SSM REGIONAL HEALTH SERVICES (NPI# 1134541659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134541659 |
| Entity Type | Organization |
| Organization Name | SSM REGIONAL HEALTH SERVICES |
| Other Organization Name | SSM HEALTH MEDICAL GROUP - OPTHALMOLOGY |
| Practice Address |
115 N Smith St Albany MO 64402-1250 |
| Mailing Address |
114 E South Hills Dr Maryville MO 64468-2659 |
| Practice Telephone | 6605622525 |
| Practice Fax Number | 6605624303 |
| Mailing Telephone | 6605622525 |
| Mailing Fax Number | 6605627911 |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2015-06-24 |
| Authorized Official Name | MICHAEL BAUMGARTNER (PRESIDENT) |
| Authorized Official Telephone | 6605622600 |
| Is Organization Subpart | Y |
| Parent Organization Name | SSM REGIONAL HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 14755 | MO | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SSM Health Medical Group - Opthalmology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| 1679961577 | Ssm Regional Health Services | Clinic/Center | 2505 Mission Dr Ste 130, Jefferson City, MO 65109-9508 | 2014-12-30 |
| 1306280185 | Ssm Regional Health Services | Clinic/Center | 301 E Price Ave, Suite A, Savannah, MO 64485-2427 | 2013-04-23 |
| 1396886065 | Ssm Regional Health Services | Family Medicine | 2511 W Edgewood Dr Ste G, Jefferson City, MO 65109-5869 | 2007-02-08 |
| 1427063072 | Ssm Regional Health Services | Pharmacy | 875 Hwy 5 South, Tipton, MO 65081-8253 | 2006-07-30 |
| 1518909373 | Ssm Regional Health Services | Family Medicine | 24 West 4th Street, Grant City, MO 64456-0043 | 2006-06-13 |
| 1396782587 | Ssm Regional Health Services | Clinic/Center | 3348 American Ave, Jefferson City, MO 65109-1079 | 2006-05-31 |
| 1588601777 | Ssm Regional Health Services | Clinic/Center | 875 State Route 5, Tipton, MO 65081-8441 | 2006-05-31 |
| 1053368159 | Ssm Regional Health Services | Clinic/Center | 2701 West Edgewood, Suite 101, Jefferson City, MO 65109 | 2006-05-27 |
| 1952357352 | Ssm Regional Health Services | Clinic/Center | 140 Northstar Dr, Holts Summit, MO 65043-1123 | 2006-05-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | SSM REGIONAL HEALTH SERVICES | 10101 Woodfield Lane, St. Louis, MO 63132 |
| Street Address |
115 N SMITH ST |
| City | ALBANY |
| State | MO |
| Zip Code | 64402-1250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174966543 | Albany Behavioral Health Services | Community/Behavioral Health | 115 N Smith St, Albany, MO 64402-1250 | 2013-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821137266 | Howell Place LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1304 East Howell St, Albany, MO 64402 | 2007-02-05 |
| 1790837318 | Thomas Clinton Schneider | Dentist | 307 W Clay, Albany, MO 64402 | 2007-01-16 |
| 1245391028 | State of Missouri | Day Training, Developmentally Disabled Services | 809 N 13th St, Albany, MO 64402 | 2006-12-13 |
| 1427603919 | Northwest Health Services, Inc. | Clinic/Center | 101 W Jefferson St, Albany, MO 64402-1237 | 2019-08-02 |
| 1881725497 | Tlc Care Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 402 W Jefferson St, Albany, MO 64402-1242 | 2007-03-07 |
| 1588973929 | Mary-jennifer Elizabeth Quinley | Counselor | 113 N Smith St, Albany, MO 64402-1250 | 2010-10-04 |
| 1942768197 | Kari A O'neal LLC | Counselor | 113 N Smith St, Albany, MO 64402-1250 | 2019-03-06 |
| 1467833707 | Kari Ann Oneal | Counselor | 113 N Smith St, Albany, MO 64402-1250 | 2015-06-12 |
| 1952645996 | Cathy A Snead | Social Worker | 113 N Smith St, Albany, MO 64402-1250 | 2012-11-15 |
| 1194024638 | Albany Behavioral Health Services L.l.c | Counselor | 113 N Smith St, Albany, MO 64402-1250 | 2011-03-23 |
| Find all providers in zip 64402 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043579196 | Victoria Epstein | Ophthalmology | 63 Shaker Rd Ste 101, Albany, NY 12204 | 2012-05-10 |
| 1609936400 | Christopher Forrest Gabriels | Ophthalmology | 960 Western Ave, Albany, NY 12203-2512 | 2006-12-11 |
| 1093802597 | Northeast Vitreo Retinal Assoc PC | Ophthalmology | 349 Northern Blvd, Albany, NY 12204 | 2006-10-06 |
| 1558463802 | Firmin (f) Forrest Gabriels | Ophthalmology | 960 Western Avenue, Albany, NY 12203 | 2006-09-05 |
| 1932136827 | Michael Donald Radosevich | Ophthalmology | 1365 Washington Ave., Suite 101, Albany, NY 12206-1099 | 2006-06-27 |
| 1760429831 | Bruce W Madsen | Ophthalmology | 2715 Willetta St Sw, Suite B, Albany, OR 97321-3471 | 2006-05-31 |
| 1316995269 | Edward Joseph Martin | Ophthalmology | 246 New Scotland Ave, Albany, NY 12208-3101 | 2006-05-04 |
| 1912981002 | Bailey, Wakil & Auringer Eye Physicians & Surgeons,pllc | Ophthalmology | 222 Great Oaks Blvd, Albany, NY 12203-5962 | 2005-12-01 |
| 1972585628 | Ramsey R Elhosn | Ophthalmology | 2 Executive Park Drive, 2nd Floor, Ophthalmology Health Center, Albany, NY 12203 | 2005-11-17 |
| 1780675124 | Asher Weiner | Ophthalmology | 3 Atrium Dr, Suite 100, Albany, NY 12205-1417 | 2005-11-03 |
| Find all providers in ALBANY | ||||
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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.