DAN BORELLO (NPI# 1912933268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912933268 |
| Entity Type | Individual |
| Full Name | DAN BORELLO |
| Credential | MD |
| Practice Address |
1532 W 32nd St Ste 301 Joplin MO 64804-1607 |
| Mailing Address |
Po Box 3810 Joplin MO 64803 |
| Practice Telephone | 4173472525 |
| Practice Fax Number | 4173478991 |
| Mailing Telephone | 4173472525 |
| Mailing Fax Number | 4173478991 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2009-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | R7509 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | ANTHEM | 6058 | 01 |
| MO | 200113207 | 05 | |
| RR MEDICARE | 160052702 | 01 | |
| KS | 100143460B | 05 | |
| OK | 100198750A | 05 |
| Street Address |
1532 W 32ND ST STE 301 |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050013 | Sarah Elizabeth Womack | Nurse Practitioner | 1532 W 32nd St Ste 301, Joplin, MO 64804-1639 | 2020-10-15 |
| 1639679970 | Amanda Francis Copley | Advanced Practice Midwife | 1532 W 32nd St Ste 301, Joplin, MO 64804-1639 | 2018-02-13 |
| 1427440619 | Jessica B Windschitl | Obstetrics & Gynecology | 1532 W 32nd St Ste 301, Joplin, MO 64804-1639 | 2015-02-24 |
| 1699970459 | Jana Laine Allison | Obstetrics & Gynecology | 1532 W 32nd St Ste 301, Joplin, MO 64804-1639 | 2007-06-20 |
| 1992833065 | Katherine K. Parsons | Midwife | 1532 W 32nd St Ste 301, Joplin, MO 64804-1639 | 2007-03-01 |
| 1922149525 | Angela Michelle Langer | Obstetrics & Gynecology | 1532 W 32nd St Ste 301, Joplin, MO 64804-1639 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| 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 |
|---|---|---|---|---|
| 1710346762 | Megan Carlson | Obstetrics & Gynecology | 1532 W 32nd St Ste 401, Joplin, MO 64804-1646 | 2016-02-18 |
| 1740608884 | Tara L Moore | Obstetrics & Gynecology | 100 Mercy Way Ste 510, Joplin, MO 64804-4524 | 2014-04-05 |
| 1588982870 | Hugh L Lacey Md PC | Obstetrics & Gynecology | 1905 W32nd Street, Suite 306, Joplin, MO 64804-1512 | 2010-05-11 |
| 1417112764 | Shayna N Conner | Obstetrics & Gynecology | 1532 W 32nd St Ste 302, Joplin, MO 64804-1639 | 2008-07-25 |
| 1821031345 | Jeffrey T. Jones | Obstetrics & Gynecology | 2631 Cunningham Ave, Suite A, Joplin, MO 64804-1543 | 2006-06-13 |
| 1427440619 | Jessica B Windschitl | Obstetrics & Gynecology | 1532 W 32nd St Ste 301, Joplin, MO 64804-1639 | 2015-02-24 |
| 1891199782 | Care for Women Joplin LLC | Obstetrics & Gynecology | 3201 Mcintosh Cir, Joplin, MO 64804-3647 | 2014-10-21 |
| 1245539816 | Gretchen Rae Stiefel | Obstetrics & Gynecology | 1532 W 32nd St, Ste 201, Joplin, MO 64804-1607 | 2011-03-22 |
| 1255634275 | Juno Group LLC | Obstetrics & Gynecology | 3103 Mcclelland Blvd, Joplin, MO 64804-1640 | 2010-12-14 |
| 1942430103 | Heath R Merkley | Obstetrics & Gynecology | 100 Mercy Way, Joplin, MO 64804-4524 | 2009-07-22 |
| Find all providers in JOPLIN | ||||
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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.