MR. REXFORD ALLAN PLANK III (NPI# 1255322905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255322905 |
| Entity Type | Individual |
| Full Name | MR. REXFORD ALLAN PLANK III |
| Credential | PA-C |
| Practice Address |
126 Missouri Ave Glwach Attn Mcxp-ccs-cr Fort Leonard Wood MO 65473-8952 |
| Practice Telephone | 5735960417 |
| Practice Fax Number | 5735960524 |
| Mailing Telephone | 5735960417 |
| Mailing Fax Number | 5735960524 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2003004601 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043224413 | Rexford Allan Plank Jr. | Physician Assistant | 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473-8952 | 2006-07-28 |
| Street Address |
126 MISSOURI AVE GLWACH ATTN MCXP-CCS-CR |
| City | FORT LEONARD WOOD |
| State | MO |
| Zip Code | 65473-8952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336138643 | Thomas Houston Hume II | Physician Assistant | 126 Missouri Ave, Glwach Attn Mcxp Ccs Cr, Fort Leonard Wood, MO 65473-8952 | 2005-10-19 |
| 1881052504 | Allan Anthony Bolido | Nurse Anesthetist, Certified Registered | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2016-02-09 |
| 1801260625 | Bridget Farris | Technician | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2015-11-17 |
| 1992181515 | Brian Michael Lowery | Nurse Anesthetist, Certified Registered | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2015-08-05 |
| 1922480722 | Nathaniel Louis Fielding | Physician Assistant | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2015-06-29 |
| 1609289362 | General Leonard Wood Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 126 Missouri Ave, General Leonard Wood Army Community Hospital, Fort Leonard Wood, MO 65473-8952 | 2014-06-10 |
| 1033546148 | David F Boyd IIi | Nurse Practitioner | 126 Missouri Ave, General Leonard Wood Community Hospital, Fort Leonard Wood, MO 65473-8952 | 2013-10-03 |
| 1780022673 | Robert Eric Sapp Sr. | Pharmacist | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2013-06-12 |
| 1184061277 | Lachell Wardell | Pharmacist | 126 Missouri Ave, Stop (box #1240), Fort Leonard Wood, MO 65473-8952 | 2013-05-29 |
| 1114360351 | Gary Evans | Social Worker | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2013-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770192759 | Clara Boo Chai | Physician Assistant | General Leonard Wood Army Community Hospital, 4430 Missouri Ave, #1267, Fort Leonard Wood, MO 65473 | 2020-07-27 |
| 1982198453 | Traci Anne Shambo | Dental Hygienist | Bldg. 400 Virginia Ave, Fort Leonard Wood, MO 65473 | 2018-06-19 |
| 1083133771 | Mary Joan Klemp | Family Medicine | Ganeral Leonard Wood Army Community Hospital, 4430 Missouri Ave; Meddac Case Management; Primary Care, Fort Leonard Wood, MO 65473 | 2017-09-13 |
| 1255791851 | Sarah Elizabeth Joy | Physician Assistant | 885 West 16th Street, Fort Leonard Wood, MO 65473 | 2016-02-25 |
| 1548626948 | Jaimie-lee Musen | Physical Therapist | 4430 Missouri Ave, Glwach, Fort Leonard Wood, MO 65473 | 2016-01-14 |
| 1609240852 | Angela Carson | Registered Nurse | 4330 Missouri Avenue, Fort Leonard Wood, MO 65473 | 2015-11-25 |
| 1811379407 | Katharine Leigh Stringer | Dentist | 12720 Kansas Avenue, Fort Leonard Wood, MO 65473 | 2015-06-19 |
| 1548656044 | General Leonard Wood Army Community Hospital | Clinic/Center | 12720 Kansas Ave, Bldg 789, Fort Leonard Wood, MO 65473 | 2015-04-10 |
| 1740670314 | Terricka Stewart | Specialist/Technologist | 885 West 16th St., Fort Leonard Wood, MO 65473 | 2015-02-03 |
| 1427467265 | Dianna Morrison | Social Worker | 4430 Missouri Ave Box 1278, Fort Leonard Wood, MO 65473 | 2014-08-06 |
| Find all providers in zip 65473 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245758713 | Juan Latino Woods | Physician Assistant | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2017-09-06 |
| 1023027737 | Rickey Rodger Martin | Physician Assistant | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2006-08-05 |
| 1548286891 | Steven Randall Ward | Physician Assistant | 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473-8952 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922628528 | Sarah Benson | Physician Assistant | 26791 Andrews Ln, Warrenton, MO 63383-6240 | 2020-04-23 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1912538752 | Karen Anghel | Physician Assistant | 804 S Kisner Dr, Independence, MO 64056-3062 | 2020-01-30 |
| 1457822082 | Jwan Alallaf | Physician Assistant | 4121 Roanoke Rd Apt 18, Kansas City, MO 64111-4053 | 2018-12-07 |
| 1730602921 | Saurav N Kayastha | Physician Assistant | 13013 Fuller Ave Ste A, Grandview, MO 64030-2687 | 2017-07-19 |
| 1891227393 | Hollis Smith | Physician Assistant | 2015 Maplewood Commons Dr, Saint Louis, MO 63143-1003 | 2017-04-03 |
| 1992165104 | Cassie Mcgee | Physician Assistant | 1051 Jones St, Kennett, MO 63857-3866 | 2016-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| 1699084814 | Travis James Weiss | Physician Assistant | 6724 State Highway 77, Benton, MO 63736-8238 | 2010-10-05 |
| 1235453150 | James F Patton | Physician Assistant | 913 South St, Stockton, MO 65785-9381 | 2010-03-22 |
| Find all providers with the same taxonomy | ||||
| City | FORT LEONARD WOOD |
| Zip Code | 65473 |
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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.