CULVER-STOCKTON COLLEGE (NPI# 1952839789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952839789 |
| Entity Type | Organization |
| Organization Name | CULVER-STOCKTON COLLEGE |
| Other Organization Name | CULVER-STOCKTON SPORTS MEDICINE |
| Practice Address |
1 College Hl Canton MO 63435-1257 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 9723674845 |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2017-05-24 |
| Authorized Official Name | MOUZON BASS III (AGENT) |
| Authorized Official Telephone | 9723674845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Culver-Stockton Sports Medicine | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Culver-Stockton College | 1 College Hill, Canton, MO 63435 |
| Street Address |
1 COLLEGE HL |
| City | CANTON |
| State | MO |
| Zip Code | 63435-1257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1639727472 | Hannah Dustin | Student in an Organized Health Care Education/Training Program | 1 College Hl, Canton, MO 63435-1299 | 2019-08-26 |
| 1275181018 | Thomas Greene | Student in an Organized Health Care Education/Training Program | 1 College Hl, Canton, MO 63435-1257 | 2019-08-26 |
| 1548818313 | Deionna Mendez | Student in an Organized Health Care Education/Training Program | 1 College Hl, Canton, MO 63435-1299 | 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 |
| 1073011425 | Joshua Robert Douglas Laird | Respiratory Therapist, Registered | 1 College Hl, Canton, MO 63435-1257 | 2018-01-30 |
| 1982102331 | Megan Ann Burk | Respiratory Therapist, Registered | 1 College Hl, Canton, MO 63435-1257 | 2018-01-30 |
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| 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 |
| 1598375768 | Preferred Family Healthcare Inc | Community/Behavioral Health | 210 N 7th St, Canton, MO 63435-1327 | 2020-08-03 |
| 1023240793 | Canton School District R V | Physical Therapist | 200 S 4th St, Canton, MO 63435-1510 | 2009-08-14 |
| 1780199521 | Cognitive Achievement Center | Specialist | 608 Washington St, Canton, MO 63435-1581 | 2017-12-01 |
| 1386941326 | Niemann Foods Inc | Pharmacy | 1805 Elm St, Canton, MO 63435-1685 | 2011-02-25 |
| 1518483726 | Blessing Walk-in Clinic LLC | Family Medicine | 1805 Elm St, Canton, MO 63435-1685 | 2017-08-18 |
| 1437495587 | Advance Hannibal Regional Hospital, LLC | Physical Therapist | 1804 Elm St, Canton, MO 63435-1694 | 2012-12-18 |
| 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 |
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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.