TONY PAUL PATHADAN (NPI# 1720566862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720566862 |
| Entity Type | Individual |
| Full Name | TONY PAUL PATHADAN |
| Credential | DO |
| Practice Address |
315 S Osteopathy Ave Kirksville MO 63501-6401 |
| Mailing Address |
715 Erin Pl Kirksville MO 63501-4698 |
| Practice Telephone | 6607851000 |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2018023113 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
315 S OSTEOPATHY AVE |
| City | KIRKSVILLE |
| State | MO |
| Zip Code | 63501-6401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932185154 | Sheri E Brinser | Anesthesiology | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2005-12-20 |
| 1700487808 | Dominick Jay Wright | Family Medicine | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-11-04 |
| 1205444999 | Jared Huffman | Neuromusculoskeletal Medicine & OMM | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-07-19 |
| 1720606023 | Ripley Emergency Group, LLC | Physician Assistant | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-07-13 |
| 1053939363 | Katherine Lynne Holbrook | Family Medicine | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-07-13 |
| 1013535988 | Olaf Js Samuelson | Family Medicine | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-07-08 |
| 1285252973 | Cameron Sinclair Olsen | Internal Medicine | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-07-08 |
| 1710505557 | Sydney Priest | Family Medicine | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-07-08 |
| 1407473614 | Courtney Plachno | Neuromusculoskeletal Medicine & OMM | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-07-03 |
| 1730706243 | Melissa Anne Mann | Internal Medicine | 315 S Osteopathy Ave, Attn Dme Office, Kirksville, MO 63501-6401 | 2020-06-30 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902829963 | Sarah L Brewer | Internal Medicine | 315 S Osteopathy St, Kirksville, MO 63501 | 2006-07-25 |
| 1285252973 | Cameron Sinclair Olsen | Internal Medicine | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2020-07-08 |
| 1730706243 | Melissa Anne Mann | Internal Medicine | 315 S Osteopathy Ave, Attn Dme Office, Kirksville, MO 63501-6401 | 2020-06-30 |
| 1528611811 | Dalton Louis Ebel | Internal Medicine | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2019-07-16 |
| 1720640170 | Amy Bowers | Internal Medicine | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2019-07-06 |
| 1356826382 | Stephen James Hyde | Internal Medicine | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2018-09-25 |
| 1881170322 | Hasan Mohammad Syed | Internal Medicine | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2018-07-18 |
| 1457847139 | Jessicaann Zandra Tuia | Internal Medicine | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2018-07-06 |
| 1902392665 | Michael Tony Nguyen | Internal Medicine | 315 S Osteopathy Ave, Kirksville, MO 63501 | 2018-07-05 |
| 1821593039 | Mercy Fultang | Internal Medicine | 315 S Osteopathy Ave, Kirksville, MO 63501-6401 | 2018-03-28 |
| 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.