TRI-LAKES UROLOGY, INC (NPI# 1942472675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942472675 |
| Entity Type | Organization |
| Organization Name | TRI-LAKES UROLOGY, INC |
| Practice Address |
545 Branson Landing Blvd Suite 307 Branson MO 65616-4500 |
| Mailing Address |
Po Box 751 Oklahoma City OK 73101-0751 |
| Practice Telephone | 4173357736 |
| Practice Fax Number | 4173343038 |
| Mailing Telephone | 4058582350 |
| Mailing Fax Number | 4058582365 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2010-11-18 |
| Authorized Official Name | DR. JERRY SAMUEL GIVENS (OWNER) |
| Authorized Official Telephone | 4173357736 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MDR9B09 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RAILROAD MEDICARE | 1089490001 | 01 |
| MO | BLUE SHIELD | 14360 | 01 |
| MO | 202355806 | 05 | |
| AR | 152379001 | 05 |
| Street Address |
545 BRANSON LANDING BLVD SUITE 307 |
| City | BRANSON |
| State | MO |
| Zip Code | 65616-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821093063 | John C. Sorg | Internal Medicine | 545 Branson Landing Blvd, Suite 401, Branson, MO 65616-4500 | 2005-06-15 |
| 1144783788 | Robin Smith | Nurse Practitioner | 545 Branson Landing Blvd, Branson, MO 65616-4500 | 2019-04-10 |
| 1376936203 | Natalie Anne Kendrick | Physician Assistant | 545 Branson Landing Blvd, Branson, MO 65616-4500 | 2015-03-17 |
| 1083947626 | Skaggs Community Hospital Association | Internal Medicine | 545 Branson Landing Blvd, Suite 401, Branson, MO 65616-4500 | 2009-09-15 |
| 1174769103 | Branson Family Medicine Clinic | Family Medicine | 545 Branson Landing Blvd, Suite 408, Branson, MO 65616-4500 | 2008-12-22 |
| 1649492927 | Cassandra L Ashley | Internal Medicine | 545 Branson Landing Blvd, Ste. 407, Branson, MO 65616-4500 | 2007-05-03 |
| 1871715953 | Branson Ear Nose & Throat | Otolaryngology | 545 Branson Landing Blvd, Suite 410, Branson, MO 65616 | 2007-05-02 |
| 1790801710 | Skaggs Community Hospital Association | Family Medicine | 545 Branson Landing Blvd, Suite 408, Branson, MO 65616 | 2007-03-21 |
| 1396879805 | Gayla Burson | Nurse Practitioner | 545 Branson Landing Blvd, Ste. 100, Branson, MO 65616-4500 | 2007-03-15 |
| 1841329760 | Kathleen Dian Purvis | Nurse Practitioner | 545 Branson Landing Blvd, Ste. 508, Branson, MO 65616-4500 | 2007-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495959 | Lester E Cox Medical Centers | Nurse Practitioner | 935 P Rd 65-60, Branson, MO 65616 | 2020-07-23 |
| 1184286379 | Michelle Le Short | Massage Therapist | 3000 Green Mountain Dr Ste 104, Branson, MO 65616 | 2019-07-08 |
| 1912462912 | Thomas George Brett | General Practice | 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 | 2019-02-04 |
| 1619414539 | Brittany N Wright | Physical Therapist | 813 S Business Us Highway 65, Branson, MO 65616 | 2017-01-30 |
| 1184018632 | Christopher Amundsen | Orthopaedic Surgery | 448 State Highway 248, Branson, MO 65616 | 2015-03-23 |
| 1538567938 | Tracy Lynn Douthard | Physical Therapist | 714 State Highway 248 Ste 503, Branson, MO 65616 | 2014-12-17 |
| 1952707838 | Regginold Prescott Lucas | Technician | 220 Everest Circle, Apt 4, Branson, MO 65616 | 2014-11-05 |
| 1174958094 | Morghan Olson | Chiropractor | 813 S. Business Us Highway 65, Branson, MO 65616 | 2013-09-10 |
| 1164864336 | Branson Braces LLC | Dentist | 168 S. Payne Stewart Dr., Ste 100, Branson, MO 65616 | 2013-07-29 |
| 1528400173 | Emologic Clinic, LLC | Registered Nurse | 500 W. Main, Ste 204, Branson, MO 65616 | 2013-07-24 |
| Find all providers in zip 65616 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982635868 | Skaggs Community Health Center | Urology | 545 Branson Landing Blvd, Suite 307, Branson, MO 65616 | 2006-07-06 |
| 1164462412 | Jerry Samuel Givens | Urology | 525 Branson Landing Blvd, Ferrell Duncan Clinic Urology (suite 307), Branson, MO 65616-4500 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699408 | Garth Sherman | Urology | 1 Hospital Dr # Mc301, Columbia, MO 65201-5276 | 2019-06-27 |
| 1902326622 | Alexander Anderson | Urology | 1 Hospital Drive University of Missouri Mc404, Columbia, MO 65212-0001 | 2017-06-23 |
| 1649633736 | Jack Campbell | Urology | 3101 Belinda Ct, Columbia, MO 65203-3848 | 2016-04-05 |
| 1962834390 | Midwest Urology Center, PC | Urology | 1905 W 32nd St Ste 302, Joplin, MO 64804-1512 | 2013-08-08 |
| 1932463940 | Brandi Dawn Miller | Urology | 1965 S Fremont Ave Ste 370, Springfield, MO 65804-2284 | 2012-06-25 |
| 1437412582 | Andrew T Blackburne | Urology | 11155 Dunn Rd Ste 309e, Saint Louis, MO 63136 | 2012-06-22 |
| 1699049395 | Harry L. Ellis | Urology | 5034 S Glenhaven Ave, Springfield, MO 65804-7804 | 2012-02-28 |
| 1083902852 | Gurdarshan S Sandhu | Urology | 607 South New Ballas Road, Suite 3100, Saint Louis, MO 63141 | 2011-07-14 |
| 1457672446 | Christopher D Jaeger | Urology | 112 Piper Hill Dr Ste 12, Saint Peters, MO 63376-1690 | 2010-06-14 |
| 1538486816 | Centerpoint Medical Specialists LLC | Urology | 725 Nw State Route 7, Suite C, Blue Springs, MO 64014-2426 | 2010-04-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TRI-LAKES UROLOGY, INC.
| 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.