CENTENNIAL EMERGENCY PHYSICIANS LLC (NPI# 1962900944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962900944 |
| Entity Type | Organization |
| Organization Name | CENTENNIAL EMERGENCY PHYSICIANS LLC |
| Practice Address |
601 E 14th St Sedalia MO 65301-5972 |
| Mailing Address |
13737 Noel Rd Dallas TX 75240-1331 |
| Practice Telephone | 4694012386 |
| Mailing Telephone | 9548382371 |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2019-08-19 |
| Authorized Official Name | KATHLEEN KONDAS (OFFICER) |
| Authorized Official Telephone | 9548382371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| 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 |
| 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 |
| 1962856963 | Traci Marie Kristofik | Internal Medicine | 601 E 14th St, Sedalia, MO 65301-5972 | 2016-04-16 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 65301 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871893438 | William Barton White | Emergency Medicine | 2759 Big Bear Dr, Sedalia, CO 80135-4412 | 2010-10-29 |
| 1821055211 | Stanley J Wilson | Emergency Medicine | 3401 W 10th St, Sedalia, MO 65301-2112 | 2006-04-28 |
| 1447217187 | Jeffrey A Sharp | Emergency Medicine | 3401 W 10th St, Sedalia, MO 65301-2112 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053972349 | Alanna Diamond | Emergency Medicine | One Hospital Drive Emergency Medicine M652 Dc029.10, Columbia, MO 65212-0001 | 2019-06-26 |
| 1013573146 | Michael Habhab | Emergency Medicine | 1 Hospital Dr Emergency Medicine M562 Dc029.10, Columbia, MO 65212-0001 | 2019-05-14 |
| 1043730716 | Ian James Becker | Emergency Medicine | 1 Hospital Dr # Dc029.10, Columbia, MO 65212-1000 | 2017-06-23 |
| 1649628454 | Sphere Medical Group | Emergency Medicine | 916 Olive St Fl 4, Saint Louis, MO 63101-1459 | 2016-06-02 |
| 1487002523 | Christopher Adam Waranch | Emergency Medicine | University of Missouri Columbia, Department of Emergency Medicine, Columbia, MO 65212-0001 | 2016-05-31 |
| 1306220488 | Andrea Marie-gioia Spangler | Emergency Medicine | 1235 E Cherokee St Dept Of, Springfield, MO 65804-2203 | 2015-07-17 |
| 1205219045 | Maria Christina Creel-bulos | Emergency Medicine | 660 South Euclid Avenue Cb 8072, St Louis, MO 63110 | 2015-06-29 |
| 1669853230 | Megan Litzau | Emergency Medicine | 615 S New Ballas Road, St Louis, MO 63141 | 2015-06-09 |
| 1366829426 | Bigeye Emergency Physicians LLC | Emergency Medicine | 10 South Hospital Deive, Fulton, MO 65251 | 2015-04-28 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| Find all providers with the same taxonomy | ||||
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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.