TROY CONSTANT AVENDANIO (NPI# 1437165263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437165263 |
Entity Type | Individual |
Full Name | TROY CONSTANT AVENDANIO |
Practice Address |
1101 W Liberty St Dept. of Radiology Farmington MO 63640-1921 |
Mailing Address |
Po Box 629 Farmington MO 63640-0629 |
Practice Telephone | 5737608075 |
Mailing Telephone | 5737608075 |
Enumeration Date | 2006-08-01 |
Last Update Date | 2007-11-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
L3563 | TX | Allopathic & Osteopathic Physicians |
Street Address |
1101 W LIBERTY ST DEPT. OF RADIOLOGY |
City | FARMINGTON |
State | MO |
Zip Code | 63640-1921 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912970880 | Vladimir Melyakov | Internal Medicine | 1101 W Liberty St, Farmington, MO 63640-1921 | 2006-02-09 |
1891303053 | Parkland Health Center | Clinical Medical Laboratory | 1101 W Liberty St, Farmington, MO 63640-1921 | 2020-07-14 |
1902430481 | Nrg-parkland LLC | Radiology | 1101 W Liberty St, Farmington, MO 63640-1921 | 2020-02-24 |
1700342847 | Alyssa Michelle Bocci | Physician Assistant | 1101 W Liberty St, Farmington, MO 63640-1921 | 2019-02-13 |
1811414626 | Nawaf Al-hashemi | Internal Medicine | 1101 W Liberty St, Farmington, MO 63640-1921 | 2017-08-23 |
1063959104 | Southern Missouri Infectious Disease Specialists LLC | Internal Medicine | 1101 W Liberty St, Farmington, MO 63640 | 2017-01-27 |
1265981856 | Matthew Akers | Nurse Practitioner | 1101 W Liberty St, Farmington, MO 63640-1921 | 2016-09-24 |
1780037630 | Meredith Politte | Nurse Practitioner | 1101 W Liberty St, Farmington, MO 63640-1921 | 2016-07-15 |
1801252812 | Alyssa Trautman | Dietitian, Registered | 1101 W Liberty St, Farmington, MO 63640-1921 | 2016-01-06 |
1770957201 | Mid-america Clinical Pathology, LLC | Pathology | 1101 W Liberty St, Farmington, MO 63640-1921 | 2015-11-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
Find all providers in zip 63640 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275987802 | Farmington Imaging Center, LLC | Radiology | 399 Farmington Ave Lowr 1, Farmington, CT 06032-1937 | 2016-04-20 |
1538521679 | Focus Point Diagnostics LLC | Radiology | 23337 Orchard Lake Rd, Farmington, MI 48336-3238 | 2016-03-28 |
1619103306 | Christopher Michael Garcia | Radiology | 23 Hidden Oak Dr, Farmington, CT 06032-2735 | 2009-06-08 |
1992715122 | Kenneth L Miller | Radiology | 1101 W Liberty, Parkland Health Center Dept of Radiology, Farmington, MO 63640 | 2006-08-09 |
1497761795 | Medical Diagnostic Services Ltd | Radiology | 657a W Maple, Farmington, NM 87401 | 2006-07-31 |
1336182393 | Lynne F Bliss | Radiology | 801 W. Maple, Farmington, NM 87401 | 2006-06-14 |
1073507596 | Joseph B Alley | Radiology | 111 Farmington Health Commons, Farmington, ME 04938-6144 | 2005-09-12 |
1841284783 | John R Webster | Radiology | 801 W Maple Street, Farmington, NM 87401 | 2005-09-07 |
1144222779 | David Ray Dedrickson | Radiology | 1433 N 1075 W, Ste 104, Farmington, UT 84025-2746 | 2005-08-12 |
1629075684 | Steven Brent Lee | Radiology | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2005-07-06 |
Find all providers in FARMINGTON |
City | FARMINGTON |
Zip Code | 63640 |
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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.