VIRTUAL URODYNAMICS LLC (NPI# 1861782864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861782864 |
| Entity Type | Organization |
| Organization Name | VIRTUAL URODYNAMICS LLC |
| Practice Address |
2340 Katy Ln Poplar Bluff MO 63901-2300 |
| Practice Telephone | 5737767393 |
| Practice Fax Number | 5737767396 |
| Mailing Telephone | 5737767393 |
| Mailing Fax Number | 5737767396 |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |
| Authorized Official Name | DR. CARRIE LYNN CARDA (OWNER) |
| Authorized Official Telephone | 5737767393 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | MD111753 | MO | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | MD111753 | MO | Allopathic & Osteopathic Physicians |
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
MD111753 | MO | Ambulatory Health Care Facilities |
| Street Address |
2340 KATY LN |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992777957 | Carrie Lynn Carda | Obstetrics & Gynecology | 2340 Katy Ln, Poplar Bluff, MO 63901-2300 | 2006-02-03 |
| 1356849616 | Heartland Women's Healthcare Mo PC | Clinic/Center | 2340 Katy Ln, Poplar Bluff, MO 63901-2300 | 2018-01-31 |
| 1548793011 | Carrera Williams | Nurse Practitioner | 2340 Katy Ln, Poplar Bluff, MO 63901-2300 | 2017-04-11 |
| 1669559605 | Joseph P Fernando | Pediatrics | 2340 Katy Ln, Suite 120, Poplar Bluff, MO 63901-2300 | 2006-11-01 |
| 1184686925 | Womens Health Specialists, PC | Obstetrics & Gynecology | 2340 Katy Ln, Poplar Bluff, MO 63901-2300 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154650331 | Poplar Bluff Neurology Center, PC | Clinic/Center | 2210 Barron Rd, Suite 112, Poplar Bluff, MO 63901-1908 | 2009-12-16 |
| 1447496708 | Kidney Disease and Hypertension Specialists LLC | Clinic/Center | 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 | 2008-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536818 | Heartland Weight Loss Clinic, LLC | Clinic/Center | 3095 Lexington Ave Ste 200, Cape Girardeau, MO 63701-2629 | 2020-10-23 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1386126308 | Kirksville Specialty Clinic LLC | Clinic/Center | 1108 E Patterson St Ste 10, Kirksville, MO 63501-4043 | 2018-09-06 |
| 1639616113 | Stratus Medical Group | Clinic/Center | 2010 N Main St, Sikeston, MO 63801-8478 | 2017-01-23 |
| 1871044735 | Susan D Purcell Md Dermatology LLC | Clinic/Center | 969 N Mason Rd Ste 170, Saint Louis, MO 63141-6387 | 2016-10-16 |
| 1679961577 | Ssm Regional Health Services | Clinic/Center | 2505 Mission Dr Ste 130, Jefferson City, MO 65109-9508 | 2014-12-30 |
| 1407251069 | Missouri Cvs Pharmacy, L.L.C. | Clinic/Center | 942 Valley Creek Dr, Farmington, MO 63640-1968 | 2014-10-24 |
| 1154730414 | Mohammed Z Siddiqui Medical Consulting LLC | Clinic/Center | 10 Overbrook Dr, Saint Louis, MO 63124-1482 | 2014-08-11 |
| 1962818435 | Retired | Clinic/Center | 13714 N Sportsmans Dr, Hallsville, MO 65255-9330 | 2014-07-06 |
| 1043625460 | Kobler Chiropractic and Acupuncture LLC | Clinic/Center | 500 Nw Englewood Rd, Kansas City, MO 64118-3960 | 2014-06-24 |
| Find all providers with the same taxonomy | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
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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.