MU STUDENT HEALTH CENTER (NPI# 1205111549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205111549 |
| Entity Type | Organization |
| Organization Name | MU STUDENT HEALTH CENTER |
| Practice Address |
1101 Hospital Dr Columbia MO 65212-0001 |
| Practice Telephone | 5738821483 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |
| Authorized Official Name | DR. SUSAN EVEN (EXECUTIVEDIRECTOR STUDENT HEALTH) |
| Authorized Official Telephone | 5738849388 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
2010036636 | MO | Ambulatory Health Care Facilities |
| Street Address |
1101 HOSPITAL DR |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65212-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063791432 | Shalonda Banks Covington | Nurse Practitioner | 1101 Hospital Dr, Columbia, MO 65212-0001 | 2011-08-16 |
| 1316266836 | Gretchen Reinders | Psychologist | 1101 Hospital Dr, Columbia, MO 65212-0001 | 2010-05-24 |
| 1902031834 | Eric Darren Johnson | Physician Assistant | 1101 Hospital Dr, Columbia, MO 65212-0001 | 2009-05-21 |
| 1376749127 | Padmaja Vasireddy | Psychiatry & Neurology | 1101 Hospital Dr, Columbia, MO 65212-0001 | 2007-06-26 |
| 1972652238 | Susan Elizabeth O'neill | Psychologist | 1101 Hospital Dr, Dc800.00, Columbia, MO 65212-0001 | 2007-01-09 |
| 1356402242 | Theresa Wilson | Registered Nurse | 1101 Hospital Dr, Columbia, MO 65212-0001 | 2006-12-13 |
| 1073671020 | Lynn Ann Rossy | Counselor | 1101 Hospital Dr, Dc800.00, Columbia, MO 65212-0001 | 2006-12-04 |
| 1124196332 | Kim M Webb | Student in an Organized Health Care Education/Training Program | 1101 Hospital Dr, Columbia, MO 65212-0001 | 2006-12-04 |
| 1902979172 | Deborah Ann Johnoff | Nurse Practitioner | 1101 Hospital Dr, Student Health Center, Columbia, MO 65212-0001 | 2006-11-16 |
| 1023181872 | Ruth Ellen Morgan | Nurse Practitioner | 1101 Hospital Dr, Columbia, MO 65212-0001 | 2006-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225594112 | Hee Young Lee | Student in an Organized Health Care Education/Training Program | 1100 Virginia Avenue, University of Missouri Health Car, Columbia, MO 65212 | 2019-02-15 |
| 1093200966 | Alexander John Lubinski | Radiology | 1 Hospital Drive Dco6910, Columbia, MO 65212 | 2018-06-24 |
| 1235638156 | Jami Bates | Physician Assistant | University of Missouri Hospital 1 Hospital Drive, Columbia, MO 65212 | 2018-02-06 |
| 1124554589 | John Wuennenberg | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Floor, Columbia, MO 65212 | 2017-05-04 |
| 1336672005 | William Paul Christensen | Physical Medicine & Rehabilitation | One Hospital Dr Dc046.00, Dc046.00, Columbia, MO 65212 | 2017-04-09 |
| 1881127108 | Kelli Danielle Bryant | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Florr, Columbia, MO 65212 | 2017-04-04 |
| 1952832859 | Juhi Koolwal | Radiology | 1 Hospital Dirve Ddc06910, Columbia, MO 65212 | 2017-03-22 |
| 1518319136 | Joseph Patrick Herbert | Neurological Surgery | One Hospital Drive, Dc048.00, Mc314 Mchaney Hall, Columbia, MO 65212 | 2016-07-07 |
| 1407207319 | Jesse Schmid | Otolaryngology | One Hosital Dr Ma314, Columbia, MO 65212 | 2016-06-22 |
| 1508216920 | David Koch | Radiology | 1 Hospital Drive, Dc06910, Columbia, MO 65212 | 2016-06-16 |
| Find all providers in zip 65212 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215405782 | Lumos Counseling & Wellness Center | Clinic/Center | 5537 Twin Knolls Rd Ste 439, Columbia, MD 21045-3270 | 2018-11-02 |
| 1508235110 | Health Access 360, LLC | Clinic/Center | 4711 Forest Dr Ste 3-276, Columbia, SC 29206-3125 | 2015-09-24 |
| 1861875908 | Whetstone Valley Stables LLC | Clinic/Center | 3368 Murphy Ln, Columbia, TN 38401-5741 | 2015-07-07 |
| 1013292465 | University of Missouri Student Health Center | Clinic/Center | 1101 Hospital Drive Dc 800 00, Columbia, MO 65212-0001 | 2011-10-18 |
| 1982984365 | Reality House, Inc. | Clinic/Center | 1900 E Prathersville Rd, Columbia, MO 65202-9260 | 2011-08-17 |
| 1336387778 | Pollock Psychiatry LLC | Clinic/Center | 116 Belle Grove Cir, Columbia, SC 29229-8906 | 2009-01-22 |
| 1538760657 | Breakthrough Behavioral Health Services LLC | Clinic/Center | 5457 Twin Knolls Rd Ste 300, Columbia, MD 21045-3296 | 2020-11-04 |
| 1831797539 | New England Holistic Well-being Center LLC | Clinic/Center | 4 Doubleday Rd, Columbia, CT 06237-1405 | 2020-10-14 |
| 1932737624 | Maya Rake, Lisw-cp LLC | Clinic/Center | 2221 Bull St, Columbia, SC 29201-1901 | 2020-03-30 |
| 1942854021 | Bridgette Ratnam, LLC | Clinic/Center | 10015 Old Columbia Rd Ste B215, Columbia, MD 21046-1865 | 2019-07-28 |
| Find all providers in COLUMBIA | ||||
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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.