MARI ANN KEITHAHN (NPI# 1902880313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902880313 |
| Entity Type | Individual |
| Full Name | MARI ANN KEITHAHN |
| Credential | M.D. |
| Practice Address |
3600 Amron Ct Columbia MO 65202-1918 |
| Practice Telephone | 5738741616 |
| Practice Fax Number | 5738750300 |
| Mailing Telephone | 5738741616 |
| Mailing Fax Number | 5738750300 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2017-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 111416 | MO | Allopathic & Osteopathic Physicians |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
111416 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS BLUE SHIELD | 101298 | 01 |
| MO | 208468504 | 05 |
| Street Address |
3600 AMRON CT |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65202-1918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477998839 | Clint W Kellogg | Ophthalmology | 3600 Amron Ct, Columbia, MO 65202 | 2013-04-30 |
| 1265663017 | Wayne Earl Davis | Ophthalmology | 3600 Amron Ct, Columbia, MO 65202-1918 | 2009-07-28 |
| 1790769701 | Jerry R Blair | Ophthalmology | 3600 Amron Ct, Columbia, MO 65202-1918 | 2005-12-02 |
| 1144204553 | Retina Associates of Missouri, P.C. | Ophthalmology | 3600 Amron Ct, Columbia, MO 65202-1918 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374629 | Curators of The University of Missouri | Pharmacy | 7115 East St. Charles Road, Columbia, MO 65202 | 2020-10-21 |
| 1245871540 | Ranshell Micole Harrington | Registered Nurse | 7455 Noah Court Columbia, Mo65202, Columbia, MO 65202 | 2019-10-08 |
| 1326514381 | Clark Supported Living | Registered Nurse | 303 Macaw Dr, Columbia, MO 65202 | 2018-10-17 |
| 1851873608 | Phoenix Programs, Inc. | Counselor | 90 E. Leslie Ln., Columbia, MO 65202 | 2018-08-29 |
| 1760973044 | Centerpointe Hospital of Columbia, LLC | Psychiatric Hospital | 1201 International Drive, Columbia, MO 65202 | 2018-05-23 |
| 1710409198 | Lena-frances Sheets | Counselor | 3509 Deer Run Drive, Columbia, MO 65202 | 2017-07-07 |
| 1235669037 | Henry William Clark | Counselor | 409 Vandiver West Bldg 6, Suite 102a, Great Circle, Columbia, MO 65202 | 2017-06-14 |
| 1083065148 | Waleed Raheem Abood Abood | Psychiatry & Neurology | 1 Hospital Drive, Ste 507, Columbia, MO 65202 | 2016-06-29 |
| 1871993923 | Li Ma | Physician Assistant | 1909 Mayberry Drive, Columbia, MO 65202 | 2014-08-26 |
| 1134543614 | Meghan Lees | Nurse Anesthetist, Certified Registered | 4608 Waterloo Driv, Ste 170, Columbia, MO 65202 | 2014-02-05 |
| Find all providers in zip 65202 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020644 | Matthew Theodore Hirabayashi | Ophthalmology | University Hospital One Hospital Dr Dc052.00, Columbia, MO 65212-0001 | 2020-07-09 |
| 1508484288 | Travis Parker | Ophthalmology | University Hospital One Hospital Drive Dc 052.00, Columbia, MO 65212-0001 | 2020-07-09 |
| 1003437641 | Goel Vision Columbia | Ophthalmology | 8850 Columbia 100 Pkwy Ste 101, Columbia, MD 21045-2375 | 2020-05-06 |
| 1568083103 | Columbia Parkway Surgery Center LLC | Ophthalmology | 8850 Columbia 100 Pkwy Ste 102, Columbia, MD 21045-2375 | 2020-05-06 |
| 1952965493 | Eric Jiaming Zhang | Ophthalmology | University Hospital One Hospital Dr Dc.052.00, Columbia, MO 65212-0001 | 2019-04-30 |
| 1801236302 | Jason T Rodier | Ophthalmology | 3215 Wingate Court, Suite 102, Columbia, MO 65201-7214 | 2013-06-28 |
| 1093057630 | Maggie A Cardonell | Ophthalmology | 3215 Wingate Court, Ste 102, Columbia, MO 65201-7214 | 2013-03-21 |
| 1013257575 | Mohannad Al-samarraie | Ophthalmology | 3215 Wingate Ct, Suite 102, Columbia, MO 65201-7214 | 2013-02-21 |
| 1558608786 | Thompson & Sjaarda, P.a. | Ophthalmology | 9700 Patuxent Woods Dr Ste 110, Columbia, MD 21046-2938 | 2013-01-08 |
| 1912299884 | Timothy D Mcgarity Md PC | Ophthalmology | 1410 Forum Katy Pkwy., Suite 100, Columbia, MO 65203-2191 | 2011-05-10 |
| Find all providers in COLUMBIA | ||||
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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.