DR. LORRAINE M DODSON (NPI# 1619970761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619970761 |
| Entity Type | Individual |
| Full Name | DR. LORRAINE M DODSON |
| Other Name | DR. LORRAINE M FINCKE-DODSON |
| Credential | M.D. |
| Practice Address |
2016 S Main St Maryville MO 64468-2655 |
| Practice Telephone | 6605627918 |
| Practice Fax Number | 6605627946 |
| Mailing Telephone | 6605627918 |
| Mailing Fax Number | 6605627946 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | R5P04 | MO | Other Service Providers |
| Y | 207V00000X | Obstetrics & Gynecology | R5P04 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 203305917 | 05 | |
| MO | BNDD | 3920 | 01 |
| MO | DEA | BF2856500 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 301 E Price Ave Ste A, Savannah, MO 644852482 | 8164320006 | 8164320008 |
| 2016 S Main St, Maryville, MO 644682655 | 6605627999 | 6605627996 |
| 114 E South Hills Dr, Maryville, MO 644682659 | 6605622525 | 6605624303 |
| Street Address |
2016 S MAIN ST |
| City | MARYVILLE |
| State | MO |
| Zip Code | 64468-2655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275183055 | Alison Sporleder | Family Medicine | 2016 S Main St, Maryville, MO 64468-2655 | 2019-09-13 |
| 1982251856 | Paula Goodridge | Family Medicine | 2016 S Main St, Maryville, MO 64468-2655 | 2019-08-24 |
| 1184189797 | Mosaic Medical Center - Maryville | Internal Medicine | 2016 S Main St, Maryville, MO 64468-2655 | 2019-02-07 |
| 1568936995 | Mosaic Medical Center - Maryville | Medicare Defined Swing Bed Unit | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
| 1477027803 | Mosaic Medical Center - Maryville | Psychiatric Unit | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
| 1265906663 | Mosaic Medical Center - Maryville | General Acute Care Hospital | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
| 1821562265 | Mosaic Medical Center - Maryville | Clinic/Center | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
| 1194241349 | Angela Nicole Williamson | Nurse Practitioner | 2016 S Main St, Maryville, MO 64468-2655 | 2017-08-18 |
| 1225577372 | Estella Myrick | Nurse Practitioner | 2016 S Main St, Maryville, MO 64468-2655 | 2017-02-21 |
| 1558737874 | Megan Augustine | Nurse Practitioner | 2016 S Main St, Maryville, MO 64468-2655 | 2015-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619315603 | William Sean Prescott | Counselor | 318 North Main, Maryville, MO 64468 | 2013-06-12 |
| 1215284617 | Janet Luzmoor | Counselor | 109 East Summit Dr, Maryville, MO 64468 | 2012-08-06 |
| 1629336177 | Kristi Renee White | Social Worker | 423 N Market St, Maryville, MO 64468 | 2012-05-02 |
| 1285942474 | Kyle William Bowers | Physical Therapist | 2016 South Main Street, Maryville, MO 64468 | 2010-09-22 |
| 1861600660 | Debra Anne Hopkins | Physical Therapist | 2416 South Main St, Maryville, MO 64468 | 2007-05-18 |
| 1023235975 | Susan Kay Grispino | Occupational Therapist | Area Cooperative for Educational Support, 1429 South Munn Avenue, Maryville, MO 64468 | 2007-04-20 |
| 1760542567 | North West Missouri State University | Clinic/Center | 800 University Drive, Maryville, MO 64468 | 2006-12-11 |
| 1528154994 | Bruce E Twaddle | Dentist | 231 Summit Drive, Maryville, MO 64468 | 2006-10-05 |
| 1669588075 | Stanley David Snyder | Dentist | 2825 South Main Street, Maryville, MO 64468 | 2006-08-21 |
| 1710906896 | Ileen Richey-arellin | Social Worker | 109 E Summit Drive, Family Guidance Center, Maryville, MO 64468 | 2006-07-19 |
| Find all providers in zip 64468 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760965982 | Women's Care Group Pllc | Obstetrics & Gynecology | 270 Bmh Physician Office Building, Physicians Office Building, Maryville, TN 37804-3780 | 2018-09-13 |
| 1255727301 | Bryson Whalen | Obstetrics & Gynecology | 6812 State Route 162 Ste 301, Maryville, IL 62062-8562 | 2015-04-15 |
| 1922307115 | Erin Michal Wright | Obstetrics & Gynecology | 6810 State Route 162 Ste 215, Maryville, IL 62062-8566 | 2011-03-28 |
| 1154481364 | Patrice Staten | Obstetrics & Gynecology | 6810 State Route 162 Suite 105, Maryville, IL 62062-8501 | 2006-12-11 |
| 1326057381 | Elizabeth D Lebrun | Obstetrics & Gynecology | 1033 E Lamar Alexander Pkwy, Maryville, TN 37804 | 2006-08-07 |
| 1033172481 | Gary Merlin Mason | Obstetrics & Gynecology | 1503 E Lamar Alexander Pkwy, Maryville, TN 37804-5131 | 2006-04-07 |
| 1649232513 | Dale Bryant Elmore | Obstetrics & Gynecology | 417 E Lamar Alexander Pkwy, Maryville, TN 37804-5807 | 2006-04-05 |
| 1548238785 | John C Mcamis | Obstetrics & Gynecology | 1029 E Lamar Alexander Pkwy, Maryville, TN 37804-5134 | 2006-03-14 |
| 1306825856 | Christina L Midkiff | Obstetrics & Gynecology | 2023 Vadalabene Dr, Ste 200, Maryville, IL 62062-5631 | 2006-01-12 |
| 1356857171 | Maryville Womens Center PC | Obstetrics & Gynecology | 2016 Vadalabene Dr, Maryville, IL 62062-6901 | 2017-12-15 |
| Find all providers in MARYVILLE | ||||
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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.