SPORT AND SPINE REHAB (NPI# 1861800070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861800070 |
| Entity Type | Organization |
| Organization Name | SPORT AND SPINE REHAB |
| Practice Address |
303 N Keene St Ste 102 Columbia MO 65201-7193 |
| Practice Telephone | 5734430225 |
| Mailing Telephone | 5734430225 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |
| Authorized Official Name | MARTY MORRIS (MANAGER) |
| Authorized Official Telephone | 5734430225 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | 2011030640 | MO | Managed Care Organizations |
| Street Address |
303 N KEENE ST STE 102 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-7193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992796577 | Kathleen Wlaton David | Family Medicine | 303 N Keene St, Suite 301, Columbia, MO 65201-7193 | 2005-11-02 |
| 1366996050 | Tia Bruce | Nurse Practitioner | 303 N Keene St, Suite 404, Columbia, MO 65201-7193 | 2016-08-10 |
| 1144673906 | Columbia Family Medical Services, Inc. | Family Medicine | 303 N Keene St, Suite 301, Columbia, MO 65201-7193 | 2016-07-18 |
| 1720440035 | Sarah E Ondocsin | Speech-Language Pathologist | 303 N Keene St, Suite 401, Columbia, MO 65201-7193 | 2016-03-25 |
| 1457731259 | Graham Michael Tinker | Dentist | 303 N Keene St, Ste. 206-210, Columbia, MO 65201-7193 | 2015-06-05 |
| 1013306042 | Carly Zimmerman | Physical Therapist | 303 N Keene St, Ste 102, Columbia, MO 65201-7193 | 2015-01-14 |
| 1376951590 | Shelton Blevins | Physical Therapist | 303 N Keene St, Ste 102, Columbia, MO 65201-7193 | 2014-07-31 |
| 1558781278 | Flow's Pharmacy, Inc | Pharmacy | 303 N Keene St, Columbia, MO 65201-7193 | 2014-04-21 |
| 1831538594 | Angela Rose Weis | Legal Medicine | 303 N Keene St, Ste 102, Columbia, MO 65201 | 2013-06-17 |
| 1063760460 | Plaza Dental Implant & Surgical Center, LLC | Dentist | 303 N Keene St, Suite 209, Columbia, MO 65201-7193 | 2012-08-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
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| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912410549 | Wellcare of South Carolina, Inc. | Health Maintenance Organization | 200 Center Point Cir Ste 180, Columbia, SC 29210-5895 | 2017-11-06 |
| 1932643095 | Diligent Healthcare, LLC | Health Maintenance Organization | 902 Sunset Cir, Columbia, MS 39429-2212 | 2016-12-08 |
| 1710356464 | Devoted Care and Transition Services-hospice, LLC | Health Maintenance Organization | 429 Spring Oak Ln, Columbia, SC 29229-7165 | 2015-09-23 |
| 1013347046 | D-life Fitness, LLC | Health Maintenance Organization | 711 Vandiver Dr Ste J&k, Columbia, MO 65202-1593 | 2013-11-12 |
| 1417147059 | Amerigroup Community Care of South Caroli | Health Maintenance Organization | 250 Berryhill Rd, Suite 210, Columbia, SC 29210-6470 | 2007-07-30 |
| 1982244885 | Humana Benefit Plan of South Carolina, Inc. | Health Maintenance Organization | 1703 Laurel St, Columbia, SC 29201-2660 | 2020-01-09 |
| 1720624976 | Unitedhealthcare of South Carolina, Inc. | Health Maintenance Organization | 107 Westpark Blvd, Columbia, SC 29210-3871 | 2019-11-22 |
| 1982009932 | Benjamin Ondersma Od LLC | Health Maintenance Organization | 331 Killian Rd, Suite B2, Columbia, SC 29203-8926 | 2014-11-01 |
| 1851653463 | Healthways, Inc | Health Maintenance Organization | 7055 Samuel Morse Dr, Suite 200, Columbia, MD 21046-3439 | 2012-06-10 |
| 1649587650 | Gentle Care Hospice LLC | Health Maintenance Organization | 8311 Two Notch Rd, Columbia, SC 29223-6303 | 2010-09-13 |
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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.