SKAGGS COMMUNITY HOSPITAL ASSOCIATION (NPI# 1902188535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902188535 |
| Entity Type | Organization |
| Organization Name | SKAGGS COMMUNITY HOSPITAL ASSOCIATION |
| Other Organization Name | SKAGGS HEALTHCARE OB/GYN |
| Practice Address |
1150 State Highway 248 Suite 201b Branson MO 65616-3758 |
| Practice Telephone | 4173357490 |
| Practice Fax Number | 4173357588 |
| Mailing Telephone | 4173357490 |
| Mailing Fax Number | 4173357588 |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2011-09-09 |
| Authorized Official Name | WILLIAM K MAHONEY (CEO) |
| Authorized Official Telephone | 4173357270 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 52-54 | MO | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Skaggs Healthcare Ob/Gyn | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285290288 | Skaggs Community Hospital Association | Physical Medicine & Rehabilitation | 525 Branson Landing Blvd Ste 401, Branson, MO 65616-2064 | 2019-05-15 |
| 1548780620 | Skaggs Community Hospital Association | Family Medicine | 1150 State Highway 248 Ste 102, Branson, MO 65616-4186 | 2017-06-21 |
| 1013241363 | Skaggs Community Hospital Association | Family Medicine | 2461 State Highway 165, Suite E, Branson, MO 65616-8690 | 2009-09-18 |
| 1467614206 | Skaggs Community Hospital Association | Family Medicine | 15765 State Hwy 13, Suite 3, Branson West, MO 65737-8673 | 2008-07-01 |
| 1154580777 | Skaggs Community Hospital Association | Internal Medicine | 525 Branson Landing Blvd Ste 101, Branson, MO 65616-2052 | 2008-06-09 |
| 1871786905 | Skaggs Community Hospital Association | Internal Medicine | 525 Branson Landing Blvd Ste 306, Branson, MO 65616-2140 | 2007-08-22 |
| 1659402436 | Skaggs Community Hospital Association | Durable Medical Equipment & Medical Supplies | 4480 N Gretna Rd, Branson, MO 65616-7202 | 2007-03-07 |
| 1386708600 | Skaggs Community Hospital Association | Surgery | 525 Branson Landing Blvd Ste 312, Branson, MO 65616-2194 | 2006-12-21 |
| 1538247887 | Skaggs Community Hospital Association | Pediatrics | 590 Birch Street, Ste 2c, Hollister, MO 65672 | 2006-11-02 |
| 1114005451 | Skaggs Community Hospital Association | Family Medicine | 525 Branson Landing Blvd Ste 508, Branson, MO 65616-2131 | 2006-11-02 |
| Street Address |
1150 STATE HIGHWAY 248 SUITE 201B |
| City | BRANSON |
| State | MO |
| Zip Code | 65616-3758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881678688 | Skaggs Community Health Center and Clinics | Specialist | 1150 State Highway 248, Ste. 100, Branson, MO 65616-3758 | 2005-12-05 |
| 1518460229 | Karissa N Fox Koscheski | Physician Assistant | 1150 State Highway 248, Branson, MO 65616-3758 | 2018-03-09 |
| 1164973020 | Skaggs Community Hospital Association | Family Medicine | 1150 State Highway 248, Branson, MO 65616-3758 | 2016-10-17 |
| 1124415864 | Leo Michael Martinez | Social Worker | 1150 State Highway 248, Ste 202, Branson, MO 65616-3758 | 2015-04-21 |
| 1952705881 | Stephanie Jean Rexilius | Nurse Practitioner | 1150 State Highway 248, Branson, MO 65616-3758 | 2014-10-21 |
| 1508279381 | Jeremy Berbereia | Physician Assistant | 1150 State Highway 248, #200, Branson, MO 65616-3758 | 2014-06-09 |
| 1629203120 | Irina G Durbin | Physician Assistant | 1150 State Highway 248, Branson, MO 65616-3758 | 2009-05-28 |
