MICHAEL B TENTORI (NPI# 1932227907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932227907 |
| Entity Type | Individual |
| Full Name | MICHAEL B TENTORI |
| Credential | D.O. |
| Practice Address |
1802 Elm Street Canton MO 63435-6877 |
| Mailing Address |
6500 Hospital Dr Po Box 1239 Hannibal MO 63401-6890 |
| Practice Telephone | 5732885360 |
| Practice Fax Number | 5732885361 |
| Mailing Telephone | 5734065888 |
| Mailing Fax Number | 5732485264 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2016-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 101770 | MO | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
DO101770 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1932227907 | 05 |
| Street Address |
1802 ELM STREET |
| City | CANTON |
| State | MO |
| Zip Code | 63435-6877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104009984 | Champ Clark Todd | Dentist | 412 Clark St, Canton, MO 63435 | 2007-12-14 |
| 1174688618 | Kenneth J Oliver | Counselor | 800 Hampton Ln, Canton, MO 63435-1032 | 2006-12-26 |
| 1013227925 | Gregory Leo Collier | Chiropractor | 705 College St, Canton, MO 63435-1236 | 2010-10-13 |
| 1497253066 | Christe Anne Thomas | Specialist/Technologist | 1 College Hl # 133, Canton, MO 63435-1257 | 2018-01-29 |
| 1285059386 | Michael James Schwarzer | Specialist/Technologist | 1 College Hl, Canton, MO 63435-1257 | 2014-02-26 |
| 1346871936 | Stormy Leeann Simons | Student in an Organized Health Care Education/Training Program | 1 College Hl, Canton, MO 63435-1257 | 2020-02-01 |
| 1275181018 | Thomas Greene | Student in an Organized Health Care Education/Training Program | 1 College Hl, Canton, MO 63435-1257 | 2019-08-26 |
| 1770085201 | Daniel Kevin Fohey | Specialist/Technologist | 1 College Hl, Canton, MO 63435-1257 | 2018-02-28 |
| 1104327766 | Makkel Marie Parrott | Specialist/Technologist | 1 College Hl, Canton, MO 63435-1257 | 2018-02-27 |
| 1467952754 | Kirby Alana Mcclain | Specialist/Technologist | 1 College Hl, Canton, MO 63435-1257 | 2018-02-14 |
| Find all providers in zip 63435 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629365 | Dima Healthcare, Inc | Family Medicine | 7768 Cumming Hwy Ste 300, Canton, GA 30115-2982 | 2020-11-04 |
| 1396342606 | Kiwi Virtual Health Care Pllc | Family Medicine | 40618 Blythefield Ln, Canton, MI 48188-2251 | 2020-10-08 |
| 1417571142 | K Loor Medical LLC | Family Medicine | 1750 Marietta Hwy Ste 250, Canton, GA 30114-8388 | 2020-05-28 |
| 1336762913 | Favor Family Medical Practice | Family Medicine | 103 Mountain Brook Dr Ste 100, Canton, GA 30115-9078 | 2020-05-18 |
| 1679051213 | Edward Arthur Hill | Family Medicine | 6104 Cedar Lane Nw, Canton, OH 44708 | 2018-08-06 |
| 1073012118 | Mea Primary Care Plus LLC | Family Medicine | 112 Southlake Cir, Canton, MS 39046-5368 | 2018-02-05 |
| 1629592175 | Healthy U Academy, LLC | Family Medicine | 1226 Market Ave N, Canton, OH 44714-2604 | 2017-07-26 |
| 1629508114 | Zeinab M Makki | Family Medicine | 7330 N Canton Center Rd Ste 111, Canton, MI 48187-1538 | 2017-06-15 |
| 1366805210 | Michael Wowk | Family Medicine | 1600 S Canton Center Rd Ste 220, Canton, MI 48188-6276 | 2016-03-29 |
| 1184036832 | Courtney Weaver | Family Medicine | 15 Reinhardt College Pkwy Ste 100, Canton, GA 30114-5259 | 2014-05-29 |
| Find all providers in CANTON | ||||
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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.