ZUBRES RADIOLOGY INC (NPI# 1679550784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679550784 |
| Entity Type | Organization |
| Organization Name | ZUBRES RADIOLOGY INC |
| Practice Address |
221 Physicians Park Poplar Bluff MO 63901-3956 |
| Mailing Address |
Po Box 459 Poplar Bluff MO 63902-0459 |
| Practice Telephone | 5737279080 |
| Mailing Telephone | 5732227441 |
| Mailing Fax Number | 5732227479 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2008-09-23 |
| Authorized Official Name | DR. MARK ZUBRES (PRESIDENT) |
| Authorized Official Telephone | 5732227441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE ID | 000015665 | 01 | |
| AR | 159670003 | 05 | |
| MO | RAILROAD MEDICARE | P00254931 | 01 |
| FIRST HEALTH | 1198060 | 01 | |
| HEALTHLINK INC | 211107 | 01 | |
| MO | RAILROAD MEDICARE | DN3307 | 01 |
| MO | BCBS OF MO | 1191801 | 01 |
| MO | 242912434 | 05 |
| Street Address |
221 PHYSICIANS PARK |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-3956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407845472 | Poplar Bluff Medical Partners, LLC | Clinic/Center | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2005-10-20 |
| 1033536974 | Ray E Peters Do Inc | Internal Medicine | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2014-03-27 |
| 1679859219 | Visionary Radiology, PC | Radiology | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2011-10-27 |
| 1003007329 | Shirley A Jautz | Nurse Anesthetist, Certified Registered | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2007-08-05 |
| 1811030737 | Cathy Jo Parsells | Radiology | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2007-02-14 |
| 1750328449 | Ray E. Peters Jr. | Internal Medicine | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2006-06-01 |
| 1932186004 | Donna L Almond | Radiology | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2005-12-29 |
| 1326025412 | Heartland Radiology, Inc. | Radiology | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 2085U0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Ultrasound |
| A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306467741 | Renee Elizabeth Locandro | Radiology | 1 Hospital Dr, Columbia, MO 65212-1000 | 2020-04-27 |
| 1285672758 | Richard Kuckelman | Radiology | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2006-06-04 |
| City | POPLAR BLUFF |
| Zip Code | 63901 |
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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.