DR. ROBERT GARY SARRAZIN (NPI# 1912129362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912129362 |
| Entity Type | Individual |
| Full Name | DR. ROBERT GARY SARRAZIN |
| Credential | M.D. |
| Practice Address |
1900 W Sunshine St Springfield MO 65807-2240 |
| Mailing Address |
3308 Winged Foot Dr Nixa MO 65714-8706 |
| Practice Telephone | 4178627041 |
| Practice Fax Number | 4178741633 |
| Mailing Telephone | 4177254475 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
R9N43 | MO | Allopathic & Osteopathic Physicians |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
R9N43 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1900 W SUNSHINE ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-2240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033115811 | Christine Ann Nemeti | Social Worker | 1900 W Sunshine St, Springfield, MO 65807-2240 | 2005-06-24 |
| 1891315032 | Steven Michael Dillman | Social Worker | 1900 W Sunshine St, Springfield, MO 65807-2240 | 2020-04-17 |
| 1851878714 | Chelsea Brieman | Psychologist | 1900 W Sunshine St, Springfield, MO 65807-2240 | 2018-07-24 |
| 1427574904 | Christine Fultyn | Psychologist | 1900 W Sunshine St, Springfield, MO 65807-2240 | 2017-08-16 |
| 1912435652 | Christine Arielle Tebbe | Pharmacist | 1900 W Sunshine St, Springfield, MO 65807-2240 | 2017-05-25 |
| 1134669856 | Caroline Grace Dotson | Social Worker | 1900 W Sunshine St, Springfield, MO 65807-2240 | 2017-02-28 |
| 1346525292 | Ernesto Madayag Gapasin Sr. | Surgery | 1900 W Sunshine St, Springfield, MO 65807-2240 | 2011-10-11 |
| 1982830501 | Alison Mcgee Nelson | Dentist | 1900 W Sunshine St, Springfield, MO 65807-2240 | 2009-06-10 |
| 1952569030 | James Kenneth Wolfson | Psychiatry & Neurology | 1900 W Sunshine St, Us Medical Center for Federal Prisoners, Springfield, MO 65807-2240 | 2008-05-27 |
| 1518150499 | Us Medical Center for Federal Prisoners | Special Hospital | 1900 W Sunshine St, Springfield, MO 65807-2240 | 2007-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851870315 | Pace Mental Heatlh | Psychiatry & Neurology | 8348 Traford Ln Ste 301, Springfield, VA 22152-1650 | 2018-08-07 |
| 1861503591 | Brendan Thomas More Carroll | Psychiatry & Neurology | 474 N. Yellow Springs Street, Mental Health Services for Madison & Clark County, Inc, Springfield, OH 45504-4550 | 2006-08-31 |
| 1548248180 | Philip D Pan | Psychiatry & Neurology | 710 N 8th St, Springfield, IL 62702-6324 | 2006-01-04 |
| 1952569030 | James Kenneth Wolfson | Psychiatry & Neurology | 1900 W Sunshine St, Us Medical Center for Federal Prisoners, Springfield, MO 65807-2240 | 2008-05-27 |
| 1417166729 | Carlos Julio Tomelleri | Psychiatry & Neurology | 1900 W Sunshine St, Springfield, MO 65807-2240 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528581683 | Elias Ghossoub | Psychiatry & Neurology | 1438 S Grand Blvd Rm 7, Saint Louis, MO 63104-1027 | 2017-07-20 |
| 1285959163 | Nikita Shah | Psychiatry & Neurology | 1000 E 24th St Unit Office53, Kansas City, MO 64108-2776 | 2010-04-02 |
| 1003086638 | Anasseril E Daniel | Psychiatry & Neurology | 33 E Broadway Ste 115, Columbia, MO 65203-4207 | 2008-03-11 |
| 1659541456 | David Leo Vlach | Psychiatry & Neurology | 1115 E Pence Rd, Cameron, MO 64429-8804 | 2008-03-07 |
| 1912002155 | Marcia Davenport Kent | Psychiatry & Neurology | 324 S Hudson St, Buckner, MO 64016 | 2006-09-13 |
| 1386633360 | Terri Lynn Riutcel | Psychiatry & Neurology | 1600 S Brentwood Blvd Ste 600, Ste 600, Saint Louis, MO 63144-1334 | 2005-10-21 |
| 1992793145 | Sadashiv Parwatikar | Psychiatry & Neurology | 2107 Menard St, Saint Louis, MO 63104-4140 | 2005-10-12 |
| 1184965667 | William Searle Logan | Psychiatry & Neurology | 428 W 42nd St, Kansas City, MO 64111-3176 | 2013-03-08 |
| 1801137377 | Stephen Eugene Peterson | Psychiatry & Neurology | 428 W 42nd St, Kansas City, MO 64111-3176 | 2013-03-08 |
| 1346323870 | Jennifer Elaine Brockman | Psychiatry & Neurology | 321 W Promenade St, Mexico, MO 65265-2719 | 2006-10-20 |
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| City | SPRINGFIELD |
| Zip Code | 65807 |
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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.