Susan Lynn Runyon (NPI# 1962872234, PAC ID# 9830492156) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1962872234 |
| PAC ID by PECOS | 9830492156 |
| Professional Enrollment ID | I20160120002321 |
| Full Name | Susan Lynn Runyon |
| Organization Legal Name | THE CURATORS OF THE UNIVERSITY OF MISSOURI |
| Address |
3100 W Broadway Mizzou Quick Care Broadway Columbia MO 65203-0102 |
| Phone Number | 5738840036 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4486759560 |
| Number of Group Practice Members | 700 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260141 | UNIVERSITY OF MISSOURI HOSPITAL & CLINICS |
| Address | Phone | Organization |
|---|---|---|
| 3100 W Broadway, Mizzou Quick Care Broadway, Columbia, MO 65203-0102 | 5738840036 | THE CURATORS OF THE UNIVERSITY OF MISSOURI |
| Organization Legal Name | THE CURATORS OF THE UNIVERSITY OF MISSOURI |
| Physicians | 649 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria Danielle Newcom | Nurse Practitioner | The Curators of The University of Missouri | 1000 W Nifong Blvd Bldg 2, 200 University Physicians Surgery Assoc, Columba, MO 65203-5615 |
| Jennifer Michelle Kandlik | Nurse Practitioner | The Curators of The University of Missouri | 25 Conley Rd, Columbia, MO 65201-6477 |
| Mohannad Moaydad Al-samarraie | Ophthalmology | The Curators of The University of Missouri | 3215 Wingate Ct, 102 Eye Institute East, Columbia, MO 65201-7689 |
| Ashley Nicole Edelen | Nurse Practitioner | The Curators of The University of Missouri | 308 S Church St, Fayette, MO 65248-1243 |
| Ayman Hamdy Gaballah | Diagnostic Radiology | The Curators of The University of Missouri | 205 Portland St, Columbia, MO 65201-6521 |
| Blair E Lansford | Nurse Practitioner | The Curators of The University of Missouri | 3211 S Providence Rd, Columbia, MO 65203-3639 |
| Laura H Schopp | Psychologist, Clinical | The Curators of The University of Missouri | 115 Business Loop 70, Columbia, MO 65203-3244 |
| Wesley C Thompson | Psychologist, Clinical | The Curators of The University of Missouri | 551 E Southampton Dr, South Providence Psychiatry, Columbia, MO 65203-3057 |
| Sonal Ashutosh Patil | Family Medicine | The Curators of The University of Missouri | 305 N Keene St, Suite 203, Columbia, MO 65201-6898 |
| Laura Elizabeth Henderson Kelley | Internal Medicine | The Curators of The University of Missouri | 101 S Fairview Rd, Columbia, MO 65203-7637 |
| Street Address |
3100 W BROADWAY MIZZOU QUICK CARE BROADWAY |
| City | COLUMBIA |
| State | MO |
| Zip | 65203-0102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin H Crenshaw | Family Medicine | The Curators of The University of Missouri | 3100 W Broadway, Mizzou Quick Care Broadway, Columbia, MO 65203-0102 |
| Kayla Christine Strodtman | Nurse Practitioner | The Curators of The University of Missouri | 3100 W Broadway, Mizzou Quick Care Broadway, Columbia, MO 65203-0102 |
| Brenda K Mcsherry | Nurse Practitioner | Curators of The University Of | 3100 W Broadway, Mizzou Quick Care Broadway, Columbia, MO 65203-0102 |
| Jennifer J Chapman | Physician Assistant | Curators of The University Of | 3100 W Broadway, Mizzou Quick Care Broadway, Columbia, MO 65203-0102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Humera Ahsan | Diagnostic Radiology | The Curators of The University of Missouri | 3302 W Broadway A, Columbia, MO 65203-0001 |
| Leeann Barrett | Optometry | Columbia Family Focus Eyecare LLC | 3301 W Broadway Business Park Ct E, Columbia, MO 65203-0106 |
| Stephanie Lee Marsden | Chiropractic | 3304 W Broadway Business Park Ct, Suite I, Columbia, MO 65203-0109 | |
| Brittany Lea Overman | Chiropractic | 3302 W Broadway Business Park Ct, Suite D, Columbia, MO 65203-0169 | |
| Kurtis L Lackland | Physical Therapy | Central Missouri Physical Therapy LLC | 2003 W Broadway, Suite 105, Columbia, MO 65203-1111 |
| Abagael Richards Hunt | Physical Therapy | Central Missouri Physical Therapy LLC | 2003 W Broadway, Suite 105, Columbia, MO 65203-1111 |
| Ross E Duff | General Practice | Broadway Urgent Care LLC | 2003 W Broadway, Suite 100, Columbia, MO 65203-1136 |
| April Dawn Frost | Nurse Practitioner | Broadway Urgent Care LLC | 2003 W Broadway, Suite 100, Columbia, MO 65203-1136 |
| Elizabeth A Yarbrough | Nurse Practitioner | Nextcare Missouri LLC | 403 N Stadium Blvd, 104 Providence Urgent Care Stadium, Columbia, MO 65203-1149 |
| Gregory L Rakestraw | Addiction Medicine | Nextcare Missouri LLC | 403 N Stadium Blvd, 104 Providence Urgent Care Stadium, Columbia, MO 65203-1149 |
| Find all physicians in zip 65203 | |||
| City | COLUMBIA |
| Zip Code | 65203 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | COLUMBIA + NURSE PRACTITIONER |
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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.