TRACI MARIE KRISTOFIK (NPI# 1962856963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962856963 |
| Entity Type | Individual |
| Full Name | TRACI MARIE KRISTOFIK |
| Credential | DO |
| Practice Address |
601 E 14th St Sedalia MO 65301-5972 |
| Practice Telephone | 6608268833 |
| Enumeration Date | 2016-04-16 |
| Last Update Date | 2019-06-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2019008366 | MO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3214 E Race Ave, Searcy, AR 721434810 | 5013802299 | 5013802282 |
| Street Address |
601 E 14TH ST |
| City | SEDALIA |
| State | MO |
| Zip Code | 65301-5972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457349755 | William E Decker | Radiology | 601 E 14th St, Sedalia, MO 65301-5972 | 2005-10-11 |
| 1225660228 | Jennifer Gamber | Nurse Practitioner | 601 E 14th St, Sedalia, MO 65301-5972 | 2020-02-07 |
| 1679113153 | Janice Renee Johnson | Registered Nurse | 601 E 14th St, Sedalia, MO 65301-5972 | 2020-01-13 |
| 1962900944 | Centennial Emergency Physicians LLC | Emergency Medicine | 601 E 14th St, Sedalia, MO 65301-5972 | 2018-01-25 |
| 1730687716 | Missouri Em-i Medical Services PC | Physician Assistant | 601 E 14th St, Sedalia, MO 65301-5972 | 2018-01-25 |
| 1598280166 | Bart D Kuhns | Nurse Anesthetist, Certified Registered | 601 E 14th St, Sedalia, MO 65301-5972 | 2017-08-04 |
| 1477089753 | Andre Taylor | Preventive Medicine | 601 E 14th St, Sedalia, MO 65301-5972 | 2017-05-05 |
| 1003278276 | Janet S Chance-hetzler | Clinical Nurse Specialist | 601 E 14th St, Sedalia, MO 65301-5972 | 2016-03-25 |
| 1396129722 | Chase Belnap | Nurse Anesthetist, Certified Registered | 601 E 14th St, Sedalia, MO 65301-5972 | 2015-07-15 |
| 1063709640 | Deanna Marchelle Mahoney | Nurse Practitioner | 601 E 14th St, Sedalia, MO 65301-5972 | 2011-07-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760024962 | Eve's Doting Doula Care LLC | Doula | 28226 Hwy Tt, Sedalia, MO 65301 | 2019-10-09 |
| 1568938322 | Judith Jean Patrick | Occupational Therapist | 1520 Thompson Blvd, Sedalia, MO 65301 | 2018-10-19 |
| 1558843623 | Teddy Santiago | Contractor | 101b South Wasington, Sedalia, MO 65301 | 2018-09-05 |
| 1063991859 | Empowerme Rehabilitation Mo Agency | Occupational Therapist | 3751 West 10thstreet, Sedalia, MO 65301 | 2018-08-13 |
| 1780174375 | Sarah Elizabeth Cheatham | Specialist/Technologist | 115 W Broadway Blvd Ste 300, Sedalia, MO 65301 | 2018-05-18 |
| 1033617790 | Megan Marie Yonker | Nurse Practitioner | 821 Westwood Dr., Sedalia, MO 65301 | 2018-01-29 |
| 1801326236 | Angel Verlee Hale | Dentist | 4400 S. Limit, Sedalia, MO 65301 | 2017-06-18 |
| 1487192514 | Kami Parney | Emergency Medical Technician, Basic | 601 E 16th Street, Bothwell Regional Health Center, Sedalia, MO 65301 | 2017-02-09 |
| 1407216344 | Sylvia G. Thompson Residence Center, Inc. | Alzheimer Center (Dementia Center) | 975 Mitchell Road, Sedalia, MO 65301 | 2016-03-04 |
| 1174968721 | John Buckley | Physical Therapy Assistant | 1630 Hickory Lane, Sedalia, MO 65301 | 2013-05-08 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275886947 | Bothwell Internal Medicine | Internal Medicine | 3700 W 10th St, Suite 301, Sedalia, MO 65301-2540 | 2012-10-18 |
| 1659565695 | G & R Health Associates Inc | Internal Medicine | 1710 S Lafayette Ave, Sedalia, MO 65301-7542 | 2007-09-04 |
| 1982800728 | Wes Matthew Triplett | Internal Medicine | 601 E 14th St, Sedalia, MO 65301-5972 | 2007-06-26 |
| 1689796369 | Kenneth N. Azan, M.d., PC | Internal Medicine | 1718 S Ingram Ave, Suite C, Sedalia, MO 65301-7505 | 2007-04-04 |
| 1336279454 | Sedalia Internal Medicine Specialists PC | Internal Medicine | 1712 S Lafayette Ave, Sedalia, MO 65301-7542 | 2007-03-07 |
| 1649297698 | Midwest Heart & Vascular | Internal Medicine | 4400 S Limit Ave, Suite B, Sedalia, MO 65301-0505 | 2006-07-16 |
| 1003843848 | Kenneth Najeeb Azan | Internal Medicine | 1718 S Ingram Ave, Suite C, Sedalia, MO 65301-7505 | 2006-06-27 |
| 1740239581 | Grant Victor Hammons | Internal Medicine | 3700 W 10th St, Ste: 301, Sedalia, MO 65301-2540 | 2006-05-09 |
| 1427044106 | Sedalia Internal Medicine Specialists | Internal Medicine | 1712 S Lafayette Ave, Sedalia, MO 65301-7542 | 2005-09-27 |
| 1588650741 | Gregory A Doak | Internal Medicine | 3700 W 10th St, Suite 301, Sedalia, MO 65301-2540 | 2005-09-23 |
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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.