JAMES J LAGUARDIA (NPI# 1790766996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790766996 |
| Entity Type | Individual |
| Full Name | JAMES J LAGUARDIA |
| Credential | M.D. |
| Practice Address |
1723 Broadway St Cape Girardeau MO 63701-4566 |
| Mailing Address |
1723 Broadway St Suite 310 Cape Girardeau MO 63701-4566 |
| Practice Telephone | 5733317840 |
| Practice Fax Number | 5733317849 |
| Mailing Telephone | 5733317840 |
| Mailing Fax Number | 5733317849 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2015-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
01066417A | IN | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
036093727 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RAILROAD MEDICARE | P00834681 | 01 |
| IL | 036093727 | 05 | |
| IN | RAILROAD MEDICARE | P00739574 | 01 |
| Street Address |
1723 BROADWAY ST |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63701-4566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801893979 | Pairote Jaroonwanichkul | Internal Medicine | 1723 Broadway St, Suite 315, Cape Girardeau, MO 63701-4505 | 2005-07-05 |
| 1639611718 | Jared Michael Lewis | Physician Assistant | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4566 | 2016-11-07 |
| 1043768088 | Tyler Joshua Greenwood | Physician Assistant | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4566 | 2016-09-20 |
| 1275880429 | Jacob Louis Muckerman | Nurse Practitioner | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4566 | 2012-08-07 |
| 1003115536 | Gladys Grace Tiwonge Kamanga-sollo | Physical Medicine & Rehabilitation | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4566 | 2011-03-23 |
| 1780982215 | Southeast Missouri Hospital Physicians LLC | Clinic/Center | 1723 Broadway St, Suite 205, Cape Girardeau, MO 63701-4566 | 2011-03-08 |
| 1679876767 | Magin Lea Chapman | Nurse Practitioner | 1723 Broadway St, Cape Girardeau, MO 63701-4566 | 2010-12-10 |
| 1821398678 | Andrew N Garner | Clinical Nurse Specialist | 1723 Broadway St, Cape Girardeau, MO 63701-4566 | 2010-10-27 |
| 1013222983 | Michele L Tanz | Nurse Practitioner | 1723 Broadway St, Suite 220, Cape Girardeau, MO 63701-4566 | 2010-08-16 |
| 1396066734 | Stephanie Lee Riley | Nurse Practitioner | 1723 Broadway St, Ste 410, Cape Girardeau, MO 63701-4566 | 2010-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1972079580 | Savannah Laine Menard | Behavior Technician | 20 S. Sprigg St, Cape Girardeau, MO 63701 | 2018-10-22 |
| 1932690377 | Broadway Specialty, LLC | Pharmacy | 706 Broadway St, Cape Girardeau, MO 63701 | 2018-05-22 |
| 1356864649 | Terri L. Mccord | Pharmacist | 4170 Connor Dr, Cape Girardeau, MO 63701 | 2017-07-19 |
| 1013459312 | Christina Cossou | Nurse Practitioner | 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 | 2016-11-17 |
| 1124573365 | Ashley Sullivan | Massage Therapist | 3041 Melrose Ave, Cape Girardeau, MO 63701 | 2016-08-17 |
| 1225432172 | Axpm - Merkley, LLC | Dentist | 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 | 2014-10-21 |
| 1639573397 | Marian Perez Hurt | Physical Therapist | 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 | 2014-10-09 |
| 1891194213 | Deanna Abner | Case Manager/Care Coordinator | 20 South Sprigg, Cape Girardeau, MO 63701 | 2014-08-21 |
| 1831506880 | Kwadwo O Britwum | Behavioral Analyst | Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 | 2014-07-22 |
| Find all providers in zip 63701 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497868525 | Seh Neurology LLC | Psychiatry & Neurology | 63 Doctors Park, Cape Girardeau, MO 63703-4927 | 2006-08-15 |
| 1346251436 | Robert E Gardner | Psychiatry & Neurology | 3250 Gordonville Rd Ste 450, Cape Girardeau, MO 63703-5031 | 2006-08-11 |
| 1427088046 | Steven D Mellies | Psychiatry & Neurology | 3250 Gordonville Rd Ste 206, Cape Girardeau, MO 63703-5095 | 2006-07-03 |
| 1437544749 | Richard Daniel Ronca | Psychiatry & Neurology | 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | 2015-04-02 |
| 1104258144 | Aleksey Aleksandrovich Androsov | Psychiatry & Neurology | 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | 2013-08-01 |
| 1558626572 | Omar Kuzez | Psychiatry & Neurology | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2012-07-05 |
| 1225261357 | Neurological Consultants of Cape Girardeau, L.L.C. | Psychiatry & Neurology | 63 Doctors Park, Cape Girardeau, MO 63703-4927 | 2009-08-24 |
| 1053435719 | Neurologic Associates of Cape Girardeau, Inc | Psychiatry & Neurology | 3250 Gordonville Rd Ste 206, Cape Girardeau, MO 63703-5095 | 2007-03-19 |
| 1649320532 | Randall L Stahly | Psychiatry & Neurology | 63 Doctors Park, Cape Girardeau, MO 63703-4927 | 2007-01-11 |
| 1407945934 | Abdul B Chaudhari | Psychiatry & Neurology | 1723 Broadway, Suite 210, Cape Girardeau, MO 63701 | 2006-10-12 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
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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.