DR. KEVIN GERARD BYRNE


Address: 1029 Nichols Rd Ste 201, Osage Beach, MO 65065-3008
Phone: 5733027138

DR. KEVIN GERARD BYRNE (NPI# 1326020082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326020082
Entity Type Individual
Full Name DR. KEVIN GERARD BYRNE
Credential D.O.
Practice Address 1029 Nichols Rd Ste 201
Osage Beach
MO 65065-3008
Practice Telephone 5733027138
Practice Fax Number 5733027123
Mailing Telephone (573) 302-7138
Mailing Fax Number 5733027123
Enumeration Date 2005-11-17
Last Update Date 2017-08-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
DO107693 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO RR MEDICARE 110198631 01
MO 247961113 05

Other Providers KEVIN BYRNE

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1306499272 Kevin Byrne Physician Assistant 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 2019-07-19
1700348463 Kevin J. Byrne Psychiatry & Neurology 501 S Chipeta Way, Salt Lake City, UT 84108-1222 2019-04-02
1114429685 Kevin Byrne Peer Specialist 309 S Main St, Bowling Green, OH 43402 2018-03-01
1114251477 Kevin Patrick Byrne Family Medicine 12073 World Trade Dr, Suite 3, San Diego, CA 92128-4391 2009-09-18
1205821675 Kevin J Byrne Radiology 8835 Germantown Ave, Philadelphia, PA 19118-2718 2005-09-13

Office Location

Street Address 1029 NICHOLS RD STE 201
City OSAGE BEACH
State MO
Zip Code 65065-3008

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124246160 The Lake's Liver and Digestive Health Center Inc Internal Medicine 1029 Nichols Rd Ste 201, Osage Beach, MO 65065-3008 2007-04-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437778859 Suzanne Marie Harris Social Worker 1191 State Highway Kk, Suite 101, Osage Beach, MO 65065 2020-04-15
1982172342 Arrowhead Retirement Operations LLC Skilled Nursing Facility 6100 Arrowhead Drive, Osage Beach, MO 65065 2018-11-05
1245723337 William T Mcfail Counselor 1191 State Hwy Kk, Suite 101, Osage Beach, MO 65065 2018-06-13
1588102263 Jennifer Kiske Physical Therapist 5780 Osage Beach Parkway, Ste 220, Osage Beach, MO 65065 2017-02-02
1700207586 Brenda Renee Spies Pharmacist 4252 Osage Beach Parkway, Osage Beach, MO 65065 2013-12-23
1154668465 Paige Hedgpath Od, PC Optometrist 4645g Osage Beach Parkway, Osage Beach, MO 65065 2013-01-07
1649548330 Missouri Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 300 Kestrel Lane, Lake Ozark, MO 65065 2011-12-08
1437399821 Melissa Nicole Morgan Physical Therapy Assistant 5177 Vicus Castri, Osage Beach, MO 65065 2009-02-25
1730330911 Raymond Don Baker Preventive Medicine 5476 Stone Ledge Cir, Osage Beach, MO 65065 2008-10-06
1457514259 Lake Family Dentistry Dentist 1037 Palisades Blvd Ste 9, Osage Beach, MO 65065 2008-07-02
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124246160 The Lake's Liver and Digestive Health Center Inc Internal Medicine 1029 Nichols Rd Ste 201, Osage Beach, MO 65065-3008 2007-04-23

Providers in the same taxonomy and state

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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Competitor

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City OSAGE BEACH
Zip Code 65065

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Dataset Information

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.

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