MRS. GLADYS GRACE TIWONGE KAMANGA-SOLLO


Address: 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4566
Phone: 5733327746

MRS. GLADYS GRACE TIWONGE KAMANGA-SOLLO (NPI# 1003115536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003115536
Entity Type Individual
Full Name MRS. GLADYS GRACE TIWONGE KAMANGA-SOLLO
Credential MD
Practice Address 1723 Broadway St
Suite 410
Cape Girardeau
MO 63701-4566
Practice Telephone 5733327746
Practice Fax Number 5733399709
Mailing Telephone 5733327746
Mailing Fax Number 5733399709
Enumeration Date 2011-03-23
Last Update Date 2015-07-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208100000X Physical Medicine & Rehabilitation 2015011346 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO MO STATE LICENSE 2015011346 01

Office Location

Street Address 1723 BROADWAY ST
SUITE 410
City CAPE GIRARDEAU
State MO
Zip Code 63701-4566

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801893979 Pairote Jaroonwanichkul Internal Medicine 1723 Broadway St, Suite 315, Cape Girardeau, MO 63701-4505 2005-07-05
1639611718 Jared Michael Lewis Physician Assistant 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4566 2016-11-07
1043768088 Tyler Joshua Greenwood Physician Assistant 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4566 2016-09-20
1275880429 Jacob Louis Muckerman Nurse Practitioner 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4566 2012-08-07
1780982215 Southeast Missouri Hospital Physicians LLC Clinic/Center 1723 Broadway St, Suite 205, Cape Girardeau, MO 63701-4566 2011-03-08
1679876767 Magin Lea Chapman Nurse Practitioner 1723 Broadway St, Cape Girardeau, MO 63701-4566 2010-12-10
1821398678 Andrew N Garner Clinical Nurse Specialist 1723 Broadway St, Cape Girardeau, MO 63701-4566 2010-10-27
1013222983 Michele L Tanz Nurse Practitioner 1723 Broadway St, Suite 220, Cape Girardeau, MO 63701-4566 2010-08-16
1396066734 Stephanie Lee Riley Nurse Practitioner 1723 Broadway St, Ste 410, Cape Girardeau, MO 63701-4566 2010-06-21
1407084890 Jennifer Marie Lovegreen Obstetrics & Gynecology 1723 Broadway St, Suite 315, Cape Girardeau, MO 63701-4566 2009-06-24
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NPI Name Taxonomy Address Enumeration
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1972079580 Savannah Laine Menard Behavior Technician 20 S. Sprigg St, Cape Girardeau, MO 63701 2018-10-22
1932690377 Broadway Specialty, LLC Pharmacy 706 Broadway St, Cape Girardeau, MO 63701 2018-05-22
1356864649 Terri L. Mccord Pharmacist 4170 Connor Dr, Cape Girardeau, MO 63701 2017-07-19
1013459312 Christina Cossou Nurse Practitioner 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 2016-11-17
1124573365 Ashley Sullivan Massage Therapist 3041 Melrose Ave, Cape Girardeau, MO 63701 2016-08-17
1225432172 Axpm - Merkley, LLC Dentist 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 2014-10-21
1639573397 Marian Perez Hurt Physical Therapist 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 2014-10-09
1891194213 Deanna Abner Case Manager/Care Coordinator 20 South Sprigg, Cape Girardeau, MO 63701 2014-08-21
1831506880 Kwadwo O Britwum Behavioral Analyst Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 2014-07-22
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Taxonomy Information

Taxonomy Code 208100000X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation

Taxonomy Definition

Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316020928 Paul Joseph Guidos Physical Medicine & Rehabilitation 2615 Saddle Ridge Ln, Cape Girardeau, MO 63701-1521 2006-10-24
1477598142 Matthew W Karshner Physical Medicine & Rehabilitation 2126 Independence St, Cape Girardeau, MO 63703 2006-06-18
1306373675 Tracee Michelle Shepard Physical Medicine & Rehabilitation 3120 Independence St, Cape Girardeau, MO 63703-5043 2017-05-17
1992917785 Heidi Hunter Physical Medicine & Rehabilitation 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 2007-05-04
1366510992 Im S Hong Physical Medicine & Rehabilitation 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 2006-12-01
1699723916 Anna Maria Guidos Physical Medicine & Rehabilitation 1723 Broadway, Suite 410, Cape Girardeau, MO 63701 2006-05-05
1639170855 Bernard Charles Burns Physical Medicine & Rehabilitation 48 Doctors Park, Orthopaedic Associated of Southeast Missouri PC, Cape Girardeau, MO 63703-4928 2005-08-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932718640 Michael Vincent Pizzato Physical Medicine & Rehabilitation 1408 Nw Vivion Rd, Kansas City, MO 64118-4555 2020-07-28
1255953576 Haylee Erin Kinney Physical Medicine & Rehabilitation 10327 State Highway 6, Green Castle, MO 63544-3350 2020-05-08
1306403357 Florida Home Health & Therapy Physical Medicine & Rehabilitation 11636 W Florissant Ave, Florissant, MO 63033-6723 2019-05-24
1285290288 Skaggs Community Hospital Association Physical Medicine & Rehabilitation 525 Branson Landing Blvd Ste 401, Branson, MO 65616-2064 2019-05-15
1821568569 Maureen Moore Physical Medicine & Rehabilitation 7310 Summertime Dr, Saint Louis, MO 63129-5740 2018-11-26
1942785365 Frank Quoc Pham Physical Medicine & Rehabilitation 5107 Virginia Ave, Kansas City, MO 64110-2517 2018-10-02
1245714112 Victoria Loving Physical Medicine & Rehabilitation 407 Great Hill Dr, Ballwin, MO 63021-6318 2018-09-18
1295225118 Empower Health Investments LLC Physical Medicine & Rehabilitation 111 Ne 91st St, Kansas City, MO 64155-3329 2018-05-16
1255820361 Soar Medical LLC Physical Medicine & Rehabilitation 343 S Kirkwood Rd Ste 250, Kirkwood, MO 63122-4015 2018-05-03
1336672005 William Paul Christensen Physical Medicine & Rehabilitation One Hospital Dr Dc046.00, Dc046.00, Columbia, MO 65212 2017-04-09
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Competitor

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City CAPE GIRARDEAU
Zip Code 63701

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Dataset Information

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.

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