STANLEY SIDES (NPI# 1780635862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780635862 |
| Entity Type | Individual |
| Full Name | STANLEY SIDES |
| Credential | M.D. |
| Practice Address |
211 Saint Francis Dr Suite 372 Cape Girardeau MO 63703-5049 |
| Mailing Address |
Po Box 843225 Kansas City MO 64184-3225 |
| Practice Telephone | 5733315525 |
| Practice Fax Number | 5733315534 |
| Mailing Telephone | 8132628160 |
| Mailing Fax Number | 8138916528 |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2013-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
R5439 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BCBS | 204849 | 01 |
| RAILROAD MEDICARE | P00303937 | 01 | |
| MO | 200248714 | 05 | |
| HEALTHLINK | 133641 | 01 |
| Street Address |
211 SAINT FRANCIS DR SUITE 372 |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63703-5049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617104 | Leigh A Hampton | Nurse Practitioner | 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | 2005-05-23 |
| 1043821556 | Sandra K Grebing | Nurse Practitioner | 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | 2020-08-10 |
| 1811506025 | Jennifer Sue Besand | Dietitian, Registered | 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | 2020-07-24 |
| 1639796626 | Haley Marie Nichols | Audiologist | 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | 2020-06-25 |
| 1871122341 | Christina Dougherty | Speech-Language Pathologist | 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | 2020-04-06 |
| 1194358473 | Emily Rhodes-griffith | Nurse Practitioner | 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | 2020-02-15 |
| 1174156517 | Stephanie Renee Asmus | Dietitian, Registered | 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | 2020-02-13 |
| 1750913679 | Tiffany Dawn Steffens | Dietitian, Registered | 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | 2020-02-08 |
| 1083246409 | Amanda Jane Hutson | Dietitian, Registered | 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | 2020-02-05 |
| 1992345342 | Jennifer Nichole Mclaughlin | Nurse Practitioner | 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | 2020-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
| 1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
| 1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
| 1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
| 1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
| 1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
| 1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
| 1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
| Find all providers in zip 63703 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962593731 | Mark Allen Meadors | Internal Medicine | 211 Saint Francis Dr, Suite 372, Cape Girardeau, MO 63703-5049 | 2006-09-27 |
| 1992755441 | Carlos Robles | Internal Medicine | 211 Saint Francis Dr, Suite 372, Cape Girardeau, MO 63703-5049 | 2006-05-12 |
| 1932159993 | Prem Sobti | Internal Medicine | 211 Saint Francis Dr, Suite 372, Cape Girardeau, MO 63703-5049 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558670265 | Ken Kobayashi | Internal Medicine | 1412 Se 7th Pl, Lees Summit, MO 64063-8509 | 2010-09-29 |
| 1659546240 | Amandeep Kalra | Internal Medicine | 2330 E Meyer Blvd Ste 401, Kansas City, MO 64132-1132 | 2008-04-24 |
| 1255544680 | Mark Andrew Schroeder | Internal Medicine | 10 Barnes West Dr Ste 100, Ste 100, Saint Louis, MO 63141-6350 | 2007-05-08 |
| 1669573077 | Virginia M Herrmann | Internal Medicine | 11155 Dunn Rd Ste 101e, Ste 101e, Saint Louis, MO 63136-6148 | 2006-09-26 |
| 1962410829 | Timothy Patrick Rearden | Internal Medicine | 11125 Dunn Rd Ste 100, Ste 100, Saint Louis, MO 63136-6132 | 2006-08-04 |
| 1023034261 | Ramaswamy Govindan | Internal Medicine | 4921 Parkview Pl Ste 7a, Ste 7a, Saint Louis, MO 63110-1032 | 2006-07-14 |
| 1124081799 | Anna Roshal | Internal Medicine | 150 Entrance Way, Saint Peters, MO 63376-1645 | 2006-04-06 |
| 1639140288 | Shalina D. Gupta-burt | Internal Medicine | 2750 Clay Edwards Dr Lowr Level010, North Kansas City, MO 64116-3237 | 2006-01-31 |
| 1043292246 | Peter Westervelt | Internal Medicine | 4921 Parkview Pl Fl 7, 7th Fl, Saint Louis, MO 63110-1032 | 2005-11-15 |
| 1295727493 | Juan Daniel Cuevas | Internal Medicine | 3440 De Paul Ln Ste 201, Bridgeton, MO 63044-3546 | 2005-08-16 |
| Find all providers with the same taxonomy | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63703 |
Please comment or provide details below to improve the information on STANLEY SIDES.
| 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.