STEVAN P WHITT (NPI# 1417909466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417909466 |
Entity Type | Individual |
Full Name | STEVAN P WHITT |
Credential | MD |
Practice Address |
1101 Hospital Drive Columbia MO 65212-0001 |
Mailing Address |
Po Box 7687 Columbia MO 65205-7687 |
Practice Telephone | 5738828788 |
Practice Fax Number | 5738823131 |
Mailing Telephone | 5738822259 |
Enumeration Date | 2006-05-17 |
Last Update Date | 2012-08-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
MD106065 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | RR MEDICARE | 810000710 | 01 |
MO | 209753318 | 05 |
Street Address |
1101 HOSPITAL DRIVE |
City | COLUMBIA |
State | MO |
Zip Code | 65212-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215986187 | Darcy D Folzenlogen | Internal Medicine | 1101 Hospital Drive, Columbia, MO 65212-0001 | 2006-05-09 |
1184911174 | Nandhakumar Radhakrishnan | Speech-Language Pathologist | 1101 Hospital Drive, Columbia, MO 65205-7687 | 2011-06-29 |
1083811335 | Kari Lyn Martin | Dermatology | 1101 Hospital Drive, Columbia, MO 65212-0001 | 2007-06-29 |
1992912968 | Jeffrey Paul North | Dermatology | 1101 Hospital Drive, Columbia, MO 65212-0001 | 2007-05-17 |
1003984048 | Elisa M Amspacher | Nurse Practitioner | 1101 Hospital Drive, Columbia, MO 65212-0001 | 2006-11-30 |
1730254327 | Ronald G Wheeland | Dermatology | 1101 Hospital Drive, Columbia, MO 65212-0001 | 2006-11-21 |
1558464776 | Ravi Nistala | Internal Medicine | 1101 Hospital Drive, Columbia, MO 65212 | 2006-09-06 |
1255388740 | Bert E Bachrach | Pediatrics | 1101 Hospital Drive, Columbia, MO 65212-0001 | 2006-05-28 |
1962459065 | Nasrollah Hakami | Pediatrics | 1101 Hospital Drive, Columbia, MO 65212-0001 | 2006-05-27 |
1497707996 | Hunter V Hofmann | Internal Medicine | 1101 Hospital Drive, Columbia, MO 65212-0001 | 2006-05-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225594112 | Hee Young Lee | Student in an Organized Health Care Education/Training Program | 1100 Virginia Avenue, University of Missouri Health Car, Columbia, MO 65212 | 2019-02-15 |
1093200966 | Alexander John Lubinski | Radiology | 1 Hospital Drive Dco6910, Columbia, MO 65212 | 2018-06-24 |
1235638156 | Jami Bates | Physician Assistant | University of Missouri Hospital 1 Hospital Drive, Columbia, MO 65212 | 2018-02-06 |
1124554589 | John Wuennenberg | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Floor, Columbia, MO 65212 | 2017-05-04 |
1336672005 | William Paul Christensen | Physical Medicine & Rehabilitation | One Hospital Dr Dc046.00, Dc046.00, Columbia, MO 65212 | 2017-04-09 |
1881127108 | Kelli Danielle Bryant | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Florr, Columbia, MO 65212 | 2017-04-04 |
1952832859 | Juhi Koolwal | Radiology | 1 Hospital Dirve Ddc06910, Columbia, MO 65212 | 2017-03-22 |
1518319136 | Joseph Patrick Herbert | Neurological Surgery | One Hospital Drive, Dc048.00, Mc314 Mchaney Hall, Columbia, MO 65212 | 2016-07-07 |
1407207319 | Jesse Schmid | Otolaryngology | One Hosital Dr Ma314, Columbia, MO 65212 | 2016-06-22 |
1508216920 | David Koch | Radiology | 1 Hospital Drive, Dc06910, Columbia, MO 65212 | 2016-06-16 |
Find all providers in zip 65212 |
Taxonomy Code | 207RC0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Critical Care Medicine |
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376994129 | Integra Clinical Services, LLC | Internal Medicine | 9055 Tamar Dr, Columbia, MD 21045-2756 | 2016-06-23 |
1245578426 | Mary Joy Drass | Internal Medicine | 5565 Sterrett Pl Fl 5, Columbia, MD 21044-2665 | 2013-01-23 |
1346258746 | Carlton Gregory Cauthen | Internal Medicine | 720 Rabon Rd, Columbia, SC 29203-8900 | 2006-08-03 |
1881699957 | Jack Legrand Depriest | Internal Medicine | 1 Richland Medical Park Dr Ste 300, Columbia, SC 29203-6831 | 2005-06-16 |
1790143766 | Providence Physician Practices LLC | Internal Medicine | 1655 Bernardin Ave, Ste 350, Columbia, SC 29204-2039 | 2016-02-05 |
1760724223 | Aaron Charles Miller | Internal Medicine | 1020 Hitt St, Columbia, MO 65212 | 2013-03-22 |
1134482490 | Armin Krvavac | Internal Medicine | One Hospital Dr, Columbia, MO 65212-0001 | 2012-06-21 |
1306108790 | Zachary Michael Holliday | Internal Medicine | 1020 Hitt St, Columbia, MO 65212 | 2012-06-12 |
1790079085 | Justin Henry Atwood | Internal Medicine | 1 Richland Medical Park Dr, Ste 300, Columbia, SC 29203-6834 | 2011-06-03 |
1851603617 | Hariharan Regunath | Internal Medicine | 1020 Hitt St, Columbia, MO 65212-0001 | 2010-07-09 |
Find all providers in COLUMBIA |
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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.