CARL RAYMOND DOERHOFF (NPI# 1003800244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003800244 |
| Entity Type | Individual |
| Full Name | CARL RAYMOND DOERHOFF |
| Credential | M.D. |
| Practice Address |
1705 Christy Dr Suite 215 Jefferson City MO 65101-5195 |
| Practice Telephone | 5736595500 |
| Practice Fax Number | 5736595505 |
| Mailing Telephone | 5736595500 |
| Mailing Fax Number | 5736595505 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2013-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MDR9541 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 201704814 | 05 |
| Street Address |
1705 CHRISTY DR SUITE 215 |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65101-5195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528060704 | Cmmp Surgical Center LLC | Clinic/Center | 1705 Christy Dr, Ste 100, Jefferson City, MO 65101-5195 | 2005-06-01 |
| 1124491345 | Sierra Binkley | Physical Therapist | 1705 Christy Dr, Ste 200, Jefferson City, MO 65101-5195 | 2015-11-10 |
| 1255762852 | Capital Region Medical Center | Family Medicine | 1705 Christy Dr, Suite 201, Jefferson City, MO 65101-5195 | 2013-12-06 |
| 1063757003 | Jessica Lynn Clark | Physical Therapist | 1705 Christy Dr, Suite 200, Jefferson City, MO 65101-5195 | 2012-12-03 |
| 1073868808 | Central Missouri Diagnostic Services, LLC | Clinical Medical Laboratory | 1705 Christy Dr, Suite 105, Jefferson City, MO 65101-5195 | 2012-07-18 |
| 1780958173 | Capital Region Medical Center | Specialist | 1705 Christy Dr, Suite 215, Jefferson City, MO 65101-5195 | 2012-03-02 |
| 1750691143 | David Cranston | Physical Therapist | 1705 Christy Dr, Ste. 200, Jefferson City, MO 65101-5195 | 2010-10-19 |
| 1023346715 | Elizabeth A Farmer | Physical Therapist | 1705 Christy Dr, Suite 200, Jefferson City, MO 65101-5195 | 2009-11-18 |
| 1508094251 | Donnetta Lynn Wilkerson | Physical Therapist | 1705 Christy Dr, Suite 200, Jefferson City, MO 65101-5195 | 2009-07-01 |
| 1457594814 | Tamara V. Hopkins, M.d., L.L.C. | Internal Medicine | 1705 Christy Dr, Suite 201, Jefferson City, MO 65101-5195 | 2009-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619468527 | Lhcg Cxxxxiii, LLC | Home Health | 1125 Madison St Ste C, Jefferson City, MO 65101 | 2018-05-25 |
| 1396254629 | Lauren Mellon | Speech-Language Pathologist | 6124 Falcon Lane, Jefferson City, MO 65101 | 2017-09-29 |
| 1518375708 | Daven Nanda | Pharmacist | 2101 N Schotthill Woods Dr., Jefferson City, MO 65101 | 2014-07-31 |
| 1699183228 | Mark Nitz | Pharmacist | 2101 N Schotthill Dr, Jefferson City, MO 65101 | 2014-07-28 |
| 1386923472 | Lorinda Jo Leer | Occupational Therapist | 1403 Riverside Drive, Jefferson City, MO 65101 | 2011-08-08 |
| 1124334503 | Kimberly K Baumhoer | Hearing Instrument Specialist | 315 Ellis Blvd. Suite 202, Hearing Aid Consultants, Jefferson City, MO 65101 | 2010-08-24 |
| 1780867341 | Health Enhancements, P.C. | Family Medicine | 1739 Elm Court Plaza, Suite 106, Jefferson City, MO 65101 | 2007-12-06 |
| 1336364819 | Jerome Satorre | Occupational Therapist | 505 Ellis Blvd, Apt B20, Jefferson, MO 65101 | 2007-04-17 |
| 1326263450 | Bryan M. Pope, Dds Inc. | Dentist | 200 St. Mary's Medical Plaza, Suite 101, Jefferson City, MO 65101 | 2007-04-16 |
| 1104948769 | Kenneth Mark Skouby | Social Worker | 515a East Mccarty, Jefferson City, MO 65101 | 2007-04-04 |
| Find all providers in zip 65101 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720333131 | Michael L. Craighead | Surgery | 1100 Highland Ridge Dr, Jefferson City, MO 65109-3189 | 2012-07-23 |
| 1679849814 | Allison Renee Farris | Surgery | 120 Hospital Dr Ste G20, Jefferson City, TN 37760 | 2012-03-31 |
| 1700084316 | Jefferson City Medical Group, P.C. | Surgery | 2511 W Edgewood Dr Ste A&h, Jefferson City, MO 65109-5869 | 2007-07-05 |
| 1588700272 | Alan Roy Doerhoff | Surgery | 4606 Shepherd Hills Rd, Jefferson City, MO 65101-9478 | 2007-01-29 |
| 1043246887 | Herbert W. Ridyard Jr. | Surgery | 120 Hospital Dr Ste 260, Jefferson City, TN 37760-5283 | 2006-06-23 |
| 1831131762 | Victor M. Phillips | Surgery | 3308 W. Edgewood Dr., Suite D, Jefferson City, MO 65109-6891 | 2006-06-12 |
| 1730159088 | Leslie Walton Milligan | Surgery | 1810 Bishop Street, Suite C, Jefferson City, TN 37760 | 2006-01-26 |
| 1497750855 | Michael Hunter Ryan | Surgery | 1620 Southridge Dr Ste B, Jefferson City, MO 65109-4005 | 2005-06-14 |
| 1174838759 | Ani Gunyaporn Durham | Surgery | 1125 Madison St, Jefferson City, MO 65101-5227 | 2010-08-08 |
| 1275844771 | Caleb Steffen | Surgery | 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | 2010-06-30 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 65101 |
Please comment or provide details below to improve the information on CARL RAYMOND DOERHOFF.
| 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.