MYRIAM ENSLING, M.D., LLC (NPI# 1235484718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235484718 |
| Entity Type | Organization |
| Organization Name | MYRIAM ENSLING, M.D., LLC |
| Other Organization Name | DR. MYRIAM ENSLING INTERNAL MEDICINE AND OBESITY CLINIC |
| Practice Address |
1502 E Broadway Suite 201 Columbia MO 65201-8076 |
| Practice Telephone | 5734422083 |
| Practice Fax Number | 5734429338 |
| Mailing Telephone | 5734422083 |
| Mailing Fax Number | 5734429338 |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2012-07-20 |
| Authorized Official Name | MRS. MYRIAM C ENSLING (SOLE OWNER/PROVIDER) |
| Authorized Official Telephone | 5734422083 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2003016643 | MO | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Dr. Myriam Ensling Internal Medicine and Obesity Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740424720 | Myriam Ensling, M.d., LLC | Clinic/Center | 201 E Monroe St, Mexico, MO 65265-2852 | 2009-04-22 |
| Street Address |
1502 E BROADWAY SUITE 201 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-8076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376168 | Philip Conrad Jaynes | Dentist | 1502 E Broadway, Ste 209, Columbia, MO 65201-8076 | 2005-06-21 |
| 1063630101 | Ronald Wayne Ochsner | Dentist | 1502 E Broadway, Suite 201, Columbia, MO 65201-8076 | 2007-04-23 |
| 1982625877 | Radiology Consultants, Inc | Radiology | 1502 E Broadway, Suite 210, Columbia, MO 65201-8076 | 2006-07-23 |
| 1972521565 | Larry L Penney | Obstetrics & Gynecology | 1502 E Broadway, Suite 106, Columbia, MO 65201-8076 | 2006-07-18 |
| 1386679298 | Gilbert Wilshire | Obstetrics & Gynecology | 1502 E Broadway, Suite 106, Columbia, MO 65201-8076 | 2006-07-11 |
| 1477540458 | Charles M. Swaney | Radiology | 1502 E Broadway, Suite 210, Columbia, MO 65201-8076 | 2005-10-04 |
| 1992792071 | Vijay K. Sadhu | Radiology | 1502 E Broadway, Suite 210, Columbia, MO 65201-8076 | 2005-10-04 |
| 1720075823 | David P. Brummett | Radiology | 1502 E Broadway, Suite 210, Columbia, MO 65201-8076 | 2005-10-04 |
| 1821085812 | Hun T. Lee | Radiology | 1502 E Broadway, Suite 210, Columbia, MO 65201-8076 | 2005-10-04 |
| 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 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808815 | Thai Quoc Nguyen | Internal Medicine | University Hospital Ma421 Med Sciences Bldg, Columbia, MO 65212-0001 | 2020-07-06 |
| 1649898784 | Peter Egwom | Internal Medicine | University Hospital One Hospital Drive Dc.043.00, Columbia, MO 65212-0001 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1851918346 | Maxwell Isaac | Internal Medicine | University Hospital 1 Hospital Drive Dc 043.00, Columbia, MO 65212-0001 | 2020-06-30 |
| 1285251983 | Shannon Ejiofor | Internal Medicine | University Hospital One Hospital Drive Dc043.00, Columbia, MO 65212-0001 | 2020-06-29 |
| 1336766278 | Jordan Stauffer | Internal Medicine | University Hospital One Hospital Dr, Columbia, MO 65212-0001 | 2020-06-26 |
| 1972120814 | Pak Ho Au | Internal Medicine | University Hospital One Hospital Dr Dc043.00, Columbia, MO 65212-0001 | 2020-06-26 |
| 1700402849 | Michael Allan Goble | Internal Medicine | Internal Medical Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-24 |
| 1740806389 | Alan Verl Godfrey | Internal Medicine | University of Missouri Hospital 1 Hospital Dr, Columbia, MO 65212-0001 | 2020-06-19 |
| 1003432642 | Gregory Gaskey | Internal Medicine | University of Missouri Hospital One Hospital Drive, Columbia, MO 65212-0001 | 2020-06-19 |
| 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.