BRANDON FORDHAM (NPI# 1497173280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497173280 |
| Entity Type | Individual |
| Full Name | BRANDON FORDHAM |
| Credential | D.O. |
| Practice Address |
1102 W 32nd St Joplin MO 64804 |
| Mailing Address |
Po Box 3810 Joplin MO 64803-3810 |
| Practice Telephone | 4173471078 |
| Practice Fax Number | 4173471079 |
| Mailing Telephone | 4173476843 |
| Mailing Fax Number | 4173479397 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2018-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 2018011919 | MO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568971026 | Brandon James Fordham | Physician Assistant | 128 E Broad St, Saint Pauls, NC 28384-1610 | 2017-09-27 |
| Street Address |
1102 W 32ND ST |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334777 | Christopher Ryan Longnecker | Internal Medicine | 1102 W 32nd St, Suite 300, Joplin, MO 64804-3503 | 2005-05-30 |
| 1710596580 | Zachary Palumbo | Registered Nurse | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-07-28 |
| 1346866746 | Nina D Pinjala | Emergency Medicine | 1102 W 32nd St, Joplin, MO 64804-3594 | 2020-06-22 |
| 1154947935 | Steven Musili Mwanzia | Nurse Anesthetist, Certified Registered | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-06-17 |
| 1326662248 | Thomas D Hardwicke | Nurse Anesthetist, Certified Registered | 1102 W 32nd St, Joplin, MO 64804-3594 | 2020-06-05 |
| 1194349266 | Seth Miller | Nurse Anesthetist, Certified Registered | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-06-03 |
| 1063035731 | Jacob Cherry | Nurse Anesthetist, Certified Registered | 1102 W 32nd St, Joplin, MO 64804-3594 | 2020-05-28 |
| 1831712108 | Justin Orren | Student in an Organized Health Care Education/Training Program | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-05-21 |
| 1508489121 | Ashley Ryder | Student in an Organized Health Care Education/Training Program | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-05-19 |
| 1962025585 | Zachary Vincent | Student in an Organized Health Care Education/Training Program | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-05-19 |
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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 | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487838439 | David S Debyle | Anesthesiology | 1321 Bramar Dr, Joplin, MO 64801-1081 | 2007-12-27 |
| 1417996364 | Anthony Casanova | Anesthesiology | 3103 Mcclelland Blvd, Joplin, MO 64804 | 2006-06-06 |
| 1255308417 | Heather Stelling | Anesthesiology | 3216 Ferguson Rd, Joplin, MO 64804-4033 | 2006-03-07 |
| 1659378693 | Ajit S Nagra | Anesthesiology | 100 Mercy Way, Joplin, MO 64804-4524 | 2005-07-06 |
| 1366869489 | Devin Bass | Anesthesiology | 1102 W 32nd St, Joplin, MO 64804-3503 | 2014-03-26 |
| 1003252503 | Jacob Podleski | Anesthesiology | 1102 W 32nd St, Joplin, MO 64804-3503 | 2013-05-12 |
| 1518265982 | Trevor Laron Bright | Anesthesiology | 100 Mercy Way, Joplin, MO 64804-4524 | 2011-03-08 |
| 1972701811 | Mark L Kerr | Anesthesiology | 100 Mercy Way, Joplin, MO 64804-4524 | 2007-07-03 |
| 1235353616 | Spencer Justin Sands | Anesthesiology | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2007-04-13 |
| 1801971833 | Cynthia L Griffiths | Anesthesiology | 1102 W 32nd St, Joplin, MO 64804 | 2006-10-26 |
| 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.