DR. BRIAN DEGENHARDT (NPI# 1700091782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700091782 |
| Entity Type | Individual |
| Full Name | DR. BRIAN DEGENHARDT |
| Credential | D.O. |
| Practice Address |
800 W Jefferson St Kirksville MO 63501-1443 |
| Practice Telephone | 6606262304 |
| Practice Fax Number | 6606262626 |
| Mailing Telephone | 6606262304 |
| Mailing Fax Number | 6606262626 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2016-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 41887 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1700091782 | 05 |
| Street Address |
800 W JEFFERSON ST |
| City | KIRKSVILLE |
| State | MO |
| Zip Code | 63501-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073131298 | Rachel Catherine Selby | Nurse Practitioner | 800 W Jefferson St, Kirksville, MO 63501-1443 | 2020-07-14 |
| 1225651003 | John Dylan Pate | Student in an Organized Health Care Education/Training Program | 800 W Jefferson St, Kirksville, MO 63501-1443 | 2020-05-27 |
| 1205487352 | Ariana Sauve | Hearing Instrument Specialist | 800 W Jefferson St, Kirksville, MO 63501-1443 | 2019-09-20 |
| 1275186165 | Quinn Allen Quebodeaux | Family Medicine | 800 W Jefferson St, Kirksville, MO 63501-1443 | 2019-07-19 |
| 1962975607 | Angela D Peper | Student in an Organized Health Care Education/Training Program | 800 W Jefferson St, Kirksville, MO 63501-1443 | 2019-01-04 |
| 1104302264 | Adepitan Owosho | Dentist | 800 W Jefferson St, Kirksville, MO 63501-1443 | 2018-07-12 |
| 1376039560 | Peter S Gills | Family Medicine | 800 W Jefferson St, Kirksville, MO 63501-1443 | 2018-07-10 |
| 1285129304 | Eric Richard Lesh | Family Medicine | 800 W Jefferson St, Kirksville, MO 63501-1443 | 2018-06-30 |
| 1336597442 | Heartland Surgical Specialists, L.l.p. | Surgery | 800 W Jefferson St, Kirksville, MO 63501-1443 | 2016-05-31 |
| 1851753214 | Brent Dixon | Neuromusculoskeletal Medicine & OMM | 800 W Jefferson St, Kirksville, MO 63501-1443 | 2016-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855642 | Tiffany Anna Athon | Pharmacist | Hy-vee Pharmacy, 500 N Baltimore, Kirksville, MO 63501 | 2020-06-11 |
| 1649829425 | Jillian Jo Pulis | Speech-Language Pathologist | 1300 S Cottage Ave, Kirksville, MO 63501 | 2019-09-05 |
| 1023662319 | Leah Dawn Murphy | Occupational Therapy Assistant | 1705 E La Harpe St, Kirksville, MO 63501 | 2019-07-25 |
| 1902302912 | Brittney Frances Snelling | Specialist/Technologist | 26820 State Hwy 11, Kirksville, MO 63501 | 2018-03-30 |
| 1063931434 | Kara Wehmeyer | Specialist/Technologist | 100 East Normal, Kirksville, MO 63501 | 2017-09-16 |
| 1285080796 | Hawkins Boone Mecham | General Practice | 407 S Main St # 2, Kirksville, MO 63501 | 2016-05-13 |
| 1003287848 | Lacosta Gaines | Nurse Practitioner | 1607 South Baltimore, Kirksville, MO 63501 | 2015-10-19 |
| 1427442573 | Madi Hoppe | Specialist/Technologist | 23571 Crest Trail, Kirksville, MO 63501 | 2015-03-26 |
| 1407247133 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 906 East Shepherd Avenue, Kirksville, MO 63501 | 2015-02-17 |
| 1497069694 | Ella Marie Callison | Physician Assistant | 1611 S Baltimore St Ste A, Kirksville, MO 63501 | 2010-07-29 |
| Find all providers in zip 63501 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811540347 | Ying Wang | Neuromusculoskeletal Medicine & OMM | 1516 S Osteopathy Ave Apt 3, Kirksville, MO 63501-1739 | 2019-07-23 |
| 1831459940 | Martin Jan Pryor | Neuromusculoskeletal Medicine & OMM | 315 S. Osteopathy Street, Attn: Gme, Kirksville, MO 63501-0491 | 2012-05-22 |
| 1609019736 | Steven Lee Funk | Neuromusculoskeletal Medicine & OMM | 509 E Harrison St, Kirksville, MO 63501-3141 | 2009-04-20 |
| 1083643100 | Osteopathic Medical Arts, LLC | Neuromusculoskeletal Medicine & OMM | 27176 St Hwy 6 E, Kirksville, MO 63501 | 2006-07-01 |
| 1205444999 | Jared Huffman | Neuromusculoskeletal Medicine & OMM | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-07-19 |
| 1407473614 | Courtney Plachno | Neuromusculoskeletal Medicine & OMM | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-07-03 |
| 1225681356 | Daniel Kraft | Neuromusculoskeletal Medicine & OMM | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2019-07-17 |
| 1568930857 | Alexander Frantzis | Neuromusculoskeletal Medicine & OMM | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2018-11-05 |
| 1851753214 | Brent Dixon | Neuromusculoskeletal Medicine & OMM | 800 W Jefferson St, Kirksville, MO 63501-1443 | 2016-03-24 |
| 1992050496 | Gregory Hon | Neuromusculoskeletal Medicine & OMM | 315 S Osteopathy St, Dme Office, Kirksville, MO 63501 | 2012-07-20 |
| Find all providers in KIRKSVILLE | ||||
| City | KIRKSVILLE |
| Zip Code | 63501 |
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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.