ZAMARA W QURESHI (NPI# 1871075754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871075754 |
| Entity Type | Individual |
| Full Name | ZAMARA W QURESHI |
| Credential | PA |
| Practice Address |
1511 Christy Dr Jefferson City MO 65101-2854 |
| Mailing Address |
Po Box 104780 Jefferson City MO 65110-4780 |
| Practice Telephone | 5736322777 |
| Practice Fax Number | 5736322769 |
| Mailing Telephone | 5736322777 |
| Mailing Fax Number | 5736322769 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2020-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 220060604 | 05 |
| Street Address |
1511 CHRISTY DR |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65101-2854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801976261 | Angela J Breckenridge | Obstetrics & Gynecology | 1511 Christy Dr, Jefferson City, MO 65101-2854 | 2006-10-17 |
| 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 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760016141 | Julianna Christine Link | Physician Assistant | 1002 Diamond Rdg Ste 1200, Jefferson City, MO 65109-7911 | 2020-02-25 |
| 1215363841 | Lindsey Ann Clyde | Physician Assistant | 120 Hospital Dr Ste 130, Jefferson City, TN 37760 | 2013-09-14 |
| 1730646084 | Angela Brooke Burkhalter | Physician Assistant | 120 Hospital Dr, Jefferson City, TN 37760-5287 | 2019-02-22 |
| 1972076750 | Jennifer Esther Wekenborg | Physician Assistant | 1125 Madison St, Jefferson City, MO 65101-5200 | 2019-01-04 |
| 1013374503 | Aaron C. Harris | Physician Assistant | 120 Hospital Dr, Suite 130, Jefferson City, TN 37760-5287 | 2016-01-28 |
| 1376948927 | Sarah E. Chapman | Physician Assistant | 120 Hospital Dr Ste 130, Jefferson City, TN 37760-5279 | 2014-10-24 |
| 1952724403 | Russell Walters | Physician Assistant | 110 Hospital Dr, Jefferson City, TN 37760-5281 | 2014-02-03 |
| 1144578659 | Cole Physician Services LLC | Physician Assistant | 100 St. Mary's Medical Plaza, Jefferson City, MO 65101 | 2012-08-15 |
| 1053697565 | Joanna P. Smith | Physician Assistant | 2505 Mission Dr, Suite 200, Jefferson City, MO 65109-9508 | 2011-10-27 |
| 1780968701 | Misha Anne Holte | Physician Assistant | 2707 W Edgewood Dr, Suite 102, Jefferson City, MO 65109-5888 | 2011-10-10 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 65101 |
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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.