DHP OF MO - HANNIBAL PC (NPI# 1932651650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932651650 |
| Entity Type | Organization |
| Organization Name | DHP OF MO - HANNIBAL PC |
| Practice Address |
6000 Hospital Dr Hannibal MO 63401-6887 |
| Mailing Address |
5870 Hiatus Rd Ste 200 Tamarac FL 33321-6424 |
| Practice Telephone | 9548352853 |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |
| Authorized Official Name | RANDAL L DABBS (PRESIDENT) |
| Authorized Official Telephone | 8656931000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
6000 HOSPITAL DR |
| City | HANNIBAL |
| State | MO |
| Zip Code | 63401-6887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669527 | Joel Hassien | Radiology | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2005-06-16 |
| 1902431471 | Holly Mae Hardy | Registered Nurse | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2020-03-05 |
| 1548808454 | Keegan Marie Harvey | Registered Nurse | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2019-12-11 |
| 1164066023 | Jessica Nichole Mickels | Registered Nurse | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2019-11-04 |
| 1558905414 | Jennifer Gayle Hinds | Registered Nurse | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2019-11-04 |
| 1720621154 | Ashley Laine Hodges | Nurse Practitioner | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2019-10-17 |
| 1043724875 | Blessing Hospital | Hospitalist | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2017-12-01 |
| 1033647417 | Brittain Utah Ladd | Emergency Medicine | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2017-05-30 |
| 1831541812 | Gary Daniel Peterson | Anesthesiology | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2016-07-01 |
| 1821463530 | Rachel Epperson | Spec/Tech, Pathology | 6000 Hospital Dr, Hannibal, MO 63401-6887 | 2015-12-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981064 | Amanda Lynn Jennings | Nurse Practitioner | Hannibal Clinic, 100 Medical Drive, Hannibal, MO 63401 | 2019-09-13 |
| 1316452295 | Hannibal Regional Healthcare System, Inc | Hospice Care, Community Based | 6401 Hwy Mm, Hannibal, MO 63401 | 2017-12-13 |
| 1932614351 | Sidney M Johnson | Counselor | 1221 Broadway St, Hannibal, MO 63401 | 2017-12-07 |
| 1316467210 | Jessica Baker | Counselor | 4355 Paris Gravel Road, Hannibal, MO 63401 | 2017-06-21 |
| 1346787066 | Hands Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Settlerstrail, Hannibal, MO 63401 | 2017-01-20 |
| 1134571672 | Pamela Barrigar | Social Worker | 4600 Mcmasters Ave, Hannibal, MO 63401 | 2016-07-08 |
| 1639540677 | Jessica Murfin | Speech-Language Pathologist | 544 N Veterans Rd, Hannibal, MO 63401 | 2015-10-16 |
| 1366835639 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 8965 Highway 36 Ste 3, Hannibal, MO 63401 | 2015-03-11 |
| 1639324254 | Hannibal Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 118 Steam Boat Bend, Hannibal, MO 63401 | 2008-11-24 |
| 1780856112 | Barbara Belle Smith | Social Worker | 3700 Hwy Mm, Hannibal, MO 63401 | 2008-03-26 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 |
|---|---|---|---|---|
| 1164786497 | Vaishali M Patel | Surgery | 6500 Hospital Dr Dept Of, Hannibal, MO 63401-6890 | 2012-07-02 |
| 1891736591 | Robert Thomas Troiani Jr. | Surgery | 6500 Hospital Dr Ste 2a, Hannibal, MO 63401-6890 | 2006-06-10 |
| 1811215064 | Melissa Matrisch | Surgery | 100 Medical Dr, Hannibal, MO 63401-6877 | 2010-05-12 |
| 1316102544 | Omar Zahoor Tahir | Surgery | 6500 Hospital Dr, Hannibal, MO 63401-6890 | 2008-07-28 |
| 1861590770 | Stacey Ellen Copeland | Surgery | 6500 Hospital Dr, Hannibal, MO 63401-6890 | 2006-09-21 |
| 1881661031 | John W. Roth | Surgery | 6500 Hospital Dr, Suite 2a, Hannibal, MO 63401-6890 | 2006-03-07 |
| 1912986688 | Michael J Bukstein | Surgery | 100 Medical Dr, Hannibal, MO 63401-6877 | 2006-01-11 |
| 1861471450 | Aphrodite M Henderson | Surgery | 100 Medical Dr, Hannibal, MO 63401-6877 | 2006-01-11 |
| 1114906716 | Patricia L. Hirner | Surgery | 100 Medical Dr, Hannibal, MO 63401-6877 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134623317 | Kuirong Jiang | Surgery | 1 Hospital Dr Rm Mc520, Columbia, MO 65212-1000 | 2018-03-21 |
| 1962926311 | Blaire Lori Anderson | Surgery | 4921 Parkview Place Ste 8c, St Louis, MO 63110 | 2017-07-27 |
| 1578084349 | Shoaib Safiullah | Surgery | 1 Hospital Dr # Dc075.00, Columbia, MO 65212-1000 | 2017-07-03 |
| 1003336934 | Bradley Kushner | Surgery | 660 S Euclid Ave Fl 9, Saint Louis, MO 63110-1010 | 2017-06-21 |
| 1982088571 | Maxwell Tanyi Fohtung | Surgery | 4949 W Pine Blvd, Saint Louis, MO 63108 | 2015-07-14 |
| 1376920538 | Jordan M Kirsch | Surgery | 660 S. Euclid Ave, Cb 8109, Saint Louis, MO 63110-1020 | 2015-04-27 |
| 1194117861 | Kaitlyn Marie Rountree | Surgery | 1 Hospital Dr # Mc404, Columbia, MO 65212-1000 | 2015-03-04 |
| 1003231002 | Mysorekar Surgical | Surgery | 8342 Delcrest Dr, Apt 303, Saint Louis, MO 63124-2100 | 2014-02-27 |
| 1588099725 | Francis Milton Corry | Surgery | 2859 E. Utica, Springfield, MO 65804 | 2013-09-06 |
| 1710327879 | Jason Matthew Loden | Surgery | 1333 S Sam Houston Blvd Ste C, Houston, MO 65483-2046 | 2013-07-03 |
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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.