MRS. JEANNE KORNHARDT (NPI# 1679521116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679521116 |
| Entity Type | Individual |
| Full Name | MRS. JEANNE KORNHARDT |
| Credential | M.D. |
| Practice Address |
1103 W Liberty St Farmington MO 63640-1921 |
| Mailing Address |
670 Mason Ridge Center Dr Ste 300 Saint Louis MO 63141-8573 |
| Practice Telephone | 5737566751 |
| Practice Fax Number | 5737566807 |
| Mailing Telephone | 5737566751 |
| Mailing Fax Number | 5737566807 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2012-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 110706 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1103 W LIBERTY ST |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407834187 | Raul A Borrego | Internal Medicine | 1103 W Liberty St, Farmington, MO 63640-1921 | 2006-01-04 |
| 1568985802 | Piyush Srivastava | Pediatrics | 1103 W Liberty St, Farmington, MO 63640-1921 | 2017-07-19 |
| 1457896664 | Jason Edward Portell | Nurse Practitioner | 1103 W Liberty St, Farmington, MO 63640-1921 | 2016-12-23 |
| 1154875169 | Megan D Huhman | Nurse Practitioner | 1103 W Liberty St, Farmington, MO 63640-1921 | 2016-08-08 |
| 1427401017 | Lauren Oberle | Nurse Practitioner | 1103 W Liberty St, Farmington, MO 63640-1921 | 2016-07-19 |
| 1154771715 | Joan Azoury | Obstetrics & Gynecology | 1103 W Liberty St, Farmington, MO 63640-1921 | 2016-06-14 |
| 1447612601 | Andrea Fisher | Nurse Practitioner | 1103 W Liberty St, Farmington, MO 63640-1921 | 2016-03-25 |
| 1578948188 | Reshma Eugene | Family Medicine | 1103 W Liberty St, Farmington, MO 63640-1921 | 2015-07-24 |
| 1093193377 | John David Edward Cooper | Obstetrics & Gynecology | 1103 W Liberty St, Farmington, MO 63640 | 2015-05-07 |
| 1346641115 | Tara R Wadlow | Nurse Practitioner | 1103 W Liberty St, Farmington, MO 63640-1921 | 2014-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801247861 | John Frederick Harper | Pediatrics | 175 Scott Swamp Rd, Farmington, CT 06032-3124 | 2016-06-30 |
| 1497094924 | Frederic Taylor Mauck | Pediatrics | 12 Porter Rd, Farmington, CT 06032-2221 | 2013-02-04 |
| 1497046049 | Bradley J. Scoggins | Pediatrics | 407 S Schwartz Ave Ste 102, Farmington, NM 87401-5925 | 2011-04-29 |
| 1053637389 | Alyssa S Bennett | Pediatrics | 505 Farmington Ave Fl 2, Farmington, CT 06032-1901 | 2010-04-12 |
| 1831338128 | Nordie Anne Bilbao | Pediatrics | 505 Farmington Ave Ste 1s, Farmington, CT 06032 | 2009-02-11 |
| 1790705804 | Barbara Ziogas | Pediatrics | 1 Forest Park Dr, Route 4, Farmington, CT 06032-1487 | 2006-07-20 |
| 1255363149 | Richard Grenville Diedrich | Pediatrics | 1001 D W. Broadway, Farmington, NM 87401 | 2006-07-07 |
| 1902837701 | John C Hickey | Pediatrics | 181 Franklin Health Cmns, Farmington, ME 04938-6144 | 2006-07-06 |
| 1912949645 | Nasreen Merchant | Pediatrics | 23133 Orchard Lake Rd, Suite 100, Farmington, MI 48336-3268 | 2006-06-10 |
| 1093777948 | Deepa Limaye | Pediatrics | 200 Mountain Rd, Farmington, CT 06032-2479 | 2006-04-05 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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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.