DR. EDWARDO DURANTE VERZOLA (NPI# 1245381201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245381201 |
| Entity Type | Individual |
| Full Name | DR. EDWARDO DURANTE VERZOLA |
| Credential | M.D. |
| Practice Address |
1400 Us Highway 61 Suite 250 Festus MO 63028-4100 |
| Mailing Address |
Po Box 127 1004 Industrial Drive Herculaneum MO 63048-0127 |
| Practice Telephone | 6369378675 |
| Practice Fax Number | 6369337981 |
| Mailing Telephone | 6369378675 |
| Mailing Fax Number | 6369331981 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2015-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
2000161966 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1400 US HIGHWAY 61 SUITE 250 |
| City | FESTUS |
| State | MO |
| Zip Code | 63028-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264493 | Kaile Jean Eggemeyer | Nurse Practitioner | 1400 Us Highway 61, Festus, MO 63028-4100 | 2020-10-29 |
| 1073010419 | Amanda Rae Mcvey | Registered Nurse | 1400 Us Highway 61, Festus, MO 63028-4100 | 2018-04-11 |
| 1417482530 | Lauren Kerley | Nurse Anesthetist, Certified Registered | 1400 Us Highway 61, Festus, MO 63028-4100 | 2017-04-26 |
| 1669907242 | Mahmoud Mohamed Elfadil | Internal Medicine | 1400 Us Highway 61, Festus, MO 63028-4100 | 2017-04-20 |
| 1346797305 | John Westley Pipkin | Nurse Practitioner | 1400 Us Highway 61, Festus, MO 63028 | 2016-09-07 |
| 1427401579 | Gwendolyn Bailey | Social Worker | 1400 Us Highway 61, Festus, MO 63028-4100 | 2016-07-13 |
| 1710337274 | Matthew James Crisp | Internal Medicine | 1400 Us Highway 61, Festus, MO 63028-4100 | 2016-06-15 |
| 1417311242 | Anthony Sanders | Registered Nurse | 1400 Us Highway 61, Festus, MO 63028-4100 | 2016-04-07 |
| 1780079053 | Debbie Trudell | Counselor | 1400 Us Highway 61, Festus, MO 63028-4100 | 2015-04-02 |
| 1417349234 | Rouba Ghoussoub Md LLC | Internal Medicine | 1400 Us Highway 61, G30, Festus, MO 63028-4100 | 2015-03-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943268 | Lauryn E Morris | Occupational Therapist | 3657 Baptist Park Rd, Mapaville, MO 63028 | 2019-10-09 |
| 1912557547 | Rena Robinson | Technician | 150 Brandon Wallace Way Suite 1014, Suite 1014, Festus, MO 63028 | 2019-09-16 |
| 1780232264 | Cynthia L James | Technician | 110 Juliet Place, Festus, MO 63028 | 2019-08-28 |
| 1700377009 | Akr Endodontics, LLC | Dentist | 1431 Us Hwy 61, Festus, MO 63028 | 2018-05-22 |
| 1962869990 | Fatma Esen Antakli | Nurse Practitioner | Advanced Pain Centers 190 Industrial Drive, Festus, MO 63028 | 2016-01-21 |
| 1083088744 | Megan Schomer | Counselor | 2675 Meyer Rd, Festus, MO 63028 | 2015-11-18 |
| 1043608144 | Elka Follmer | Physical Therapist | 1349 Us Hwy 61, Festus, MO 63028 | 2014-12-26 |
| 1811394729 | Ashley Schwendeman | Physical Therapist | 1403 N. Truman Blvd, Fesuts, MO 63028 | 2014-11-21 |
| 1073871257 | Staurla Chantel Waun | Counselor | 10719 Buckeye Rd, Festus, MO 63028 | 2012-04-25 |
| 1639444086 | Jeffrey Steitz | Otolaryngology | 1390 Us Highway 61 Ste 3100, Festus, MO 63028 | 2012-03-19 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1750347902 | Naeem Aslam | Internal Medicine | 1301 Ymca Dr Ste 600, Festus, MO 63028-2608 | 2006-04-25 |
| 1609867399 | Mohideen A Jamaluddin | Internal Medicine | 420 W Main St, Festus, MO 63028-1800 | 2005-11-02 |
| 1063886851 | Gastroenterology and Liver Consultants LLC | Internal Medicine | 420 W Main St, Festus, MO 63028-1800 | 2015-11-17 |
| 1720458797 | A Care, LLC | Internal Medicine | 420 W Main St, Festus, MO 63028-1800 | 2015-10-02 |
| 1619216801 | Mohideen A Jamaluddin M D Inc | Internal Medicine | 420 W Main St, Festus, MO 63028-1800 | 2013-02-07 |
| 1639370919 | Youssef Assioun | Internal Medicine | 1400 Us Highway 61, Suite 250, Festus, MO 63028-4100 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316589708 | Gastroenterology of The Four States,llc | Internal Medicine | 2024 S Maiden Ln Ste 204, Joplin, MO 64804-0319 | 2019-10-17 |
| 1013414317 | Digestive Consultants LLC | Internal Medicine | 222 S Woods Mill Rd Ste 410, Chesterfield, MO 63017 | 2018-04-12 |
| 1184038788 | Prianka Radhika Chilukuri | Internal Medicine | 3635 Vista Avenue, Fdt 9 South, St. Louis, MO 63110 | 2014-06-12 |
| 1871911149 | Sean Doran | Internal Medicine | 2521 Glenn Hendren Dr Ste 408, Liberty, MO 64068-3388 | 2014-04-02 |
| 1215359484 | Advanced Gastroenterology & Colon Cancer Screening Center LLC | Internal Medicine | 763 S New Ballas Rd # 265, Saint Louis, MO 63141-8704 | 2014-01-07 |
| 1689014276 | Antonio Ricardo Cheesman Rocca | Internal Medicine | 1225 S Grand Blvd Fl 3, Saint Louis, MO 63104-1016 | 2013-06-27 |
| 1578805610 | Paul Edmond St. Romain | Internal Medicine | 2115 S Fremont Ave Ste 3300, Springfield, MO 65804-2246 | 2013-03-26 |
| 1114285947 | Samuel Wieland Schowengerdt | Internal Medicine | 5330 N Oak Trfy Ste 102, Kansas City, MO 64118 | 2012-04-30 |
| 1720346729 | Kayci Renee Huff-hardy | Internal Medicine | 621 S New Ballas Rd Ste 437a, Saint Louis, MO 63141-8259 | 2012-04-26 |
| 1649542713 | Robert Earl Stufflebam | Internal Medicine | 3895 E Pond Apple Dr, Springfield, MO 65809-3752 | 2012-02-03 |
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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.