Larry Nussbaum (NPI# 1316967417, PAC ID# 7315936085) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1316967417 |
| PAC ID by PECOS | 7315936085 |
| Professional Enrollment ID | I20040507001175 |
| Full Name | Larry Nussbaum |
| Organization Legal Name | COLUMBIA RADIOLOGY, LTD |
| Address |
315 S Osteopathy Ave Kirksville MO 63501-6401 |
| Phone Number | 6607851000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1972 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 6800870593 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260022 | NORTHEAST REGIONAL MEDICAL CENTER |
| 260074 | MOBERLY REGIONAL MEDICAL CENTER |
| 260068 | BOONE HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 6607851000 | COLUMBIA RADIOLOGY, LTD |
| 1509 Union Ave, Moberly, MO 65270-9407 | 6602638986 | COLUMBIA RADIOLOGY, LTD |
| 1515 Union Ave, Moberly, MO 65270-9407 | 6602693278 | COLUMBIA RADIOLOGY, LTD |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 78% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 99% |
| Organization Legal Name | COLUMBIA RADIOLOGY, LTD |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George K Cyriac | Diagnostic Radiology | Columbia Radiology, Ltd | 620 E Monroe St, Mexico, MO 65265-2919 |
| Jonas Singer | Diagnostic Radiology | Columbia Radiology, Ltd | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Street Address |
315 S OSTEOPATHY AVE |
| City | KIRKSVILLE |
| State | MO |
| Zip | 63501-6401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne Marie Delonais Turner | Emergency Medicine | Cchp Ems Mo LLC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Miguel O Fernandez Barreras | Emergency Medicine | Cchp Ems Mo LLC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Karla Dora Dobbs | Family Medicine | Nes Missouri Inc | 315 S Osteopathy Ave, Northeast Regional Medical Center, Kirksville, MO 63501-6401 |
| Jerry D Burbee | Emergency Medicine | Cchp Ems Mo LLC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Levi A Kelly | Certified Registered Nurse Anesthetist (crna) | Kirksville Anesthesia Associates PC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Charlotte M Cowan | Certified Registered Nurse Anesthetist (crna) | Kirksville Anesthesia Associates PC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Jonathan D Easterwood | Anesthesiology | Kirksville Anesthesia Associates PC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Benjamin L Schrant | Anesthesiology | Kirksville Anesthesia Associates PC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Alan John Wilson | Family Medicine | Cchp Ems Mo LLC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| James Lamoyne Potter | Anesthesiology | Kirksville Anesthesia Associates PC | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Bailey | Orthopedic Surgery | 1701 N Elson St, Kirksville, MO 63501-1129 | |
| Michelle L Woodward | Qualified Audiologist | Woodward Audiology, LLC | 700 W Jefferson St, Gutensohn Clinic 4th Floor, Kirksville, MO 63501-1441 |
| Mariah Nina Richard | Qualified Audiologist | Woodward Audiology, LLC | 700 W Jefferson St, Gutensohn Clinic 4th Floor, Kirksville, MO 63501-1441 |
| Daniel R Richert | Qualified Audiologist | Woodward Audiology, LLC | 700 W Jefferson St, Gutensohn Clinic 4th Floor, Kirksville, MO 63501-1441 |
| Emily J Finley | Audiologist | Woodward Audiology, LLC | 700 W Jefferson St, Gutensohn Clinic 4th Floor, Kirksville, MO 63501-1441 |
| Ronald Leland Phillips | Family Practice | At Still University of Health Sciences | 800 W Jefferson, Kirksville, MO 63501-1443 |
| Tyler O'neil Eschbach | Physician Assistant | Kirksville Clinic Corp | 800 W Jefferson St, Kirksville, MO 63501-1443 |
| Jessica Kile Caine | General Surgery | Heartland Surgical Specialists LLP | 800 W Jefferson St, Kirksville, MO 63501-1443 |
| Jonathan M Beary | Neurology | Kirksville Clinic Corp | 800 W Jefferson St, Kirksville, MO 63501-1443 |
| Philip S Mcintire | General Surgery | Heartland Surgical Specialists LLP | 800 W Jefferson St, Kirksville, MO 63501-1443 |
| Find all physicians in zip 63501 | |||
| City | KIRKSVILLE |
| Zip Code | 63501 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | KIRKSVILLE + DIAGNOSTIC RADIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.