RETIRED (NPI# 1962818435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962818435 |
| Entity Type | Organization |
| Organization Name | RETIRED |
| Practice Address |
13714 N Sportsmans Dr Hallsville MO 65255-9330 |
| Practice Telephone | 5736962391 |
| Mailing Telephone | 5736962391 |
| Enumeration Date | 2014-07-06 |
| Last Update Date | 2014-07-06 |
| Authorized Official Name | HERB BASTOW (UROLOGIST) |
| Authorized Official Telephone | 5736962391 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
R5108 | MO | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RETIRED & SENIOR VOLUNTEER PROGRAM | 1416 Cumming Ave Ste A, Superior, WI 54880-3758 |
| Iowa Business Entities | RETIRED & SENIOR VOLUNTEER PROGRAM (RSVP) OF CLINTON COUNTY | 315 South 2nd Street, Clinton, IA 52732 |
| System for Award Management (SAM) Entities | RETIRED AND SENIOR VOLUNTEER PROGRAM | 5629 Byrom St, Milton, FL 32570-5808 |
| System for Award Management (SAM) Entities | RETIRED AND SENIOR VOLUNTEER PROGRAM (RSVP) | 1805 Gunter Ave Ste A1, Guntersville, AL 35976-2151 |
| Virginia Business Entities | RETIRED ARMED FORCES CLUB OF VIRGINIA INCORPORATED | 398 Union St, Hampton, Virginia 23669 |
| Colorado Business Entities | Retired at Twenty Pack, LLC | 14359 W 1st Pl, Golden, CO 80401 |
| Oregon Corporations, Companies and Business Names | RETIRED BUILDER LLC | 1641 Stardust Way, Medford, OR 97504 |
| Iowa Business Entities | RETIRED BY RESIDUAL, LLC | 5583 Beechwood Terrace, West Des Moines, IA 50266 |
| Virginia Business Entities | RETIRED CLERGY HOUSING CORPORATION OF THE VIRGINIA CONFERENCE OF THE UNITED METHODIST CHURCH | 5101 Cox Road, Suite 225, Glen Allen, Virginia 23060 |
| Colorado Business Entities | Retired Consulting LLC | 202 N. Lakeside Drive, Durango, CO 81303 |
| Street Address |
13714 N SPORTSMANS DR |
| City | HALLSVILLE |
| State | MO |
| Zip Code | 65255-9330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255603106 | Joan Williamson Burke | Counselor | 134 B Hwy Oo, Hallsville, MO 65255 | 2012-02-07 |
| 1912284910 | Tara Elizabeth Carpenter | Pharmacist | 14380 Concert Ave, Hallsville, MO 65255 | 2011-11-04 |
| 1275815029 | Jennifer Keith | Physical Therapist | 6320 Douglas Pkwy, Hallsville, MO 65255-8922 | 2011-09-16 |
| 1295711745 | Meredith Diane Jost | Occupational Therapist | 9475 N Hague Rd, Hallsville, MO 65255-9247 | 2005-12-16 |
| 1801034848 | Greater Hallsville Area Development and Rural Health Corporation | Internal Medicine | 501 N Route B, Hallsville, MO 65255-9266 | 2009-01-29 |
| 1134419799 | Ruth Threlkeld | Nurse Practitioner | 501 N Route B, Hallsville, MO 65255-9266 | 2011-04-15 |
| 1225342876 | Kelli Marie Cash | Nurse Practitioner | 501 N Route B, Hallsville, MO 65255-9266 | 2010-08-05 |
| 1043350820 | Hallsville R-iv School District | Physical Therapist | 411 E Highway 124, Hallsville, MO 65255-9346 | 2007-02-08 |
| 1619005246 | Cynthia B Muckerman | Speech-Language Pathologist | 411 E Highway 124, Hallsville R-iv School District, Hallsville, MO 65255-9346 | 2007-03-02 |
| 1326173790 | Ruth Karen Cowherd | Speech-Language Pathologist | 411 E Highway 124, Hallsville R-iv, Hallsville, MO 65255-9346 | 2007-02-23 |
| Find all providers in zip 65255 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536818 | Heartland Weight Loss Clinic, LLC | Clinic/Center | 3095 Lexington Ave Ste 200, Cape Girardeau, MO 63701-2629 | 2020-10-23 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1386126308 | Kirksville Specialty Clinic LLC | Clinic/Center | 1108 E Patterson St Ste 10, Kirksville, MO 63501-4043 | 2018-09-06 |
| 1639616113 | Stratus Medical Group | Clinic/Center | 2010 N Main St, Sikeston, MO 63801-8478 | 2017-01-23 |
| 1871044735 | Susan D Purcell Md Dermatology LLC | Clinic/Center | 969 N Mason Rd Ste 170, Saint Louis, MO 63141-6387 | 2016-10-16 |
| 1679961577 | Ssm Regional Health Services | Clinic/Center | 2505 Mission Dr Ste 130, Jefferson City, MO 65109-9508 | 2014-12-30 |
| 1407251069 | Missouri Cvs Pharmacy, L.L.C. | Clinic/Center | 942 Valley Creek Dr, Farmington, MO 63640-1968 | 2014-10-24 |
| 1154730414 | Mohammed Z Siddiqui Medical Consulting LLC | Clinic/Center | 10 Overbrook Dr, Saint Louis, MO 63124-1482 | 2014-08-11 |
| 1043625460 | Kobler Chiropractic and Acupuncture LLC | Clinic/Center | 500 Nw Englewood Rd, Kansas City, MO 64118-3960 | 2014-06-24 |
| 1912349515 | Rheumatology Care, LLC | Clinic/Center | 745 Friedens Rd, Saint Charles, MO 63303-4235 | 2013-07-24 |
| Find all providers with the same taxonomy | ||||
| City | HALLSVILLE |
| Zip Code | 65255 |
Please comment or provide details below to improve the information on RETIRED.
| 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.