DR. JOHN W CLOUSE (NPI# 1144224569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144224569 |
Entity Type | Individual |
Full Name | DR. JOHN W CLOUSE |
Credential | M.D. |
Practice Address |
3801 S National Ave Springfield MO 65807-5210 |
Mailing Address |
Po Box 4046 Springfield MO 65808-4046 |
Practice Telephone | 4172699812 |
Practice Fax Number | 4172699853 |
Mailing Telephone | 4172695712 |
Mailing Fax Number | 4172697567 |
Enumeration Date | 2005-06-13 |
Last Update Date | 2019-07-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | R5B59 | MO | Other Service Providers |
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
R5B59 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | MEDICARE PTAN | 148380071 | 01 |
MO | 201574423 | 05 |
Street Address |
3801 S NATIONAL AVE |
City | SPRINGFIELD |
State | MO |
Zip Code | 65807-5210 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518568377 | Anna Marie Laffoon | Dietitian, Registered | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-11-06 |
1164020822 | Amber Fullington | Nurse Practitioner | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-10-15 |
1013522150 | Jessica N Rice | Nurse Practitioner | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-09-15 |
1649880618 | Amber Littleton | Midwife | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-08-05 |
1689283988 | Kelley Lizabeth Miller | Nurse Practitioner | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-23 |
1801404140 | Alyssa Nicole Reeves | Nurse Practitioner | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-22 |
1255949624 | Lori Marie Burkard | Speech-Language Pathologist | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-21 |
1316555980 | Jessica Graff | Nurse Practitioner | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-20 |
1033736137 | Asher Herbet | Anesthesiologist Assistant | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-07-06 |
1477178564 | Quade Vickers | Nurse Practitioner | 3801 S National Ave, Springfield, MO 65807-5210 | 2020-06-15 |
Find all providers in the same location |
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 |
Find all providers in zip 65807 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740596105 | Kevin Forsythe | Radiology | 1457 G St, Springfield, OR 97477-4113 | 2010-08-24 |
1316961576 | Carlos A. Perez | Radiology | 2055 S Fremont, Springfield, MO 65804 | 2006-07-27 |
1023098209 | Linda Esther Bornstein | Radiology | 3350 Main St, Springfield, MA 01107-1112 | 2006-01-22 |
1376533927 | Hyewon Helen Kim | Radiology | 2055 S Fremont Ave, Springfield, MO 65804-2206 | 2005-10-25 |
1578565420 | Samuel Poriza Au | Radiology | 301 N 8th St, Springfield, IL 62701-1041 | 2005-08-11 |
1316342090 | Oncology Hematology Care, Inc. | Radiology | 148 W North St, Springfield, OH 45504-2547 | 2014-10-24 |
1992124531 | Simon Aaron Brown | Radiology | 701 N 1st St, Springfield, IL 62781-0001 | 2014-04-10 |
1306265327 | Adrianna Henson Masters | Radiology | 701 N 1st St, Springfield, IL 62781-0001 | 2014-04-08 |
1811284375 | Nathan Yennumi Tonlaar | Radiology | 2055 S Fremont Ave, Mercy Clinic Radiation Oncology, Chaub O'reilly Center, Springfield, MO 65804-2206 | 2011-07-06 |
1083903785 | Nicholas Andrew Madden | Radiology | 3850 S National Ave, Springfield, MO 65807-5287 | 2011-04-04 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 65807 |
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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.