William S Irvin (NPI# 1285682740, PAC ID# 9830228204) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RHEUMATOLOGY.
| Nation Provider ID (NPI) | 1285682740 |
| PAC ID by PECOS | 9830228204 |
| Professional Enrollment ID | I20100524000047 |
| Full Name | William S Irvin |
| Organization Legal Name | NOVA HEALTH MEDICAL GROUP LLC |
| Address |
401 N Keene St Central Missouri Dermatology Columbia MO 65201-6625 |
| Phone Number | 5738761616 |
| Gender | M |
| Medical School | STANFORD UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1961 |
| Primary Specialty | RHEUMATOLOGY |
| Group Practice PAC ID | 7911262787 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260068 | BOONE HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 401 N Keene St, Central Missouri Dermatology, Columbia, MO 65201-6625 | 5738761616 | NOVA HEALTH MEDICAL GROUP LLC |
| Organization Legal Name | NOVA HEALTH MEDICAL GROUP LLC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Michael Basnett | Dermatology | Nova Health Medical Group LLC | 1400 Southwest Blvd, Suite B, Jefferson City, MO 65109-2430 |
| Ashley M Jenkins | Dermatology | Nova Health Medical Group LLC | 401 N Keene St, Central Missouri Dermatology, Columbia, MO 65201-6625 |
| Kathleen G Lenz | Nurse Practitioner | Nova Health Medical Group LLC | 1417 Bingham Rd, Boonville, MO 65233-2229 |
| Constance J Gillaspie | Physician Assistant | Nova Health Medical Group LLC | 401 N Keene St, Columbia, MO 65201-6625 |
| Justin T Bedford | Nurse Practitioner | Nova Health Medical Group LLC | 401 N Keene St, Central Missouri Dermatology, Columbia, MO 65201-6625 |
| Danette Laureen Stieferman | Nurse Practitioner | Nova Health Medical Group LLC | 1705 E Broadway, 220 Plaza Internal Medicine, Columbia, MO 65201-7167 |
| Georgetta G Hatfield | Nurse Practitioner | Nova Health Medical Group LLC | 401 N Keene St, Central Missouri Dermatology, Columbia, MO 65201-6625 |
| Trisha A Taylor | Dermatology | Nova Health Medical Group LLC | 401 N Keene St, Central Missouri Dermatology, Columbia, MO 65201-6625 |
| Paula J Mcmurtry | Rheumatology | Nova Health Medical Group LLC | 1705 E Broadway, 220 Plaza Internal Medicine, Columbia, MO 65201-7167 |
| Helen Tergin | Dermatology | Nova Health Medical Group LLC | 401 N Keene St, Central Missouri Dermatology, Columbia, MO 65201-6625 |
| Street Address |
401 N KEENE ST CENTRAL MISSOURI DERMATOLOGY |
| City | COLUMBIA |
| State | MO |
| Zip | 65201-6625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley M Jenkins | Dermatology | Nova Health Medical Group LLC | 401 N Keene St, Central Missouri Dermatology, Columbia, MO 65201-6625 |
| Constance J Gillaspie | Physician Assistant | Nova Health Medical Group LLC | 401 N Keene St, Columbia, MO 65201-6625 |
| Justin T Bedford | Nurse Practitioner | Nova Health Medical Group LLC | 401 N Keene St, Central Missouri Dermatology, Columbia, MO 65201-6625 |
| Georgetta G Hatfield | Nurse Practitioner | Nova Health Medical Group LLC | 401 N Keene St, Central Missouri Dermatology, Columbia, MO 65201-6625 |
| Trisha A Taylor | Dermatology | Nova Health Medical Group LLC | 401 N Keene St, Central Missouri Dermatology, Columbia, MO 65201-6625 |
| Thomas J Ciolino | Internal Medicine | 401 N Keene St, Columbia, MO 65201-6625 | |
| Helen Tergin | Dermatology | Nova Health Medical Group LLC | 401 N Keene St, Central Missouri Dermatology, Columbia, MO 65201-6625 |
| Abby C Bradford | Nurse Practitioner | Nova Health Medical Group LLC | 401 N Keene St, Central Missouri Dermatology, Columbia, MO 65201-6625 |
| Lindall A Perry | Dermatology | Nova Health Medical Group LLC | 401 N Keene St, Central Missouri Dermatology, Columbia, MO 65201-6625 |
| Donald M Delwood | Internal Medicine | Nova Health Medical Group LLC | 401 N Keene St, Central Missouri Dermatology, Columbia, MO 65201-6625 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerald H Heisler | Clinical Psychologist | 1316 S Old Hwy 63, Columbia, MO 65201 | |
| Amanda J Fischer | General Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Erica H Salinas | Vascular Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Jennifer Lynn Sanford | Vascular Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Jane A Vaughan | Nurse Practitioner | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Ashley Marie Hardesty | Nurse Practitioner | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| John G Adams Jr. | Vascular Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Kimberly C Suppes | General Surgery | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Erik M Grossmann | Colorectal Surgery (proctology) | Columbia Surgical Services Inc | 3220 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3525 |
| Jeffrey Roland Nolting | Psychologist, Clinical | Deer Oaks Mental Health Associates PC | 3105 Bluff Creek Dr, Columbia, MO 65201-3529 |
| Find all physicians in zip 65201 | |||
| City | COLUMBIA |
| Zip Code | 65201 |
| Specialty | RHEUMATOLOGY |
| City + Specialty | COLUMBIA + RHEUMATOLOGY |
Please comment or provide details below to improve the information on William S Irvin.
| 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.