EUGENE M TENORIO (NPI# 1821182197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821182197 |
| Entity Type | Individual |
| Full Name | EUGENE M TENORIO |
| Credential | M.D. |
| Practice Address |
1000 E Primrose St Suite 200 Springfield MO 65807-5154 |
| Mailing Address |
Po Box 4046 Springfield MO 65808-4046 |
| Practice Telephone | 4172691010 |
| Practice Fax Number | 4172696755 |
| Mailing Telephone | 4172691010 |
| Mailing Fax Number | 4172696755 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2017-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
R2P27 | MO | Allopathic & Osteopathic Physicians |
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
04-39612 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS OF MO | 31635 | 01 | |
| MO | 203023908 | 05 |
| Street Address |
1000 E PRIMROSE ST SUITE 200 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807-5154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437156601 | Sharon Kay Giboney | Nurse Practitioner | 1000 E Primrose St, Suite #270, Springfield, MO 65807-5154 | 2005-07-03 |
| 1336787399 | Hannah Lynn Savage | Nurse Practitioner | 1000 E Primrose St, Springfield, MO 65807-5154 | 2019-12-20 |
| 1730644840 | Trisha Leah Washburn | Nurse Practitioner | 1000 E Primrose St, Springfield, MO 65807-5154 | 2019-02-02 |
| 1477033603 | Terra R Vestal | Nurse Practitioner | 1000 E Primrose St, Springfield, MO 65807-5154 | 2018-08-16 |
| 1831678671 | Taylor M Jennings | Nurse Practitioner | 1000 E Primrose St, Springfield, MO 65807-5154 | 2018-08-13 |
| 1891224697 | John Pharris | Family Medicine | 1000 E Primrose St, Springfield, MO 65807-5154 | 2017-06-06 |
| 1407218712 | Brittney Harris | Registered Nurse | 1000 E Primrose St, Springfield, MO 65807-5154 | 2016-03-25 |
| 1316303993 | Gwen C Eastep | Nurse Practitioner | 1000 E Primrose St, Springfield, MO 65807-5154 | 2016-01-12 |
| 1356720999 | Thomas Mcmanus Jr. | Anesthesiologist Assistant | 1000 E Primrose St, Suite 520, Springfield, MO 65807-5154 | 2015-05-28 |
| 1235518036 | Kandice Jean Sanders | Anesthesiologist Assistant | 1000 E Primrose St, Suite 520, Springfield, MO 65807-5154 | 2015-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205810082 | Michael R Pranzatelli | Psychiatry & Neurology | Southern Illinois University Healthcare Administration, Springfield, IL 62794 | 2005-12-05 |
| 1619382645 | Dusit Adstamongkonkul | Psychiatry & Neurology | 1000 E Primrose St Ste 200, Springfield, MO 65807 | 2014-06-28 |
| 1700146792 | Adam J David | Psychiatry & Neurology | 50 Wason Avenue, Springfield, MA 01107-1274 | 2012-05-23 |
| 1619289311 | Jacqueline A. Hauer | Psychiatry & Neurology | 1965 S Fremont Ave, Suite 130, Springfield, MO 65804-2201 | 2010-07-10 |
| 1023246600 | Jeffrey Russell Frank | Psychiatry & Neurology | 1 Hayden Bridge Way, Springfield, OR 97477-9747 | 2009-06-23 |
| 1811105331 | James J Collins | Psychiatry & Neurology | 1965 S Fremont Ave Ste 130, Springfield, MO 65804-2252 | 2007-05-18 |
| 1366562159 | David C Dredge | Psychiatry & Neurology | 50 Wason Ave, 1st Fl, Springfield, MA 01107-1274 | 2007-03-29 |
| 1518058676 | Anthony H Jackson | Psychiatry & Neurology | 50 Wason Ave, 1st Floor, Springfield, MA 01107-1274 | 2006-09-27 |
| 1033200944 | Beth A. Rosen | Psychiatry & Neurology | 50 Wason Avenue, 1st Floor, Springfield, MA 01107-1274 | 2006-09-27 |
| 1255315065 | Theodore R Sunder | Psychiatry & Neurology | 421 N 9th St, Springfield, IL 62702-5317 | 2005-12-05 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
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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.