UNIVERSITY OF MISSOURI (NPI# 1639613813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639613813 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF MISSOURI |
| Practice Address |
1100 Virginina Ave Columbia MO 65212-0001 |
| Practice Telephone | 5738822663 |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |
| Authorized Official Name | TERESA SPURLING (PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 5738843019 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952443624 | University of Missouri | Specialist | University of Missouri-columbia, 310 Portland Ave, Suite 110, Columbia, MO 65211-0001 | 2007-02-12 |
| 1972910487 | University of Missouri | Psychiatric Hospital | 1 Hospital Dr, Columbia, MO 65201-5276 | 2014-07-16 |
| 1124173372 | University of Missouri | Speech-Language Pathologist | 300 Portland St, Columbia, MO 65201-6569 | 2007-01-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY OF MISSOURI | One University Blvd, Saint Louis, MO 63121-4400 |
| System for Award Management (SAM) Entities | UNIVERSITY OF MISSOURI - SAINT LOUIS | One University Blvd, Saint Louis, MO 63121-4400 |
| System for Award Management (SAM) Entities | UNIVERSITY OF MISSOURI EXTENSION | 615 Olive St Ste 1300, Saint Louis, MO 63101-1931 |
| System for Award Management (SAM) Entities | UNIVERSITY OF MISSOURI-KANSAS | 5115 Oak St Ste 300c, Kansas City, MO 64110-2715 |
| Street Address |
1100 VIRGININA AVE |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65212-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225594112 | Hee Young Lee | Student in an Organized Health Care Education/Training Program | 1100 Virginia Avenue, University of Missouri Health Car, Columbia, MO 65212 | 2019-02-15 |
| 1093200966 | Alexander John Lubinski | Radiology | 1 Hospital Drive Dco6910, Columbia, MO 65212 | 2018-06-24 |
| 1235638156 | Jami Bates | Physician Assistant | University of Missouri Hospital 1 Hospital Drive, Columbia, MO 65212 | 2018-02-06 |
| 1124554589 | John Wuennenberg | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Floor, Columbia, MO 65212 | 2017-05-04 |
| 1336672005 | William Paul Christensen | Physical Medicine & Rehabilitation | One Hospital Dr Dc046.00, Dc046.00, Columbia, MO 65212 | 2017-04-09 |
| 1881127108 | Kelli Danielle Bryant | Student in an Organized Health Care Education/Training Program | 1020 Hitt St 2nd Florr, Columbia, MO 65212 | 2017-04-04 |
| 1952832859 | Juhi Koolwal | Radiology | 1 Hospital Dirve Ddc06910, Columbia, MO 65212 | 2017-03-22 |
| 1518319136 | Joseph Patrick Herbert | Neurological Surgery | One Hospital Drive, Dc048.00, Mc314 Mchaney Hall, Columbia, MO 65212 | 2016-07-07 |
| 1407207319 | Jesse Schmid | Otolaryngology | One Hosital Dr Ma314, Columbia, MO 65212 | 2016-06-22 |
| 1508216920 | David Koch | Radiology | 1 Hospital Drive, Dc06910, Columbia, MO 65212 | 2016-06-16 |
| Find all providers in zip 65212 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407484041 | Vistina Metts Johnson | Nurse Practitioner | 121 Executive Center Dr Ste 131, Columbia, SC 29210-8492 | 2020-03-30 |
| 1265078570 | Paula Nicole Allen | Nurse Practitioner | 133 Beaver Dam Rd, Columbia, SC 29223-3101 | 2019-11-21 |
| 1922511054 | Anne Louise Grogan-hanford | Nurse Practitioner | 1317 Quail Vly W, Columbia, SC 29212-1554 | 2017-11-11 |
| 1861428625 | Linda Ann Poquette | Nurse Practitioner | 10832 Symphony Way, Columbia, MD 21044-4921 | 2006-06-24 |
| 1417560889 | Aziz Petiwala | Nurse Practitioner | 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203-8006 | 2020-08-26 |
| 1134751084 | James Stewart Morgan | Nurse Practitioner | 1601 Greene St, Columbia, SC 29208-4001 | 2020-02-09 |
| 1457831125 | Deidra M Singleton | Nurse Practitioner | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2018-08-21 |
| 1033697362 | Kyle Gross | Nurse Practitioner | 3 Richland Medical Park Dr Ste 510, Columbia, SC 29203-6854 | 2018-07-30 |
| 1407333446 | Kimberly Ann Robertson | Nurse Practitioner | 1600 E Broadway, Columbia, MO 65201-5844 | 2018-07-23 |
| 1962989020 | Alexandra Budnyk | Nurse Practitioner | 6334 Cedar Ln Ste 103, Columbia, MD 21044-3898 | 2018-07-22 |
| Find all providers in COLUMBIA | ||||
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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.