TREASE P ELLISON (NPI# 1316234214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316234214 |
| Entity Type | Individual |
| Full Name | TREASE P ELLISON |
| Practice Address |
3411 Division Dr West Plains MO 65775-5789 |
| Practice Telephone | 4172569152 |
| Mailing Telephone | 4172569152 |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3411 DIVISION DR |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775-5789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578666723 | Kelley Gaye Wilbanks | Counselor | 3411 Division Dr, West Plains, MO 65775-5789 | 2006-09-06 |
| 1730790031 | Brittney Lange | Technician, Other | 3411 Division Dr, West Plains, MO 65775-5789 | 2020-08-11 |
| 1881218303 | Michael Fuller | Health Educator | 3411 Division Dr, West Plains, MO 65775-5789 | 2020-06-01 |
| 1750903084 | Joel Brockett | Technician | 3411 Division Dr, West Plains, MO 65775-5789 | 2020-05-08 |
| 1497381297 | Richard Alverson | Technician | 3411 Division Dr, West Plains, MO 65775-5789 | 2020-03-12 |
| 1497387872 | Eulesa Johnson | Technician | 3411 Division Dr, West Plains, MO 65775-5789 | 2020-02-04 |
| 1720627268 | Kimberley Faber | Technician | 3411 Division Dr, West Plains, MO 65775-5789 | 2020-01-02 |
| 1720626393 | Emily Swan | Technician | 3411 Division Dr, West Plains, MO 65775-5789 | 2019-12-13 |
| 1043852668 | Dianna Hogan | Technician | 3411 Division Dr, West Plains, MO 65775-5789 | 2019-10-15 |
| 1346881539 | Lauren Franz | Marriage & Family Therapist | 3411 Division Dr, West Plains, MO 65775-5789 | 2019-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
| 1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
| 1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
| 1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
| 1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
| 1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| Find all providers in zip 65775 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861874968 | Reece Roberts | Specialist/Technologist, Other | 22486 Michigan Trl, Kirksville, MO 63501-1633 | 2015-06-24 |
| 1003223876 | Sharlletta Jackson | Specialist/Technologist, Other | 505 Highway J North, Hayti, MO 63851 | 2014-07-14 |
| 1912313990 | Dominick Dunn | Specialist/Technologist, Other | 500 Hwy. 61 J. N., Hayti, MO 63851 | 2014-07-10 |
| 1043634488 | Synapse Monitoring Services LLC | Specialist/Technologist, Other | 7404 Heathermoor Ln, O Fallon, MO 63368-7231 | 2014-02-05 |
| 1346412376 | Mid America Balance Institute Inc | Specialist/Technologist, Other | 373 W 101st Terrace, Suite 200, Kansas City, MO 64114 | 2008-03-31 |
| 1386021350 | Astro Neuromonitoring, LLC | Specialist/Technologist, Other | 7404 Heathermoor Ln, 100, O Fallon, MO 63368-7231 | 2015-04-29 |
| 1013318310 | Deanna Marie Bailey | Specialist/Technologist, Other | 2100 Se Blue Pkwy, Lees Summit, MO 64063-1007 | 2014-09-06 |
| 1902212988 | Stacy Drumright | Specialist/Technologist, Other | 500 Highway J, Hayti, MO 63851-1200 | 2014-07-10 |
| 1992063697 | Jeremy Ray Tjarks | Specialist/Technologist, Other | 2135 S Fremont Ave, Springfield, MO 65804-2239 | 2012-05-01 |
| 1073802609 | Cheri A Vance | Specialist/Technologist, Other | 20 S Sprigg St, Cape Girardeau, MO 63703-6212 | 2011-04-05 |
| Find all providers with the same taxonomy | ||||
| City | WEST PLAINS |
| Zip Code | 65775 |
Please comment or provide details below to improve the information on TREASE P ELLISON.
| 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.