JAN SEABAUGH MD LLC (NPI# 1679933188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679933188 |
| Entity Type | Organization |
| Organization Name | JAN SEABAUGH MD LLC |
| Practice Address |
3315 Berrywood Dr Suite 207 Columbia MO 65201-6571 |
| Practice Telephone | 5738159062 |
| Practice Fax Number | 5734431162 |
| Mailing Telephone | 5738159062 |
| Mailing Fax Number | 5734431162 |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-03-16 |
| Authorized Official Name | JANICE L SEABAUGH (PHYSICIAN) |
| Authorized Official Telephone | 5738159062 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1134187487 | 05 |
| Street Address |
3315 BERRYWOOD DR SUITE 207 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-6571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740365857 | John Mark Mcmurtry | Urology | 3315 Berrywood Dr, Suite 201, Columbia, MO 65201-6571 | 2006-10-26 |
| 1740674340 | Midwest Sinus Allergy Inc. | Specialist | 3315 Berrywood Dr, Ste. 207, Columbia, MO 65201-6571 | 2015-03-23 |
| 1033559604 | Venkata Sai B Chinnakotla | Internal Medicine | 3315 Berrywood Dr, Columbia, MO 65201-6571 | 2013-06-27 |
| 1114067709 | Lachelle Lynn Crain | Speech-Language Pathologist | 3315 Berrywood Dr, Columbia, MO 65201-6571 | 2007-02-06 |
| 1316038318 | Joseph Lopiccolo | Psychologist | 3315 Berrywood Dr, Suite 201, Columbia, MO 65201-6571 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407207319 | Jesse Schmid | Otolaryngology | One Hosital Dr Ma314, Columbia, MO 65212 | 2016-06-22 |
| 1023419405 | Arya W Namin | Otolaryngology | One Hospital Dr Ma314, Columbia, MO 65212 | 2014-09-04 |
| 1144562356 | Robert Morgan Thomas | Otolaryngology | 2219 Danforth Ct, Columbia, MO 65201-6228 | 2013-03-26 |
| 1972737237 | Jason C Goodwin | Otolaryngology | 1 Hospital Dr # Ma314, Columbia, MO 65212-5276 | 2009-05-14 |
| 1134327067 | Elizabeth Lai | Otolaryngology | 1 Hospital Dr # Ma202f, Columbia, MO 65212-0001 | 2007-07-03 |
| 1093936395 | Ear, Nose & Throat Institute of Southern Illinois Ltd. | Otolaryngology | 4325 Ee Rd, Suite 205, Columbia, IL 62236-3445 | 2007-05-02 |
| 1821177916 | Midwest Sinus Allergy Specialists, Inc | Otolaryngology | 1701 E Broadway Suite 304, Columbia, MO 65201 | 2006-11-02 |
| 1841306693 | Ketan Shah | Otolaryngology | 1000 Eleven S, Ste 4f, Columbia, IL 62236-1080 | 2006-08-22 |
| 1194755314 | Chad B Gunnlaugsson | Otolaryngology | 1040 Pinnacle Point Dr, Columbia, SC 29223-5735 | 2006-07-04 |
| 1821025529 | Anna L Bouknight | Otolaryngology | 2801 Devine St Ste 101, Columbia, SC 29205-2511 | 2006-06-27 |
| 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.