CHAD A BOULWARE (NPI# 1922115310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922115310 |
| Entity Type | Individual |
| Full Name | CHAD A BOULWARE |
| Credential | D.O. |
| Practice Address |
1102 W 32nd St. Joplin MO 64804 |
| Practice Telephone | 4173471111 |
| Mailing Telephone | 4173471111 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2013-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 2004030781 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200303960A | 05 | |
| OK | 100710630J | 05 |
| Street Address |
1102 W 32ND ST. |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649427352 | Jason Lee Kent | Emergency Medicine | 3018 Abigail Lane, Joplin, MO 64804 | 2008-08-25 |
| 1326127176 | Douglas C Richards | Emergency Medicine | 220 Fox Fire Lane, Joplin, MO 64801-1577 | 2006-11-03 |
| 1912092818 | John David Keitz | Emergency Medicine | 95 Garden Ln, Joplin, MO 64801-9114 | 2006-10-04 |
| 1417061664 | Paula J Hartzell | Emergency Medicine | 1102 W. 32nd St., Joplin, MO 64804 | 2006-08-17 |
| 1477560712 | Jimmy D Morgan | Emergency Medicine | 1717 S Range Line Rd Ste B, Joplin, MO 64804-3224 | 2006-08-01 |
| 1669404992 | Stanley A Mounts | Emergency Medicine | 2727 Mc Clelland Blvd, Joplin, MO 64804-1626 | 2006-07-07 |
| 1346283892 | David K Hagedorn | Emergency Medicine | 3315 Mcintosh Cir, Joplin, MO 64804-3649 | 2006-06-13 |
| 1639142151 | John F Wilson | Emergency Medicine | 1130 E 32nd St, Joplin, MO 64804-4034 | 2006-02-08 |
| 1427674878 | Christina Marie Schramm | Emergency Medicine | 1031 Mcintosh Cir, Joplin, MO 64804-3643 | 2020-06-22 |
| 1346866746 | Nina D Pinjala | Emergency Medicine | 1102 W 32nd St, Joplin, MO 64804-3594 | 2020-06-22 |
| 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.