JAMES R ENNIS


Address: 180 Northstar, Holts Summit, MO 65043
Phone: 5738965115

JAMES R ENNIS (NPI# 1881666865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881666865
Entity Type Individual
Full Name JAMES R ENNIS
Credential DO
Practice Address 180 Northstar
Holts Summit
MO 65043
Mailing Address 180 Northstar
Capital Region Medical Clinic
Holts Summit
MO 65043
Practice Telephone 5738965115
Practice Fax Number 5738964272
Mailing Telephone 5738965115
Mailing Fax Number 5738964272
Enumeration Date 2006-02-03
Last Update Date 2012-07-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice R6639 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 501607808 05
CIGNA 7779636 01
HEALTHLINK 104257 01
MO 240009803 05
FIRST HEALTH 813149 01
BLUE CROSS BLUE SHIELD 100491 01

Other Providers JAMES ENNIS

NPI Name Taxonomy Address Enumeration
1316419583 James Christopher Ennis Occupational Therapist 12580 Natureview Cir, Bradenton, FL 34212-2982 2018-12-27
1295286706 James Ennis Clinical Nurse Specialist 900 Cummings Center, Suite 107w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 2016-10-19
1598047367 James P. Ennis II Physician Assistant 4023 Cloverland Drive, Phoenix, MD 21131-2139 2011-09-16
1720165236 James Walter Ennis II Dentist 2043 Tynecastle Hwy, Banner Elk, NC 28604-9710 2006-11-01
1508831298 James Michael Ennis Psychologist 1061 Harmon Ave, Fort Stewart, GA 31314-5641 2006-02-17

Office Location

Street Address 180 NORTHSTAR
City HOLTS SUMMIT
State MO
Zip Code 65043

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285863340 Walter A Henderson Jr. Dentist 320 S. Summit Dr., Holts Summit, MO 65043 2009-07-10
1356452155 St Marys Holts Summit Phar Pharmacy 140 Northstar, Holts Summit, MO 65043 2006-08-31
1952357352 Ssm Regional Health Services Clinic/Center 140 Northstar Dr, Holts Summit, MO 65043-1123 2006-05-26
1033170006 Lorrie L Campbell Family Medicine 180 Northstar Dr, Holts Summit, MO 65043-1123 2006-03-30
1710959598 Capital Region Medical Center Family Medicine 180 Northstar St, Holts Summit, MO 65043-1123 2006-02-06
1285117622 Linda Faye Cook Pharmacy 140 Northstar Dr, Holts Summit, MO 65043-1123 2018-09-12
1841552700 Morgan John Schiermeier Family Medicine 180 Northstar Dr, Holts Summit, MO 65043-1123 2012-06-15
1235151440 Curtis W Dyer Family Medicine 140 Northstar Dr, Holts Summit, MO 65043-1123 2006-07-24
1811310469 Lindsey Diane Holt Occupational Therapist 93 S Larand Dr, Holts Summit, MO 65043-1132 2014-01-31
1518367150 Abby Zanaboni Speech-Language Pathologist 2715 State Road Aa, Holts Summit, MO 65043-1241 2014-09-02
Find all providers in zip 65043

Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790305654 Remedy Health LLC General Practice 37 Doctors Park Ste 3, Cape Girardeau, MO 63703-4903 2020-04-21
1760001598 Md Sarefin Zaman General Practice 2715 W 76 Country Blvd Ste 103, Branson, MO 65616-2344 2020-04-12
1437707551 Home Docs Medical Associates, LLC General Practice 7584 Olive Blvd Ste 204, University City, MO 63130-1600 2019-09-02
1912462912 Thomas George Brett General Practice 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 2019-02-04
1295208403 Sme Kentucky Psc General Practice 5728 Pergola Dr Apt 207, Columbia, MO 65201-2897 2019-01-10
1821579798 Healthy Schools Missouri LLC General Practice 3675 S Noland Rd Ste 200, Independence, MO 64055-3369 2018-08-28
1902300825 Landmark Medical of Missouri PC General Practice 312 Sw Greenwich Dr # 315, Lees Summit, MO 64082-4408 2018-03-23
1740784214 Bridge Integrative Medicine LLC General Practice 305 Nw Englewood Ct Ste 200, Kansas City, MO 64118 2018-03-20
1093218224 Andrew Jason Doppelt General Practice 200 E Southampton Dr Ste 104, Columbia, MO 65203-3032 2018-03-14
1114427606 Khrystal Robinson General Practice 902 E Reed St, Hayti, MO 63851-1243 2018-02-20
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Competitor

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City HOLTS SUMMIT
Zip Code 65043

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Dataset Information

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.

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