STEVAN P WHITT


Address: 1101 Hospital Drive, Columbia, MO 65212-0001
Phone: 5738828788

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
MD106065 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO RR MEDICARE 810000710 01
MO 209753318 05

Office Location

Street Address 1101 HOSPITAL DRIVE
City COLUMBIA
State MO
Zip Code 65212-0001

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City COLUMBIA
Zip Code 65212

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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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