DR. RUSSELL TODD IMBODEN (NPI# 1033372784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033372784 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL TODD IMBODEN |
| Credential | D.O. |
| Practice Address |
14 Stockell Dr Eureka MO 63025-1201 |
| Practice Telephone | 6369387600 |
| Practice Fax Number | 6369387602 |
| Mailing Telephone | 6369387600 |
| Mailing Fax Number | 6369387602 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QB0002X |
Family Medicine Specialization: Obesity Medicine |
R9H24 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 242531325 | 05 |
| Street Address |
14 STOCKELL DR |
| City | EUREKA |
| State | MO |
| Zip Code | 63025-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992173736 | Sharon Henderson | Specialist/Technologist | 4525 Missouri 109, Eureka High School, Eureka, MO 63025 | 2015-09-10 |
| 1750654372 | Charles George Thierauf | Radiology | 463 Meramec View Drive, Eureka, MO 63025 | 2012-02-13 |
| 1326273723 | Carol Johnston | Case Management | 1417 West 5th Street, Eureka, MO 63025 | 2009-05-28 |
| 1245485408 | Leslie Arroyo Robins | Family Medicine | 20 Legends Parkway, Suite 110, Eureka, MO 63025 | 2008-12-01 |
| 1740439199 | Kristi A Moore | Internal Medicine | 20 The Legends Parkway, Eureka, MO 63025 | 2008-09-10 |
| 1356508758 | Michael W. Noble, Dmd, PC | Dentist | 60 East North Street, Eureka, MO 63025 | 2008-05-22 |
| 1265640973 | Christopher A Michalek | Social Worker | 643 Vista Hills Ct, Eureka, MO 63025 | 2007-05-18 |
| 1396966883 | Mitzi S Pasch | Social Worker | 1 Hilltop Village Center, Ste. 3a, Eureka, MO 63025 | 2007-05-01 |
| 1194949727 | Ssm Berland Eureka Imaging Services LLC | Radiology | #20 The Legends Parkway Drive, Suite 160, Eureka, MO 63025 | 2007-04-13 |
| 1548388077 | Heather D Gjorgjievski | Family Medicine | 103 Hilltop Village Shopping Center Dr., Eureka, MO 63025 | 2007-03-26 |
| Find all providers in zip 63025 | ||||
| Taxonomy Code | 207QB0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Obesity Medicine |
| A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. |
| Notes: Source: American Board of Obesity Medicine, www.abom.org [7/1/2015: title and definition modified] Additional Resource: American Society of Bariatric Physicians, www.asbp.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235306036 | Renato G Villafuerte | Family Medicine | 3450 Bridgeland Drive, Suite G, St Louis, MO 63044 | 2008-05-12 |
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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.