EDWIN WAHOME MWANGI (NPI# 1427321900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427321900 |
| Entity Type | Individual |
| Full Name | EDWIN WAHOME MWANGI |
| Credential | PA |
| Practice Address |
3105 Mcclelland Blvd Joplin MO 64804-1640 |
| Practice Telephone | 4177812807 |
| Practice Fax Number | 4177813309 |
| Mailing Telephone | 4177812807 |
| Mailing Fax Number | 4177813309 |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2018-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
2012004801 | MO | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | 2012004801 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3105 MCCLELLAND BLVD |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-1640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235133679 | David L Black | Orthopaedic Surgery | 3105 Mcclelland Blvd, Joplin, MO 64804-1640 | 2005-06-13 |
| 1336665710 | Christian Lee Holland | Nurse Practitioner | 3105 Mcclelland Blvd, Joplin, MO 64804 | 2017-08-17 |
| 1730443961 | Thomas L. Sanders Jr. | Orthopaedic Surgery | 3105 Mcclelland Blvd, Joplin, MO 64804-1640 | 2012-07-03 |
| 1336474659 | Darla D Easter | Nurse Practitioner | 3105 Mcclelland Blvd, Joplin, MO 64804-1640 | 2009-10-05 |
| 1285856955 | Todd Joseph Twiss | Orthopaedic Surgery | 3105 Mcclelland Blvd, Joplin, MO 64804-1640 | 2007-05-03 |
| 1174684229 | Adam D. Kessler | Orthopaedic Surgery | 3105 Mcclelland Blvd, Joplin, MO 64804-1640 | 2006-12-13 |
| 1013963453 | Midwest Surgery Center, LLC | Clinic/Center | 3105 Mcclelland Blvd, Joplin, MO 64804-1640 | 2006-05-26 |
| 1588617278 | Midwest Orthopaedic Surgery Inc | Orthopaedic Surgery | 3105 Mcclelland Blvd, Joplin, MO 64804-1640 | 2006-05-17 |
| 1396716320 | Courtney Hoff | Nurse Anesthetist, Certified Registered | 3105 Mcclelland Blvd, Joplin, MO 64804-1640 | 2006-01-28 |
| 1215908249 | Great Anesthesia Services PC | Anesthesiology | 3105 Mcclelland Blvd, Joplin, MO 64804-1640 | 2006-01-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255695391 | Robert Michael Denton | Physician Assistant | 1102 W. 32nd St, Freeman Health System, Joplin, MO 64804-3599 | 2012-07-03 |
| 1831126788 | James K Adams | Physician Assistant | 1901 E 32nd St Ste 4, Joplin, MO 64804-3071 | 2006-06-27 |
| 1649801952 | Joseph Ray Pence | Physician Assistant | 1111 Mcintosh Cir, Joplin, MO 64804-3615 | 2020-01-27 |
| 1477109718 | Carl David Eastep | Physician Assistant | 1901 E 32nd St Ste 4, Joplin, MO 64804-3071 | 2019-08-13 |
| 1124686886 | Ashley Nichole Trebbe | Physician Assistant | 3105 Mcclelland Blvd., Joplin, MO 64804-1640 | 2019-05-29 |
| 1508369471 | Maddison Marann Jewsbury | Physician Assistant | 100 Mercy Way, Joplin, MO 64804-4524 | 2018-03-16 |
| 1639678089 | Jesse David Thompson | Physician Assistant | 100 Mercy Way, Joplin, MO 64804-4524 | 2018-02-12 |
| 1255870200 | Kimberly Thomason | Physician Assistant | 1102 W 32nd St, Joplin, MO 64804-3503 | 2017-02-22 |
| 1295193142 | Paige Taylor | Physician Assistant | 1020 Mcintosh Cir, Ste 1, Joplin, MO 64804-3642 | 2016-02-08 |
| 1164803581 | Desiree Stuart | Physician Assistant | 2216 E 32nd St, Suite #101, Joplin, MO 64804-3016 | 2015-06-11 |
| Find all providers in JOPLIN | ||||
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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.