| 1770728586 | Branson Heart Center | Internal Medicine | 1150 State Highway 248, Branson, MO 65616-3758 | 2008-12-08 |
| 1629156971 | Skaggs Community Hospital Association | Family Medicine | 1150 State Highway 248, Suite 202, Branson, MO 65616-3758 | 2006-11-02 |
| 1992894331 | Bonnie Blevins | Clinical Nurse Specialist | 1150 State Highway 248, Suite 200, Branson, MO 65616-3758 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495959 | Lester E Cox Medical Centers | Nurse Practitioner | 935 P Rd 65-60, Branson, MO 65616 | 2020-07-23 |
| 1184286379 | Michelle Le Short | Massage Therapist | 3000 Green Mountain Dr Ste 104, Branson, MO 65616 | 2019-07-08 |
| 1912462912 | Thomas George Brett | General Practice | 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 | 2019-02-04 |
| 1619414539 | Brittany N Wright | Physical Therapist | 813 S Business Us Highway 65, Branson, MO 65616 | 2017-01-30 |
| 1184018632 | Christopher Amundsen | Orthopaedic Surgery | 448 State Highway 248, Branson, MO 65616 | 2015-03-23 |
| 1538567938 | Tracy Lynn Douthard | Physical Therapist | 714 State Highway 248 Ste 503, Branson, MO 65616 | 2014-12-17 |
| 1952707838 | Regginold Prescott Lucas | Technician | 220 Everest Circle, Apt 4, Branson, MO 65616 | 2014-11-05 |
| 1174958094 | Morghan Olson | Chiropractor | 813 S. Business Us Highway 65, Branson, MO 65616 | 2013-09-10 |
| 1164864336 | Branson Braces LLC | Dentist | 168 S. Payne Stewart Dr., Ste 100, Branson, MO 65616 | 2013-07-29 |
| 1528400173 | Emologic Clinic, LLC | Registered Nurse | 500 W. Main, Ste 204, Branson, MO 65616 | 2013-07-24 |
| Find all providers in zip 65616 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336506757 | Skaggs Community Hospital Association | Obstetrics & Gynecology | 525 Branson Landing Blvd, Suite 408, Branson, MO 65616-2052 | 2016-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403334 | Sarah Mai Truong | Obstetrics & Gynecology | 402 N Keene St # Dc570.00, Columbia, MO 65201-6986 | 2020-06-30 |
| 1962049593 | Michael Wayne Mccullough | Obstetrics & Gynecology | 500 N Keene St Ste 400, Columbia, MO 65201-8104 | 2019-12-02 |
| 1144881509 | Stephanie Barata | Obstetrics & Gynecology | 402 N Keene St Ste 402, Columbia, MO 65201-6986 | 2019-06-26 |
| 1447814181 | Obstetrical Associates of St. Luke's, LLC | Obstetrics & Gynecology | 224 S Woods Mill Rd Ste 750s, Chesterfield, MO 63017-3623 | 2019-04-29 |
| 1508328782 | Lauren Marie Rackovan | Obstetrics & Gynecology | 1011 Bowles Ave Ste 215, Fenton, MO 63026-2387 | 2019-04-04 |
| 1144798737 | Frg Rlt Holdings, Inc. | Obstetrics & Gynecology | 1747 Smizer Station Rd Ste 1, Fenton, MO 63026-2784 | 2018-11-13 |
| 1568984367 | Gsh Lab LLC | Obstetrics & Gynecology | 621 S New Ballas Rd Ste 1017b, Saint Louis, MO 63141-8264 | 2017-07-13 |
| 1851825715 | Sydni Fazenbaker Crowell | Obstetrics & Gynecology | 621 S New Ballas Rd Ste 2009b, Saint Louis, MO 63141 | 2017-04-18 |
| 1063945517 | Donald R Jones Enterprises, LLC | Obstetrics & Gynecology | 225 Physicians Park Ste 300, Poplar Bluff, MO 63901-3930 | 2017-04-11 |
| 1184157984 | Robert Mcdavid | Obstetrics & Gynecology | 3609 Arbor Ct, Columbia, MO 65201-6542 | 2017-04-07 |
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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.