DR. MARYELLEN A AMATO (NPI# 1710021324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710021324 |
| Entity Type | Individual |
| Full Name | DR. MARYELLEN A AMATO |
| Other Name | MARYELLEN STRATMANN |
| Credential | MD |
| Practice Address |
1235 E Cherokee St Springfield MO 65804-2203 |
| Mailing Address |
Po Box 2580 Springfield MO 65801-2580 |
| Practice Telephone | 4178202865 |
| Practice Fax Number | 4178207865 |
| Mailing Telephone | 4178294620 |
| Mailing Fax Number | 4178294316 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207U00000X | Nuclear Medicine | R4C09 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | AR BLUE SHIELD # | 82709 | 01 |
| Street Address |
1235 E CHEROKEE ST |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982600284 | Maria J Brazil | Anesthesiology | 1235 E Cherokee St, Anesthesia, Springfield, MO 65804-2203 | 2005-06-22 |
| 1275155533 | Kevin Painter | Technician/Technologist | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2020-05-10 |
| 1023638939 | Rebecca Sue Holcomb | Dietitian, Registered | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2020-04-21 |
| 1508486895 | Matthew Austin Myers | Pharmacist | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2020-04-16 |
| 1013544477 | Virginia Mclaughlin | Speech-Language Pathologist | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2020-03-25 |
| 1265068134 | Alissa Leirer | Speech-Language Pathologist | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2020-03-23 |
| 1558994848 | Karla Guinter | Pharmacist | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2020-02-15 |
| 1760037766 | Anya Illyuk | Nurse Anesthetist, Certified Registered | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2019-08-06 |
| 1346892122 | Bradley Sean Chapman | Nurse Anesthetist, Certified Registered | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2019-07-12 |
| 1942852959 | Alison Atherton | Nurse Anesthetist, Certified Registered | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2019-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 207U00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone |
| 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 Nuclear Medicine, 2007. http://www.abnm.org/. A doctor of osteopathy was able to obtain a Certificate of Added Qualifications in the field of Nuclear Medicine. The Certificate is NO longer offered. - American Osteopathic Board of Nuclear Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659597136 | Kevin Paul Baehl | Nuclear Medicine | 3801 S National Ave, Cox Hospital-dept of Radiology, Springfield, MO 65807-5210 | 2007-04-17 |
| 1629117510 | Stephen E Long | Nuclear Medicine | 3231 S National Ave, Suite 130, Springfield, MO 65807-7304 | 2007-02-06 |
| 1760521660 | Robert E Sonnemaker | Nuclear Medicine | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2007-02-06 |
| 1215040209 | Anton Johnson | Nuclear Medicine | 800 E Carpenter St, Department of Radiology, Springfield, IL 62702-5324 | 2006-08-16 |
| 1790721926 | Mathews B Fish | Nuclear Medicine | 3311 Riverbend Dr, Springfield, OR 97477-8800 | 2006-06-22 |
| 1629035183 | Jayson R. St. Jacques | Nuclear Medicine | 271 Carew St, Springfield, MA 01104-2377 | 2006-04-27 |
| 1831162452 | Steven Bailey Allen | Nuclear Medicine | 271 Carew St, Springfield, MA 01104-2377 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477890184 | Syed Sertaj Akhtar | Nuclear Medicine | 1045 Pinegate Dr, Saint Louis, MO 63122-2409 | 2013-01-15 |
| 1932473766 | George P Wilson | Nuclear Medicine | 4402 Glen Eagle Dr, Columbia, MO 65203-4834 | 2012-02-24 |
| 1740306067 | Asif Moinuddin | Nuclear Medicine | 8985 S Swan Cir, Saint Louis, MO 63144-1717 | 2007-03-21 |
| 1902442650 | Amir Iravani Tabrizipour | Nuclear Medicine | 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 | 2019-11-18 |
| 1942850078 | Paul-robert Derenoncourt | Nuclear Medicine | 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 | 2019-09-20 |
| 1750728192 | Malak Itani | Nuclear Medicine | 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 | 2013-05-24 |
| 1962750265 | Rashmi Jain | Nuclear Medicine | 615 S New Ballas Rd, Dept of Nuclear Medicine/radiology, Saint Louis, MO 63141-8221 | 2012-08-17 |
| 1407118318 | Michael S. Moritz | Nuclear Medicine | 615 S New Ballas Rd, Saint Louis, MO 63141 | 2012-06-15 |
| 1104132331 | Garima Agrawal | Nuclear Medicine | 660 S Euclid Ave, Cmps Box 8131, Wash Univ-dept of Nuclear Medicine, Saint Louis, MO 63110-1010 | 2010-08-25 |
| 1154549459 | St Louis University | Nuclear Medicine | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2007-04-23 |
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| City | SPRINGFIELD |
| Zip Code | 65804 |
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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.