MIDWEST CARDIOVASCULAR ULTRASOUND SERVICES, LLC (NPI# 1508993379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508993379 |
| Entity Type | Organization |
| Organization Name | MIDWEST CARDIOVASCULAR ULTRASOUND SERVICES, LLC |
| Practice Address |
639a S Washington Ave Lebanon MO 65536-3618 |
| Mailing Address |
1700 S Campbell Ave Ste J Springfield MO 65807-2000 |
| Practice Telephone | 4172093785 |
| Practice Fax Number | 8337924156 |
| Mailing Telephone | 4172093785 |
| Mailing Fax Number | 8337924156 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | KEVIN SCOTT (OWNER) |
| Authorized Official Telephone | 4172095700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1700 S Campbell Ave Ste J, Springfield, MO 658072000 | 4177194026 | 8337924156 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MIDWEST CARDIOVASCULAR ULTRASOUND SERVICES, LLC | 1700 S Campbell Ste J, Springfield, MO 65807-2000 |
| Street Address |
639A S WASHINGTON AVE |
| City | LEBANON |
| State | MO |
| Zip Code | 65536-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093332421 | Kevin G Scott | Spec/Tech, Cardiovascular | 639a S Washington Ave, Lebanon, MO 65536-3618 | 2020-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537307 | Cathy Jane Greenlee | Nurse Practitioner | 510 Hwy 32, Lebanon, MO 65536 | 2018-08-10 |
| 1396232831 | Steven Michael Majdecki | Counselor | 860 Lynn St., Lebanon, MO 65536 | 2018-04-19 |
| 1447629399 | Danielle Craig | Speech-Language Pathologist | 1200 Clark Ave, Lebanon, MO 65536 | 2015-09-22 |
| 1982080255 | Dawn Barker | Family Medicine | 331 Hospital Dr Ste C, Lebanon, MO 65536 | 2015-08-10 |
| 1194163840 | Laura Patton | Speech-Language Pathologist | 22864 Perimeter Drive, Lebanon, MO 65536 | 2013-06-04 |
| 1750588273 | Elaine Britzman | Registered Nurse | 874 S Jefferson St, Lebanon, MO 65536 | 2007-06-28 |
| 1538363486 | Laclede Co. Assoc. for Retarded Citizens | Respite Care | 200 Lawson Ave., Lebanon, MO 65536 | 2007-06-13 |
| 1568665768 | Fern M Klein | Registered Nurse | 874 S Jefferson, Lebanon, MO 65536 | 2007-06-06 |
| 1639201080 | Laclede County Assoc. for Retarded Citizens | Day Training, Developmentally Disabled Services | 200 Lawson Avenue, Lebanon, MO 65536 | 2007-03-12 |
| 1316078868 | Michael Montgomery Od PC | Optometrist | 279 E Elm, Lebanon, MO 65536 | 2007-03-08 |
| Find all providers in zip 65536 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922456813 | Kylie Chivington | Contractor | 119 S.18th Street, Lebanon, PA 17042-5011 | 2016-06-01 |
| 1568706174 | Daniel J Lutotn | Contractor | 1555 S 2nd St, Lebanon, OR 97355-3121 | 2012-11-20 |
| 1922368158 | Linda D. Taylor | Contractor | 205 Mays Chapel Rd, Lebanon, KY 40033-8675 | 2012-05-22 |
| 1417114083 | Mary E Miles | Contractor | 33905 Ford Mill Rd, Lebanon, OR 97355-9118 | 2008-05-20 |
| 1609916642 | Louise Schulkers | Contractor | 200 Cook Rd, Lebanon, OH 45036 | 2007-02-07 |
| 1508262247 | Champion Healthcare LLC | Contractor | 528 W Main St, Lebanon, TN 37087-3403 | 2014-11-06 |
| 1164850640 | Jennifer Bowen Ot | Contractor | 18 Perley Ave, Lebanon, NH 03766-1817 | 2013-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534805 | Limitless Evolution LLC | Contractor | 3524 Osage Beach Pkwy, Osage Beach, MO 65065-5622 | 2020-10-06 |
| 1275142630 | Jennifer Dawn Feltner | Contractor | 303 N Stadium Blvd Ste 227, Columbia, MO 65203-1493 | 2020-07-30 |
| 1609490341 | Kimberly Kaye Stevenson | Contractor | 518 Ne Malibu Dr, Lees Summit, MO 64064-2001 | 2020-05-28 |
| 1154969426 | Midwest Health Care Inc. | Contractor | 326 S Mount Auburn Rd Ste 201, Cape Girardeau, MO 63703-4907 | 2019-12-17 |
| 1154983518 | Eric Williams | Contractor | 11515 Gamel Cemetery Rd, Festus, MO 63028-2310 | 2019-07-05 |
| 1770053449 | Shaunda L Hamilton | Contractor | 3109 Jenne Hill Dr, Columbia, MO 65202-4060 | 2018-11-26 |
| 1558843623 | Teddy Santiago | Contractor | 101b South Wasington, Sedalia, MO 65301 | 2018-09-05 |
| 1205354834 | Loice Kiante Jones | Contractor | 1315 E 83rd Terrace, Kansas City, MO 64131 | 2017-09-04 |
| 1568906162 | Daniel Draper | Contractor | 515 Andrews Ave, Dixon, MO 65459-6010 | 2016-12-15 |
| 1033651138 | Aaron Barnes | Contractor | 17508 Plattsburg Rd, Holt, MO 64048-8965 | 2016-11-07 |
| Find all providers with the same taxonomy | ||||
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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.