GIRISH R BHATT (NPI# 1902836216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902836216 |
| Entity Type | Individual |
| Full Name | GIRISH R BHATT |
| Credential | MD |
| Practice Address |
2360 Katy Ln Poplar Bluff MO 63901-2300 |
| Practice Telephone | 5737850080 |
| Practice Fax Number | 5737850811 |
| Mailing Telephone | 5737850080 |
| Mailing Fax Number | 5737850811 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2010-11-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
2004029630 | MO | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
E4582 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 159436001 | 05 |
| Street Address |
2360 KATY LN |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972564359 | Rubina A Mirza | Internal Medicine | 2360 Katy Ln, Poplar Bluff, MO 63901-2300 | 2006-03-28 |
| 1932515954 | Poplar Bluff Regional Medical Center, LLC | Pediatrics | 2360 Katy Ln, Poplar Bluff, MO 63901-2300 | 2014-07-10 |
| 1225380108 | Poplar Bluff Regional Medical Center, LLC | Clinic/Center | 2360 Katy Ln, Poplar Bluff, MO 63901-2300 | 2012-10-03 |
| 1760742084 | David William Wood | Family Medicine | 2360 Katy Ln, Poplar Bluff, MO 63901-2300 | 2012-05-21 |
| 1710162722 | Brandi N Myers | Nurse Practitioner | 2360 Katy Ln, Poplar Bluff, MO 63901-2300 | 2008-01-08 |
| 1770638249 | Cheryl Rodery | Nurse Practitioner | 2360 Katy Ln, Poplar Bluff, MO 63901-2300 | 2007-01-24 |
| 1689620635 | Gene Fioretti | Internal Medicine | 2360 Katy Ln, Poplar Bluff, MO 63901-2300 | 2006-05-25 |
| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093941668 | Vein & Esthetic Centre | Surgery | 2400 Lucy Lee Pkwy, Suite F, Poplar Bluff, MO 63901-2429 | 2009-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619375300 | Curt Milton Vogel II | Surgery | 3707 Woodridge Ct, Columbia, MO 65201-6532 | 2014-12-11 |
| 1376801548 | Matthew Raymond Abate | Surgery | 10012 Kennerly Rd Ste 305, Saint Louis, MO 63128-2197 | 2012-04-25 |
| 1366771446 | Daniel E. Cox, M.d., LLC | Surgery | 1400 Hwy. 61 South, Suite 240, Festus, MO 63028 | 2009-12-18 |
| 1659526689 | Vp Medical, LLC | Surgery | 3308 W Edgewood Dr Ste D, Jefferson City, MO 65109-6891 | 2008-11-18 |
| 1508053026 | Noks Corporation PC | Surgery | 1147b E Gannon Dr, Festus, MO 63028-2611 | 2007-09-28 |
| 1275753923 | George Fraklin Rendleman Jr. | Surgery | 12723 Topping Acres, St Louis, MO 63131 | 2007-04-26 |
| 1346467420 | Marcus A. Barber | Surgery | 2750 Clay Edwards Dr Ste 304, Kansas City, MO 64116-3256 | 2007-04-19 |
| 1841367380 | Kent James Blanke | Surgery | 1408 Crown Drive, Kirksville, MO 63501 | 2006-11-29 |
| 1801974787 | Edwin Tutt Long | Surgery | 4550 Warwick Blvd, Ste # 1209, Kansas City, MO 64111-7725 | 2006-11-01 |
| 1518992429 | Ayaz A Malik | Surgery | 1035 Bellevue Ave Ste 212, Saint Louis, MO 63117-1846 | 2006-07-11 |
| 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.