TOTKA R. KOUTZEVA-DUSSEL (NPI# 1821495607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821495607 |
| Entity Type | Individual |
| Full Name | TOTKA R. KOUTZEVA-DUSSEL |
| Credential | MD |
| Practice Address |
2135 S Fremont Ave Springfield MO 65804 |
| Mailing Address |
2135 S Fremont Ave Springfield MO 65804-2239 |
| Practice Telephone | 4178202364 |
| Mailing Telephone | 4178202364 |
| Enumeration Date | 2014-11-23 |
| Last Update Date | 2019-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 2018012675 | MO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2135 S FREMONT AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578528840 | Alicia Marie Inmon | Specialist/Technologist | 2135 S Fremont Ave, Springfield, MO 65804-2239 | 2006-04-19 |
| 1699219717 | Ashleigh Kate Gray | Occupational Therapist | 2135 S Fremont Ave, Springfield, MO 65804-2239 | 2016-12-08 |
| 1821532953 | Lindsi Johnson | Occupational Therapist | 2135 S Fremont Ave, Springfield, MO 65804-2239 | 2016-12-08 |
| 1710437488 | Meredith Hoffmeyer | Nurse Practitioner | 2135 S Fremont Ave, Springfield, MO 65804-2239 | 2016-10-06 |
| 1992191274 | Charles Albritton | Obstetrics & Gynecology | 2135 S Fremont Ave, Springfield, MO 65804-2239 | 2015-04-13 |
| 1871906149 | Megan Jeffris | Specialist/Technologist | 2135 S Fremont Ave, Springfield, MO 65804-2239 | 2014-06-04 |
| 1083033385 | Amy Smith | Specialist/Technologist | 2135 S Fremont Ave, Springfield, MO 65804-2239 | 2014-04-15 |
| 1952743767 | Alexandria Annalicia Jauregui-dusseau | Specialist/Technologist | 2135 S Fremont Ave, Springfield, MO 65804-2239 | 2013-07-22 |
| 1992063697 | Jeremy Ray Tjarks | Specialist/Technologist, Other | 2135 S Fremont Ave, Springfield, MO 65804-2239 | 2012-05-01 |
| 1356609051 | Emily Ann Carpenter | Specialist/Technologist | 2135 S Fremont Ave, Springfield, MO 65804-2239 | 2012-05-01 |
| Find all providers in the same location | ||||
| 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 | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1386887453 | Michael G. Ryan | Physical Medicine & Rehabilitation | 1335 E Republic Rd, Suite D, Springfield, MO 65804-7204 | 2009-04-19 |
| 1255478970 | Thomas B. Corsolini | Physical Medicine & Rehabilitation | 3520 S Culpepper Circle Ste. D, Springfield, MO 65804 | 2007-01-31 |
| 1790857068 | Martin F Bertram | Physical Medicine & Rehabilitation | 4960 Middle Urbana Rd, Springfield, OH 45503 | 2006-11-14 |
| 1518038314 | Randal S Richardson | Physical Medicine & Rehabilitation | 4230 E. National Road (rear), Springfield, OH 45505-1714 | 2006-11-13 |
| 1720028327 | Patrick Murphy | Physical Medicine & Rehabilitation | 57 S State Rd, Springfield, PA 19064-1638 | 2006-06-08 |
| 1336125665 | Howard C Lederman | Physical Medicine & Rehabilitation | 233 Carew St, Springfield, MA 01104-2377 | 2005-12-19 |
| 1194718270 | Charles C Mauldin Jr. | Physical Medicine & Rehabilitation | 1308 N Glenstone Ave, Springfield, MO 65802-2130 | 2005-08-24 |
| 1720087463 | Carl Douglas Porter | Physical Medicine & Rehabilitation | 100 Medical Center Dr, Springfield, OH 45504-2687 | 2005-07-15 |
| 1265439343 | Phuong Xuan Mai | Physical Medicine & Rehabilitation | 6620 Keene Dr, Springfield, VA 22152-2508 | 2005-07-05 |
| Find all providers in SPRINGFIELD | ||||
| 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.