SSM REGIONAL HEALTH SERVICES OWNING & OPERATING ST. MARYS HEALTH CENTE (NPI# 1528014123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528014123 |
Entity Type | Organization |
Organization Name | SSM REGIONAL HEALTH SERVICES OWNING & OPERATING ST. MARYS HEALTH CENTE |
Other Organization Name | OCCUPATIONAL MEDICINE |
Practice Address |
2511 W Edgewood Dr Ste F Jefferson City MO 65109-5869 |
Mailing Address |
Po Box 1027 Jefferson City MO 65102-1027 |
Practice Telephone | 5736344133 |
Practice Fax Number | 5737616947 |
Mailing Telephone | 5573761724 |
Mailing Fax Number | 5737616947 |
Enumeration Date | 2006-05-25 |
Last Update Date | 2007-07-28 |
Authorized Official Name | BRENT VAN CONIA (PRESIDENT) |
Authorized Official Telephone | 5737617000 |
Is Organization Subpart | Y |
Parent Organization Name | SSM REGIONAL HEALTH SERVICES |
Parent Organization TIN |
|
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Occupational Medicine | Doing Business As Name - Organization |
Street Address |
2511 W EDGEWOOD DR STE F |
City | JEFFERSON CITY |
State | MO |
Zip Code | 65109-5869 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467459503 | Elizabeth Ann Hosmer | Family Medicine | 2511 W Edgewood Dr, Ste D, Jefferson City, MO 65109-5869 | 2005-07-05 |
1740720358 | Erin Briana Gerloff | Nurse Practitioner | 2511 W Edgewood Dr, Suite D, Jefferson City, MO 65109-5869 | 2017-03-01 |
1689038101 | Elizabeth Marie Fagiolo | General Acute Care Hospital | 2511 W Edgewood Dr, Suite D, Jefferson City, MO 65109 | 2016-04-11 |
1689031254 | Jillynn Rachele Hull | Nurse Practitioner | 2511 W Edgewood Dr, Suite G, Jefferson City, MO 65109-5869 | 2016-01-26 |
1295140432 | Treesa Renee Riedel | Nurse Practitioner | 2511 W Edgewood Dr, Suite D, Jefferson City, MO 65109-5869 | 2014-06-26 |
1598995359 | Sadia Malik | Family Medicine | 2511 W Edgewood Dr, Ste F, Jefferson City, MO 65109-5869 | 2009-07-15 |
1831288869 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr, Suite D, Jefferson City, MO 65109-5869 | 2006-10-11 |
1629011812 | Garry D Pearson | Family Medicine | 2511 W Edgewood Dr, Suite F, Jefferson City, MO 65109-5869 | 2006-06-14 |
1790722437 | Neville Davis | Emergency Medicine | 2511 W Edgewood Dr, Ste D, Jefferson City, MO 65109-5869 | 2006-06-01 |
1144277815 | James Alan Corbett | Nurse Practitioner | 2511 W Edgewood Dr, Ste D, Jefferson City, MO 65109-5869 | 2006-05-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
Find all providers in zip 65109 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396782587 | Ssm Regional Health Services | Clinic/Center | 3348 American Ave, Jefferson City, MO 65109-1079 | 2006-05-31 |
1366865263 | Align Chiropractic Clinic LLC | Clinic/Center | 1002 Diamond Rdg, Suite 200, Jefferson City, MO 65109-6896 | 2014-01-28 |
1487961173 | Mountain View Pediatrics and Internal Medicine | Clinic/Center | 657 E Broadway Blvd, Jefferson City, TN 37760-4948 | 2010-09-02 |
1588979900 | Capital Region Medical Center | Clinic/Center | 1616 Southridge Dr, Suite 203, Jefferson City, MO 65109-5677 | 2010-08-10 |
1770804734 | Capital Region Medical Center | Clinic/Center | 1125 Madison St, Jefferson City, MO 65101-5227 | 2010-06-14 |
1942528930 | Jefferson Pulmonary Group | Clinic/Center | 120 Hospital Dr Ste 220, Jefferson City, TN 37760-5286 | 2010-05-14 |
1740415025 | Jefferson Hearts Consultants | Clinic/Center | 120 Hospital Dr, Suite 250, Jefferson City, TN 37760-5287 | 2009-05-15 |
1962637231 | Baptist Primary & Senior Healthcare Clinic Jefferson City | Clinic/Center | 1413 Russell Ave, Jefferson City, TN 37760-2562 | 2009-05-15 |
1467597872 | Family Counseling Center of Missouri Inc | Clinic/Center | 204 Metro Dr, Suite B, Jefferson City, MO 65109-4408 | 2007-02-21 |
1679510861 | Ssm Regional Health Services | Clinic/Center | 200 Saint Marys Plz, Suite 201, Jefferson City, MO 65101-1604 | 2006-05-31 |
Find all providers in JEFFERSON CITY |
City | JEFFERSON CITY |
Zip Code | 65109 |
Please comment or provide details below to improve the information on SSM REGIONAL HEALTH SERVICES OWNING & OPERATING ST. MARYS HEALTH CENTE.
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.