO 65101-2854 | 2018-06-11 |
| 1689179673 | Bethany Rippy | Dentist | 1511 Christy Dr, Jefferson City, MO 65101-2854 | 2018-03-29 |
| 1972001386 | Community Health Ctr of Central Missouri | Social Worker | 1511 Christy Dr, Jefferson City, MO 65101-2854 | 2018-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619468527 | Lhcg Cxxxxiii, LLC | Home Health | 1125 Madison St Ste C, Jefferson City, MO 65101 | 2018-05-25 |
| 1396254629 | Lauren Mellon | Speech-Language Pathologist | 6124 Falcon Lane, Jefferson City, MO 65101 | 2017-09-29 |
| 1518375708 | Daven Nanda | Pharmacist | 2101 N Schotthill Woods Dr., Jefferson City, MO 65101 | 2014-07-31 |
| 1699183228 | Mark Nitz | Pharmacist | 2101 N Schotthill Dr, Jefferson City, MO 65101 | 2014-07-28 |
| 1386923472 | Lorinda Jo Leer | Occupational Therapist | 1403 Riverside Drive, Jefferson City, MO 65101 | 2011-08-08 |
| 1124334503 | Kimberly K Baumhoer | Hearing Instrument Specialist | 315 Ellis Blvd. Suite 202, Hearing Aid Consultants, Jefferson City, MO 65101 | 2010-08-24 |
| 1780867341 | Health Enhancements, P.C. | Family Medicine | 1739 Elm Court Plaza, Suite 106, Jefferson City, MO 65101 | 2007-12-06 |
| 1336364819 | Jerome Satorre | Occupational Therapist | 505 Ellis Blvd, Apt B20, Jefferson, MO 65101 | 2007-04-17 |
| 1326263450 | Bryan M. Pope, Dds Inc. | Dentist | 200 St. Mary's Medical Plaza, Suite 101, Jefferson City, MO 65101 | 2007-04-16 |
| 1104948769 | Kenneth Mark Skouby | Social Worker | 515a East Mccarty, Jefferson City, MO 65101 | 2007-04-04 |
| Find all providers in zip 65101 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669584041 | Womens Clinic of Jefferson City PC | Obstetrics & Gynecology | 200 St Marys Medical Plaza, Suite 102, Jefferson City, MO 65101 | 2006-08-31 |
| 1871594218 | Jennifer M Su | Obstetrics & Gynecology | 2712 Plaza Dr, Jefferson City, MO 65109-1147 | 2005-08-09 |
| 1912900085 | Elizabeth A Blanchard | Obstetrics & Gynecology | 1125 Madison St, Jefferson City, MO 65101-5227 | 2005-05-23 |
| 1083912265 | Capital Region Medical Center | Obstetrics & Gynecology | 1014 Madison St, Suite B, Jefferson City, MO 65101-3458 | 2011-03-11 |
| 1275866204 | Jefferson City Medical Group, P.C. | Obstetrics & Gynecology | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2009-09-09 |
| 1659506749 | Claypool Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 1111 Madison St, Jefferson City, MO 65101-2753 | 2009-05-19 |
| 1356509871 | Jodi A Berendzen | Obstetrics & Gynecology | 1241 W Stadium Blvd, Suite 102, Jefferson City, MO 65109-6023 | 2008-05-30 |
| 1235311796 | Jefferson City Obstetrics & Gynecology Inc | Obstetrics & Gynecology | 2712 Plaza Dr, Jefferson City, MO 65109-1147 | 2007-11-27 |
| 1265639603 | Amanda Taube Rodemann | Obstetrics & Gynecology | 1241 W Stadium Blvd, Suite 102, Jefferson City, MO 65109-6023 | 2007-06-29 |
| 1518048735 | Serese Yvonne Smith-haxton | Obstetrics & Gynecology | 1125 Madison St, Jefferson City, MO 65101-5227 | 2006-10-17 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 65101 |
Please comment or provide details below to improve the information on ANGELA J BRECKENRIDGE.
| 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.