DR. JACQUELINE A TRESCHUK-BAHN (NPI# 1578533840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578533840 |
Entity Type | Individual |
Full Name | DR. JACQUELINE A TRESCHUK-BAHN |
Other Name | MS. JACQUELINE A TRESCHUK |
Credential | MD |
Practice Address |
70 Doctors Park Cape Girardeau MO 63703-4928 |
Practice Telephone | 5733346071 |
Practice Fax Number | 5733344739 |
Mailing Telephone | 5733346071 |
Mailing Fax Number | 5733344739 |
Enumeration Date | 2006-01-26 |
Last Update Date | 2013-11-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2012029923 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036078816 | 05 | |
KY | BCBS ANTHEM | 000000553574 | 01 |
KY | 7100041220 | 05 |
Street Address |
70 DOCTORS PARK |
City | CAPE GIRARDEAU |
State | MO |
Zip Code | 63703-4928 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851946602 | Jennifer Roberg | Nurse Practitioner | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2019-08-08 |
1083018428 | Yuan Yuan Xie | Radiology | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2014-10-14 |
1699195701 | Evan Mason | Radiology | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2014-04-16 |
1043651177 | Savannah Marie Lawson | Radiology Practitioner Assistant | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2013-07-17 |
1225474612 | Monica J Uceda Arriola | Radiology | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2013-05-13 |
1780968198 | Ryan Bernarr Siebert | Radiology | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2011-10-04 |
1609163500 | Patrick Michael Keating | Radiology | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2011-06-30 |
1124357926 | Blair Gordon Gill | Radiology | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2009-12-08 |
1487883666 | Evan Barclay Moser | Radiology | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2009-07-08 |
1053576827 | Jeffrey William Boss | Radiology | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2008-07-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
Find all providers in zip 63703 |
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 |
---|---|---|---|---|
1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
1073563755 | Breast Care and Diagnostic Center LLC | Radiology | 60 Doctors Park, Cape Girardeau, MO 63703-4928 | 2006-05-11 |
1083018428 | Yuan Yuan Xie | Radiology | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2014-10-14 |
1699195701 | Evan Mason | Radiology | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2014-04-16 |
1780968198 | Ryan Bernarr Siebert | Radiology | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2011-10-04 |
1609163500 | Patrick Michael Keating | Radiology | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2011-06-30 |
1124357926 | Blair Gordon Gill | Radiology | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2009-12-08 |
1487883666 | Evan Barclay Moser | Radiology | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2009-07-08 |
1053576827 | Jeffrey William Boss | Radiology | 70 Doctors Park, Cape Girardeau, MO 63703-4928 | 2008-07-22 |
1073776407 | Justin Ray Hodge | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2008-07-07 |
Find all providers in CAPE GIRARDEAU |
City | CAPE GIRARDEAU |
Zip Code | 63703 |
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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.