STEPHEN A BRIETZKE (NPI# 1831136563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831136563 |
| Entity Type | Individual |
| Full Name | STEPHEN A BRIETZKE |
| Credential | MD |
| Practice Address |
One Hospital Dr Columbia MO 65212-0001 |
| Mailing Address |
Po Box 7687 Columbia MO 65205-7687 |
| Practice Telephone | 5738822273 |
| Practice Fax Number | 5738844609 |
| Mailing Telephone | 5738822259 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-12-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
2002003272 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | HEALTHLINK | 481200 | 01 |
| MO | BLUE SHIELD | 157696 | 01 |
| MO | UNITED HEALTHCARE | 3300133 | 01 |
| MO | BLUE CHOICE | 157696 | 01 |
| Street Address |
ONE HOSPITAL DR |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65212-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932190980 | John Gregory Markley | Surgery | One Hospital Dr, Columbia, MO 65212-0001 | 2005-10-31 |
| 1710500434 | Lyndsay Marie Bergus | Physician Assistant | One Hospital Dr, Columbia, MO 65212-0001 | 2020-05-28 |
| 1356962039 | Emily Schroeder Smith | Physician Assistant | One Hospital Dr, Columbia, MO 65212-0001 | 2020-05-04 |
| 1881220275 | Krista A Desimoni | Physician Assistant | One Hospital Dr, Columbia, MO 65212-0001 | 2020-03-17 |
| 1629603204 | Naziha Taher Elhassan | Physician Assistant | One Hospital Dr, Columbia, MO 65212-0001 | 2020-03-04 |
| 1124652375 | Ariana Joy Cooper | Physician Assistant | One Hospital Dr, Columbia, MO 65212-0001 | 2020-02-26 |
| 1922631001 | Alex Kimberly Armstrong | Physician Assistant | One Hospital Dr, Columbia, MO 65212-0001 | 2020-02-18 |
| 1447882584 | Anna Marie Stahlschmidt | Physician Assistant | One Hospital Dr, Columbia, MO 65212-0001 | 2020-02-06 |
| 1235779216 | Rachel Elizabeth Vogel | Physician Assistant | One Hospital Dr, Columbia, MO 65212-0001 | 2020-01-08 |
| 1205475548 | Adelaide Elizabeth Naumann | Physician Assistant | One Hospital Dr, Columbia, MO 65212-0001 | 2020-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225594112 | Hee Young Lee | Student in an Organized Health Care Education/Training Program | 1100 Virginia Avenue, University of Missouri Health Car, Columbia, MO 65212 | 2019-02-15 |
| 1093200966 | Alexander John Lubinski | Radiology | 1 Hospital Drive Dco6910, Columbia, MO 65212 | 2018-06-24 |
| 1235638156 | Jami Bates | Physician Assistant | University of Missouri Hospital 1 Hospital Drive, Columbia, MO 65212 | 2018-02-06 |
| 1124554589 | John Wuennenberg | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Floor, Columbia, MO 65212 | 2017-05-04 |
| 1336672005 | William Paul Christensen | Physical Medicine & Rehabilitation | One Hospital Dr Dc046.00, Dc046.00, Columbia, MO 65212 | 2017-04-09 |
| 1881127108 | Kelli Danielle Bryant | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Florr, Columbia, MO 65212 | 2017-04-04 |
| 1952832859 | Juhi Koolwal | Radiology | 1 Hospital Dirve Ddc06910, Columbia, MO 65212 | 2017-03-22 |
| 1518319136 | Joseph Patrick Herbert | Neurological Surgery | One Hospital Drive, Dc048.00, Mc314 Mchaney Hall, Columbia, MO 65212 | 2016-07-07 |
| 1407207319 | Jesse Schmid | Otolaryngology | One Hosital Dr Ma314, Columbia, MO 65212 | 2016-06-22 |
| 1508216920 | David Koch | Radiology | 1 Hospital Drive, Dc06910, Columbia, MO 65212 | 2016-06-16 |
| Find all providers in zip 65212 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811467053 | Missouri Obesity Center,llc | Internal Medicine | 1601 E Broadway Ste 160, Columbia, MO 65201-5821 | 2018-11-30 |
| 1306183264 | Leonard Peter Kapcala | Internal Medicine | 7158 Rivers Edge Rd, Columbia, MD 21044-4235 | 2013-01-12 |
| 1356575229 | Javzandulam Natsag | Internal Medicine | 10710 Charter Dr Ste 410, Suite 410, Columbia, MD 21044-3276 | 2009-05-07 |
| 1558575043 | Leo Lauhon Walker | Internal Medicine | 2417 Bermuda Hills Rd, Columbia, SC 29223-6807 | 2007-05-10 |
| 1962480590 | Ambika Rao | Internal Medicine | 6439 Garners Ferry Road, Bldg 100, Rm5c100b, Columbia, SC 29209-1613 | 2006-01-04 |
| 1487655213 | Anastacio G Herrera Jr. | Internal Medicine | 40 Grant Ln, Columbia, KY 42728-2233 | 2005-08-02 |
| 1902203326 | Ronald L. Johnson, M.d., LLC | Internal Medicine | 4100 N Main St, Suite 201, Columbia, SC 29203-5800 | 2014-12-01 |
| 1033559604 | Venkata Sai B Chinnakotla | Internal Medicine | 3315 Berrywood Dr, Columbia, MO 65201-6571 | 2013-06-27 |
| 1497020564 | David Levitt | Internal Medicine | 10710 Charter Dr Ste 410, Columbia, MD 21044 | 2012-03-21 |
| 1881826832 | Ribal Al Aridi | Internal Medicine | 2 Medical Park Rd Ste 506, Columbia, SC 29203-6876 | 2009-08-10 |
| 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.