PHYSICIANS FOR BREAST HEALTH, L.L.C.


Address: 3850 S National Ave, Suite 300, Springfield, MO 65807-5287
Phone: 4172696170

PHYSICIANS FOR BREAST HEALTH, L.L.C. (NPI# 1063748929) 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) 1063748929
Entity Type Organization
Organization Name PHYSICIANS FOR BREAST HEALTH, L.L.C.
Practice Address 3850 S National Ave
Suite 300
Springfield
MO 65807-5287
Mailing Address Po Box 3262
Springfield
MO 65808-3262
Practice Telephone 4172696170
Practice Fax Number 4172696992
Mailing Telephone 4178853888
Mailing Fax Number 4178817638
Enumeration Date 2009-10-28
Last Update Date 2010-06-03
Authorized Official Name DR. ANNE A. SMID (MANAGING MEMBER)
Authorized Official Telephone 4172696170
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Office Location

Street Address 3850 S NATIONAL AVE
SUITE 300
City SPRINGFIELD
State MO
Zip Code 65807-5287

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548264971 Michael A Albritton Specialist 3850 S National Ave, Ste 100, Springfield, MO 65807-5287 2005-06-13
1982245767 Rebecca Lynn Smading Nurse Practitioner 3850 S National Ave, Springfield, MO 65807-5287 2019-10-03
1932645744 Lester E Cox Medical Centers Internal Medicine 3850 S National Ave, Springfield, MO 65807-5287 2017-01-18
1033652870 Karrie Derenski Pharmacist 3850 S National Ave, Suite 200, Springfield, MO 65807-5287 2016-11-28
1518307487 Kathleen Martin Nurse Practitioner 3850 S National Ave, Suite 600, Springfield, MO 65807-5287 2013-06-25
1124319439 Christine A Czachowski Nurse Practitioner 3850 S National Ave, Springfield, MO 65807-5287 2011-04-21
1083903785 Nicholas Andrew Madden Radiology 3850 S National Ave, Springfield, MO 65807-5287 2011-04-04
1326345042 Candise Elaine Jordan Nurse Practitioner 3850 S National Ave, Suite 600, Springfield, MO 65807-5287 2011-02-15
1790098580 Denise R Moore Registered Nurse 3850 S National Ave, 520, Springfield, MO 65807-5287 2010-07-21
1407174782 Srikant Nannapaneni Internal Medicine 3850 S National Ave, Suite 520, Springfield, MO 65807-5287 2010-05-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396390241 Karley Kassandra Murphy Counselor 3734 South Ave #c, Springfield, MO 65807 2019-08-07
1396203626 Auvia L Logan Dietitian, Registered 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 2019-03-05
1598250961 Kathryn Barber Nurse Practitioner 3800 S National Ave Ste 700, Springfield, MO 65807 2018-06-27
1447764899 Missouri Midwifery Service Clinic/Center 3840 South Avenue, Springfield, MO 65807 2017-11-21
1124530290 Senior Living Management Group, LLC Skilled Nursing Facility 3705 S Jefferson Ave, Springfield, MO 65807 2017-10-30
1740663335 Sarah E Kirk Physical Therapist 3545 S. National Ave, Springfield, MO 65807 2015-07-01
1750713335 Amanda Ward Nurse Practitioner 2150 W Republic Rd Ste 112, Springfield, MO 65807 2013-08-06
1932531126 Eugenia R Cortez Counselor 2124 Chesterfield Blvd., Springfield, MO 65807 2013-07-30
1962742866 Missouri Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 3045 W Republic St, Springfield, MO 65807 2013-03-01
1033462387 Miguel Angel Medina Physician Assistant 1900 South Sunshine Ave., Springfield, MO 65807 2012-10-24
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407389596 Medical Mile Imaging Radiology 3905 E Windsmore Dr, Springfield, MO 65802 2017-04-06
1154738961 Allison Kate Retzer Radiology 701 N 1st Box 101, Springfield, IL 62781-0001 2014-07-14
1134552821 Clinical Radiologists, S.c. Radiology 2812 Pat Tillman Dr, Springfield, IL 62711-6410 2013-08-16
1700199668 Telerad of Mo Account Management, LLC Radiology 5117 S. Neffleton Ave, Springfield, MO 65810 2010-07-21
1982915302 William Leland Zelkovich Radiology 701 N 1st, Springfield, IL 62702 2010-06-30
1316108434 Michael C Snyder Radiology 2201 Greenside Dr, Springfield, IL 62704-3245 2008-06-20
1245416536 Mary T Peter Radiology Springfield Radiologists St Johns Hospital, 800 E. Carpenter Street, Springfield, IL 62769-0001 2008-01-16
1437361060 Kal Dulaimy Radiology 1350 Main Street Suite 1007, Radiology and Imaging, Inc., Springfield, MA 01103-0000 2007-05-04
1265654164 Nzeadibenma O Uzochukwu Radiology 800 Carpenter St, Springfield, IL 62769-0001 2007-05-02
1396865838 Charles X Stricker Radiology 4303 E Lori Lei Ct, Springfield, MO 65809-3501 2007-03-29
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 65807

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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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