LYLE G. BREEDING, MD, FACS, PC (NPI# 1396797494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396797494 |
| Entity Type | Organization |
| Organization Name | LYLE G. BREEDING, MD, FACS, PC |
| Practice Address |
401 Keene St Columbia MO 65201-6625 |
| Practice Telephone | 5738743300 |
| Practice Fax Number | 5738761663 |
| Mailing Telephone | 5738743300 |
| Mailing Fax Number | 5738761663 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LYLE G. BREEDING (PRESIDENT) |
| Authorized Official Telephone | 5738743300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 208600000X | Surgery | R9N91 | MO | Allopathic & Osteopathic Physicians |
| X | 2086S0129X |
Surgery Specialization: Vascular Surgery |
R9N91 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
401 KEENE ST |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-6625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801895032 | Raymond Wade Schondelmeyer | Internal Medicine | 401 Keene St, Columbia, MO 65201-6625 | 2005-07-19 |
| 1619265196 | Abby Catherine Bradford | Nurse Practitioner | 401 Keene St, Columbia, MO 65201-6625 | 2011-07-18 |
| 1891012878 | Central Missouri Surgery LLC | Surgery | 401 Keene St, The Boone Clinic Building, Columbia, MO 65201-6625 | 2010-04-29 |
| 1881798064 | Justin Luke Welch | Dermatology | 401 Keene St, Columbia, MO 65201-6625 | 2006-09-11 |
| 1518069731 | Trisha Alane Taylor | Dermatology | 401 Keene St, Columbia, MO 65201-6625 | 2006-09-01 |
| 1891803086 | Adam D Wheeler | Pediatrics | 401 Keene St, The Boone Clinic Building, Columbia, MO 65201-6625 | 2006-08-28 |
| 1972555092 | Lisa D. Monsees, Md, PC | Pediatrics | 401 Keene St, Columbia, MO 65201-6625 | 2006-05-17 |
| 1174571632 | John B Pecorak | Pediatrics | 401 Keene St, Columbia, MO 65201-6625 | 2006-05-05 |
| 1437107919 | Laura N Weidt | Pediatrics | 401 Keene St, Columbia, MO 65201-6625 | 2006-05-05 |
| 1700834157 | Ellen H Thomas | Pediatrics | 401 Keene St, Columbia, MO 65201-6625 | 2006-05-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801389788 | Michael Thomas Gibbons | Surgery | Surgery Clinic, 1801 Sunset Drive, Columbia, SC 29203 | 2018-06-14 |
| 1134623317 | Kuirong Jiang | Surgery | 1 Hospital Dr Rm Mc520, Columbia, MO 65212-1000 | 2018-03-21 |
| 1629576848 | Carolina Interventional Pain Institute, LLC | Surgery | 2611 Forest Dr Ste 100, Columbia, SC 29204-2371 | 2018-01-23 |
| 1578084349 | Shoaib Safiullah | Surgery | 1 Hospital Dr # Dc075.00, Columbia, MO 65212-1000 | 2017-07-03 |
| 1194117861 | Kaitlyn Marie Rountree | Surgery | 1 Hospital Dr # Mc404, Columbia, MO 65212-1000 | 2015-03-04 |
| 1215291604 | Rachel Alt | Surgery | One Hospital Drive, Dco75.00, Mc424, University of Missouri, Department of Surgery, Columbia, MO 65212 | 2012-06-29 |
| 1770847709 | Steven Junior Hermiz | Surgery | 1801 Sunset Blvd, Dept of Surg -, Columbia, SC 29203 | 2012-06-25 |
| 1003101684 | Patrick Davis | Surgery | 1222 Trotwood Ave Ste 603, Columbia, TN 38401 | 2011-06-13 |
| 1699086322 | Samantha Renee Cox | Surgery | 3 Richland Medical Park Dr Ste 330, Columbia, SC 29203 | 2010-06-28 |
| 1982837985 | Adair County Hospital District | Surgery | 902 Westlake Dr, Suite 107, Columbia, KY 42728-1149 | 2009-08-25 |
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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.