DR. NEDRA DIANN TWILLIE (NPI# 1811076763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811076763 |
| Entity Type | Individual |
| Full Name | DR. NEDRA DIANN TWILLIE |
| Credential | MD |
| Practice Address |
415 Burkarth Rd Ste D Warrensburg MO 64093-3101 |
| Practice Telephone | 6607473141 |
| Practice Fax Number | 6607477292 |
| Mailing Telephone | 6607473141 |
| Mailing Fax Number | 6607477292 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2012-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
103901 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 205448905 | 05 |
| Street Address |
415 BURKARTH RD STE D |
| City | WARRENSBURG |
| State | MO |
| Zip Code | 64093-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700965662 | Victor Manuel Lovell | Pediatrics | 415 Burkarth Rd Ste D, Warrensburg, MO 64093-3101 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841752144 | Joshua Tyler Allman | Specialist/Technologist | 500 South Maguire Street, Warrensburg, MO 64093 | 2019-04-04 |
| 1477015220 | Kelly Maurine Warford | Specialist/Technologist | Morrow 125, Warrensburg, MO 64093 | 2019-04-02 |
| 1104388958 | Kaitlyn Nicole Edison | Specialist/Technologist | 108 W South Street, Morrow 125, Warrensburg, MO 64093 | 2019-04-02 |
| 1891257663 | Mckenzie Higgins | Student in an Organized Health Care Education/Training Program | University of Central Missouri Morrow 125, Warrensburg, MO 64093 | 2019-04-02 |
| 1780142901 | Scott C Huff | Marriage & Family Therapist | Uhc 102, Warrensburg, MO 64093 | 2019-03-06 |
| 1144701079 | Summers Pharmacy of Warrensburg, LLC | Pharmacy | 611 Burkarth Rd, Warrensburg, MO 64093 | 2018-08-28 |
| 1174010037 | Stephen Joseph Sattler | Student in an Organized Health Care Education/Training Program | 108 West South Street, Morrow 125, Warrensburg, MO 64093 | 2018-04-17 |
| 1871090522 | Leah Harold | Student in an Organized Health Care Education/Training Program | 108 W. South Street, Morrow 125, Warrensburg, MO 64093 | 2018-04-10 |
| 1396245544 | Patricia J Turner | Speech-Language Pathologist | 201 S Holden Street, Po Box 638, Warrensburg, MO 64093 | 2018-02-14 |
| 1467952721 | Corie Z'hane Williams | Student in an Organized Health Care Education/Training Program | 500 S Maguire St, Warrensburg, MO 64093 | 2018-02-13 |
| Find all providers in zip 64093 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700965662 | Victor Manuel Lovell | Pediatrics | 415 Burkarth Rd Ste D, Warrensburg, MO 64093-3101 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366670796 | Fernando Fernandez, M. D. PC | Pediatrics | 2750 Clay Edwards Dr Ste 320, North Kansas City, MO 64116-3259 | 2009-06-24 |
| 1073733069 | Kelly Jo Meier | Pediatrics | 2719 E 32nd St, Joplin, MO 64804-3131 | 2007-05-01 |
| 1114048154 | Affton Medical Clinic | Pediatrics | 59 Grasso Plz, Saint Louis, MO 63123-3107 | 2007-04-03 |
| 1851417794 | Shari L Smith | Pediatrics | 200 Castle Drive, Joplin, MO 64804-9115 | 2007-03-22 |
| 1740209162 | Nancy Elizabeth Holmes | Pediatrics | 8888 Ladue Road, Suite 130, St. Louis, MO 63124 | 2006-07-18 |
| 1194770883 | Ann A Gassman | Pediatrics | 503 N Scott Ave, Belton, MO 64012-1730 | 2006-05-23 |
| 1841299161 | Bryson Roy Mchardy Jr. | Pediatrics | 100 Medical Dr, Hannibal, MO 63401-6877 | 2005-07-19 |
| 1245239797 | Jeffrey Paul Yannette | Pediatrics | 821 Sw Lemans Lane, Lees Summit, MO 64082 | 2005-07-18 |
| 1679570618 | Carolyn Ann Ellsworth | Pediatrics | 312 N Kentucky St, West Plains, MO 65775-2073 | 2005-07-06 |
| 1528064102 | Joseph William Stafford Jr. | Pediatrics | 312 N Kentucky Ave, West Plains, MO 65775-2073 | 2005-06-28 |
| Find all providers with the same taxonomy | ||||
| City | WARRENSBURG |
| Zip Code | 64093 |
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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.