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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation | 2015011346 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | MO STATE LICENSE | 2015011346 | 01 |
Street Address |
1723 BROADWAY ST SUITE 410 |
City | CAPE GIRARDEAU |
State | MO |
Zip Code | 63701-4566 |
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 |
---|---|---|---|---|
1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
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 |
Find all providers in zip 63701 |
Taxonomy Code | 208100000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
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. |
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 |
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 |
Find all providers with the same taxonomy |
City | CAPE GIRARDEAU |
Zip Code | 63701 |
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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.