SARA VODDE (NPI# 1295364982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295364982 |
| Entity Type | Individual |
| Full Name | SARA VODDE |
| Credential | PA-C |
| Practice Address |
1420 S Business 61 Ste Def Bowling Green MO 63334-5230 |
| Mailing Address |
6931 Nw Avalon St Kansas City MO 64152-2910 |
| Practice Telephone | 5733245562 |
| Mailing Telephone | 2178534191 |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2019041162 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 15-02310 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | LICENSE | 15-02310 | 01 |
| MO | STATE LICENSE | 2019041162 | 01 |
| Street Address |
1420 S BUSINESS 61 STE DEF |
| City | BOWLING GREEN |
| State | MO |
| Zip Code | 63334-5230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235691619 | Kelly Marie Miller | Family Medicine | 1420 S Business 61 Ste Def, Bowling Green, MO 63334-5230 | 2019-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992348304 | Heartland Hearing Center | Hearing Instrument Specialist | 313 Ste D South Business 61, Bowling Green, MO 63334 | 2019-10-18 |
| 1588168215 | Bgmg Corporation | Family Medicine | 905 Business 161, Bowling Green, MO 63334 | 2018-03-19 |
| 1972012193 | Gale Marie Schlogl | Nurse Practitioner | 8 Bowling Green Town Center Drive, Hannibal Regional Medical Group, Bowling Green, MO 63334 | 2017-09-20 |
| 1609112754 | Advance Hannibal Regional Hospital, LLC | Physical Therapist | 710 Bus. Hwy 61 South, Bowling Green, MO 63334 | 2012-12-18 |
| 1346447158 | Tomas V Cabrera | Contractor | 13698 Pike 46 Airport Road, Bowling Green, MO 63334 | 2007-06-27 |
| 1720143621 | North East Commuinty Action Corp | Home Health Aide | 16 North Court Street, Bowling Green, MO 63334 | 2006-12-22 |
| 1649361205 | Anita J Huber | Chiropractor | 1420 Bus. Hwy. 61 South, Suite D, Bowling Green, MO 63334 | 2006-09-27 |
| 1912930397 | Dialysis Clinic Inc. | Clinic/Center | 4 Town Center Dr Ste F, Bowling Green, MO 63334 | 2006-07-08 |
| 1275918856 | Stephanie Diane Walker | Nurse Practitioner | 1420 S Business 61, Bowling Green, MO 63334 | 2015-07-24 |
| 1568664308 | Howard Jay Schneider | Dentist | 1015 W Adams St, Bowling Green, MO 63334 | 2007-06-04 |
| Find all providers in zip 63334 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801417100 | Samantha Tollerud | Physician Assistant | 8320 Middleton Pike, Bowling Green, OH 43402-9639 | 2020-04-28 |
| 1881247922 | Hayley Richardson Sechler | Physician Assistant | 1818 Wallace Ct Ste 301, Bowling Green, KY 42103-2462 | 2019-07-18 |
| 1568493823 | Amy E Etsell | Physician Assistant | 905 Highway 161, Bowling Green, MO 63334-2431 | 2006-07-05 |
| 1730186057 | Belinda A Heywood | Physician Assistant | 838 E Wooster St, Bowling Green, OH 43402-3186 | 2005-07-01 |
| 1902370232 | Wil Casper Norviel | Physician Assistant | 8 Town Center Dr, Bowling Green, MO 63334-2803 | 2019-01-21 |
| 1982177457 | Rachael Katherine Grant | Physician Assistant | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2019-01-08 |
| 1942781000 | Nayab I. Hussain | Physician Assistant | 484 Golden Autumn Way Ste 201, Bowling Green, KY 42103-6913 | 2018-08-27 |
| 1003311036 | Leslie Pemberton | Physician Assistant | 1065 Ashley St Ste 200, Bowling Green, KY 42103-3401 | 2018-03-30 |
| 1336649680 | Rachel Marklin | Physician Assistant | 484 Golden Autumn Way Ste 201, Bowling Green, KY 42103-6913 | 2018-02-13 |
| 1538668140 | Melissa M Crocker | Physician Assistant | 201 Park St, Bowling Green, KY 42101-1708 | 2018-02-09 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 63334 |
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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.