NOVA RADIOLOGY CONSULTANTS, LLC (NPI# 1285883496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285883496 |
| Entity Type | Organization |
| Organization Name | NOVA RADIOLOGY CONSULTANTS, LLC |
| Practice Address |
2620 N Westwood Blvd Poplar Bluff MO 63901-3396 |
| Mailing Address |
4500 S Garnett Rd Suite 300 Tulsa OK 74146-5229 |
| Practice Telephone | 9186649892 |
| Mailing Telephone | 9186649892 |
| Mailing Fax Number | 9183922945 |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |
| Authorized Official Name | DR. ALEJANDRO MENDEZ (OWNER) |
| Authorized Official Telephone | 3147803388 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
2620 N WESTWOOD BLVD |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-3396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972589968 | Bijan Bastaninejad | Emergency Medicine | 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 | 2005-12-21 |
| 1063944932 | Michelle Heath | Nurse Practitioner | 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 | 2017-03-30 |
| 1558605873 | Rachel Jean Smith | Nurse Practitioner | 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 | 2012-11-27 |
| 1770851743 | Lisa Renee Carroll | Nurse Anesthetist, Certified Registered | 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 | 2011-12-06 |
| 1053699975 | Christopher Muiruri Kahuho | Hospitalist | 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 | 2011-07-26 |
| 1811293756 | Amy Michelle Pennington | Nurse Practitioner | 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 | 2011-02-09 |
| 1841592524 | Ozark Emergency Group LLC | Physician Assistant | 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 | 2010-12-01 |
| 1548562531 | Candice Leigh Copeland | Nurse Practitioner | 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 | 2010-11-23 |
| 1699080143 | Southeast Missouri Anesthesia Partners LLC | Nurse Anesthetist, Certified Registered | 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 | 2010-08-09 |
| 1780903021 | Charles Matthew Hollis | Nurse Anesthetist, Certified Registered | 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 | 2010-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073526422 | Kenneth B Mcvey | Radiology | 1720 Kanell Blvd, Suite 1, Poplar Bluff, MO 63901-4009 | 2006-08-15 |
| 1679859219 | Visionary Radiology, PC | Radiology | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2011-10-27 |
| 1073793642 | Poplar Bluff Radiology Services Inc | Radiology | 1720 Kanell Blvd, Suite1, Poplar Bluff, MO 63901-4009 | 2007-11-12 |
| 1568503357 | Poplar Bluff Regional Medical Center, Inc | Radiology | 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 | 2007-02-12 |
| 1821187287 | Robert L Dever | Radiology | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2006-10-12 |
| 1881647725 | Bluff Radiology Group, LLC | Radiology | 2588 N Westwood Blvd, Poplar Bluff, MO 63901-2339 | 2006-05-19 |
| 1851371702 | Dean Rigby | Radiology | 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 | 2006-01-18 |
| 1932186004 | Donna L Almond | Radiology | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2005-12-29 |
| 1326025412 | Heartland Radiology, Inc. | Radiology | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013534049 | Innovative Medical Solutions, Inc. | Radiology | 4218 Roanoke Rd Ste 304, Kansas City, MO 64111-4996 | 2020-06-25 |
| 1568092120 | Jeffrey Francis Schaffer | Radiology | 918 W Laurel Rd, Joplin, MO 64801-1052 | 2020-01-23 |
| 1093200966 | Alexander John Lubinski | Radiology | 1 Hospital Drive Dco6910, Columbia, MO 65212 | 2018-06-24 |
| 1275028136 | Austin Fletcher | Radiology | University Hospital One Hospital Drive, Department of Radiology Dc 069.10, Columbia, MO 65212-0001 | 2018-06-24 |
| 1578086310 | Missouri Telerad LLC | Radiology | 5117 South Neffleton Avenue, Springfiled, MO 65810 | 2017-07-24 |
| 1316467046 | Philip Silva | Radiology | 1 Hospital Drive University of Missouri, Columbia, MO 65212-0001 | 2017-06-23 |
| 1407389596 | Medical Mile Imaging | Radiology | 3905 E Windsmore Dr, Springfield, MO 65802 | 2017-04-06 |
| 1952832859 | Juhi Koolwal | Radiology | 1 Hospital Dirve Ddc06910, Columbia, MO 65212 | 2017-03-22 |
| 1508216920 | David Koch | Radiology | 1 Hospital Drive, Dc06910, Columbia, MO 65212 | 2016-06-16 |
| 1023462439 | Robert Michael Robbins | Radiology | 1 Hospital Drive Columbia Mo 65212, Columbia, MO 65212-4973 | 2016-04-21 |
| Find all providers with the same taxonomy | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
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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.