SAMUEL MULUGETA TEMESGEN (NPI# 1972891455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972891455 |
| Entity Type | Individual |
| Full Name | SAMUEL MULUGETA TEMESGEN |
| Credential | M.D. |
| Practice Address |
1805 E Walnut St Columbia MO 65201-6425 |
| Mailing Address |
1300 E Bradford Pkwy Springfield MO 65804-4264 |
| Practice Telephone | 5737777524 |
| Mailing Telephone | 4177615000 |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2020-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2015003086 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 200022821 | 05 | |
| CAQH | 13709871 | 01 |
| Street Address |
1805 E WALNUT ST |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-6425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518965805 | Robin Elizabeth Mccartney | Counselor | 1805 E Walnut St, Columbia, MO 65201-6425 | 2005-07-11 |
| 1588101059 | Jennifer Bowman | Counselor | 1805 E Walnut St, Columbia, MO 65201-6425 | 2017-01-23 |
| 1063872828 | Renae L Barkema | Counselor | 1805 E Walnut St, Columbia, MO 65201-6425 | 2016-03-07 |
| 1205234747 | Chelsea S Brunstrom | Counselor | 1805 E Walnut St, Columbia, MO 65201-6425 | 2014-12-16 |
| 1437437290 | Katherine Deanne Ottofy | Social Worker | 1805 E Walnut St, Columbia, MO 65201-6425 | 2011-07-28 |
| 1134425994 | Dustin James Cooley | Social Worker | 1805 E Walnut St, Columbia, MO 65201-6425 | 2011-01-26 |
| 1013045715 | Burrell, Inc. | Case Management | 1805 E Walnut St, Columbia, MO 65201-6425 | 2007-03-02 |
| 1518051226 | Timothy W Woodard | Psychiatry & Neurology | 1805 E Walnut St, Columbia, MO 65201-6425 | 2006-10-03 |
| 1952348690 | Robert L Bynum | Family Medicine | 1805 E Walnut St, Columbia, MO 65201-6425 | 2006-06-01 |
| 1285688622 | Timothy Vonengeln | Social Worker | 1805 E Walnut St, Columbia, MO 65201-6425 | 2006-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1043835879 | Vida Gholami Yousefian | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-08 |
| 1750910857 | Innovative Tms LLC | Psychiatry & Neurology | 9256 Bendix Rd Ste 205, Columbia, MD 21045-1848 | 2020-04-02 |
| 1063061620 | Hopefull Counseling and Psychiatry LLC | Psychiatry & Neurology | 1421 Calhoun St, Columbia, SC 29201-2509 | 2019-09-06 |
| 1750939864 | Brave, LLC | Psychiatry & Neurology | 2100 Forum Blvd Ste C-2, Columbia, MO 65203-5436 | 2019-09-01 |
| 1073171344 | Himangshu Rathinakumar | Psychiatry & Neurology | University of Missouri 1 Hospital Drive Dco67.00, Columbia, MO 65212-0001 | 2019-06-03 |
| 1154988822 | Alliance Psychiatry LLC | Psychiatry & Neurology | 8840 Stanford Blvd Ste 4000, Columbia, MD 21045-5850 | 2019-05-28 |
| 1285194613 | Mind Matters LLC | Psychiatry & Neurology | 3201 S Providence Rd Ste 202, Columbia, MO 65203-3622 | 2019-03-21 |
| Find all providers in COLUMBIA | ||||
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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.