DR. AMITAVA MICHAEL DASGUPTA (NPI# 1144586983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144586983 |
| Entity Type | Individual |
| Full Name | DR. AMITAVA MICHAEL DASGUPTA |
| Credential | M.D. |
| Practice Address |
551 E Southampton Dr Columbia MO 65201-4236 |
| Mailing Address |
551 East Southampton Drive Columbia MO 65201 |
| Practice Telephone | 5738847733 |
| Practice Fax Number | 5738826228 |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2017-12-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
201636529 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
551 E SOUTHAMPTON DR |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-4236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588621585 | Kieth W Groh | Emergency Medicine | 551 E Southampton Dr, Columbia, MO 65201-4236 | 2006-04-26 |
| 1194341560 | Melanie Oler | Family Medicine | 551 E Southampton Dr, Columbia, MO 65201-4236 | 2020-06-22 |
| 1821614272 | Daniel Lyon | Family Medicine | 551 E Southampton Dr, Columbia, MO 65201-4236 | 2020-06-22 |
| 1891311254 | Seth Mobley | Family Medicine | 551 E Southampton Dr, Columbia, MO 65201-4236 | 2020-06-22 |
| 1265058630 | Nicole Seddon | Family Medicine | 551 E Southampton Dr, Columbia, MO 65201-4236 | 2020-06-22 |
| 1417573874 | Colbert Nelson | Family Medicine | 551 E Southampton Dr, Columbia, MO 65201-4236 | 2020-06-22 |
| 1245891548 | Oluwatoke Omotola Omiwade | Family Medicine | 551 E Southampton Dr, Columbia, MO 65201-4236 | 2019-06-26 |
| 1194386987 | Cynthia Breanne Lombardo | Family Medicine | 551 E Southampton Dr, Columbia, MO 65201-4236 | 2019-06-24 |
| 1609437490 | Reiana Jo Mahan | Family Medicine | 551 E Southampton Dr, Columbia, MO 65201-4236 | 2019-06-24 |
| 1457912255 | Humza Omar Quadri | Family Medicine | 551 E Southampton Dr, Columbia, MO 65201-4236 | 2019-06-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
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| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720310055 | Green Ridge Group Inc | Family Medicine | 100 Forum Dr, Ste 3-255, Columbia, SC 29229-7944 | 2010-02-11 |
| 1518090901 | Andres Felix Leone | Family Medicine | 3 Richland Medical Park Dr Ste 510, Columbia, SC 29203-6854 | 2007-03-14 |
| 1851346423 | Arvind D Desai | Family Medicine | 30 Corporate Center, 10440 Little Patuxent Parkway, Suite 300, Columbia, MD 21044-3648 | 2006-05-23 |
| 1770012932 | Thomas Wesley Andrews | Family Medicine | 1 Hospital Dr # Dc032.00, Columbia, MO 65212-7637 | 2017-06-09 |
| 1104188606 | Palmetto Health | Family Medicine | 3010 Farrow Rd, Carolina Medical Plaza Suite 200, Columbia, SC 29203-7607 | 2012-06-11 |
| 1811954365 | David R Mehr | Family Medicine | One Hospital Drive, Columbia, MO 65212-0001 | 2006-04-27 |
| 1205805215 | Charles David Petit | Family Medicine | 3010 Farrow Rd, Suite 300, Columbia, SC 29203-7607 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164781035 | Carlyn Molstad Kline | Family Medicine | 17 Stonecrest, St. Joseph, MO 64506-3126 | 2012-05-11 |
| 1730346230 | Ltc Consultants LLC | Family Medicine | 16201 Bluegrass Ct, Belton, MO 64012-3342 | 2008-05-21 |
| 1487853750 | Susan E. Pearson, LLC | Family Medicine | 6209 Midrivers Mall Dr, #317, St Charles, MO 63304-1102 | 2007-07-16 |
| 1356476071 | Thomas M Macdonnell | Family Medicine | 665 State Highway J, Marshfield, MO 65706-8253 | 2007-02-22 |
| 1538232772 | Randall D. Huss | Family Medicine | 910 W 10th St, Rolla, MO 65401-2904 | 2006-11-16 |
| 1750464723 | Nevada Lee | Family Medicine | 6317 Evanston Ave, Raytown, MO 64133-4929 | 2006-10-23 |
| 1447361977 | Richard O Schamp | Family Medicine | 6255 San Bonita Ave, Saint Louis, MO 63105-3210 | 2006-08-31 |
| 1265546923 | Patricia Sue Inman | Family Medicine | 400 Chesterfield Ctr, Suite 400, Chesterfield, MO 63017-4834 | 2006-08-19 |
| 1770546665 | Kerr Healthcare Services LLC | Family Medicine | 11851 Arbor Cir, Rolla, MO 65401-7476 | 2006-04-11 |
| 1831152370 | Jeffery Alan Kerr | Family Medicine | 1000 Gw Ln, Waynesville, MO 65583-2339 | 2006-04-07 |
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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.