DR. STEPHEN ANTHONY FUSELLI (NPI# 1942820519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942820519 |
Entity Type | Individual |
Full Name | DR. STEPHEN ANTHONY FUSELLI |
Credential | MD |
Practice Address |
619 N Providence Rd Columbia MO 65203-4355 |
Mailing Address |
4810 Clark Ln Apt 102 Columbia MO 65202-9970 |
Practice Telephone | 5732341070 |
Mailing Telephone | 2564535056 |
Enumeration Date | 2020-04-23 |
Last Update Date | 2020-04-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
2020009917 | MO | Ambulatory Health Care Facilities |
Street Address |
619 N PROVIDENCE RD |
City | COLUMBIA |
State | MO |
Zip Code | 65203-4355 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528204153 | Latosha Marie Harper | Physical Therapist | 619 N Providence Rd, Columbia, MO 65203-4355 | 2009-01-03 |
1750919916 | Riyadh Abdulsattar Majeed Al-saffar | Family Medicine | 619 N Providence Rd, Columbia, MO 65203-4355 | 2020-03-31 |
1619509551 | Muna Salahaddin Telsem | Family Medicine | 619 N Providence Rd, Columbia, MO 65203-4355 | 2020-02-09 |
1366008682 | Cuc-llc | Internal Medicine | 619 N Providence Rd, Columbia, MO 65203-4355 | 2019-05-13 |
1114408671 | Clayton C Campbell IIi | Family Medicine | 619 N Providence Rd, Columbia, MO 65203-4355 | 2018-08-23 |
1992207831 | Ifeanyi B Nwadukwe | General Practice | 619 N Providence Rd, Columbia, MO 65203-4355 | 2018-03-07 |
1134368962 | Jonathan W Morris | Internal Medicine | 619 N Providence Rd, Columbia, MO 65203-4355 | 2009-02-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
1144797101 | Mary Zhang | Family Medicine | 200 Southampton Drive, Ste 102, Columbia, MO 65203 | 2018-10-29 |
1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
1154820157 | David Vincent Spencer | Internal Medicine | 201 W Broadway Building, Suite E, Columbia, MO 65203 | 2018-02-05 |
1598283103 | Donna Strickland | Counselor | 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 | 2017-09-03 |
1134643182 | Anna Kathryn Christensen | Physician Assistant | 4107 Baurichter Dr., Columbia, MO 65203 | 2017-08-01 |
1558885871 | Juan Camilo Pineda | Internal Medicine | 210 Portland Street Suite 104, Columbia, MO 65203 | 2017-07-28 |
1922530096 | The Missing L Inc | Community/Behavioral Health | 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 | 2017-03-29 |
1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
1417313552 | Brittany Lea Ramirez | Chiropractor | 2001 Corona Rd Ste 205, Columbia, MO 65203 | 2016-01-05 |
Find all providers in zip 65203 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1386063675 | U.n.i. Medical Care, Inc | Clinic/Center | 6490 Dobbin Center Way, Suite C, Columbia, MD 21045-4728 | 2014-04-15 |
1740538768 | River of Life Health Center | Clinic/Center | 291 S 4th St, Columbia, PA 17512-1731 | 2012-08-23 |
1942504626 | Able Health, LLC | Clinic/Center | 12a Russmar Trl, Columbia, CT 06237-1416 | 2011-01-10 |
1881726925 | Jill Murphey,md PC | Clinic/Center | 1701 E Broadway Ste 101, Broadway Plaza IIi, Columbia, MO 65201-8018 | 2007-03-12 |
1265525455 | Family Medicine Centers of South Carolina, P.a. | Clinic/Center | 813 Leesburg Rd, Columbia, SC 29209-2127 | 2006-10-02 |
1265525463 | Family Medicine Centers of South Carolina, P.a. | Clinic/Center | 300 Rice Meadow Way, Columbia, SC 29229-9466 | 2006-10-02 |
1215996046 | Wilson Internal Medicine Pa | Clinic/Center | 4840 Forest Dr, Box 255, Columbia, SC 29206-4810 | 2006-03-21 |
1508825340 | Palmetto Family Medicine | Clinic/Center | 109 Barton Creek Court, Columbia, SC 29229-8027 | 2006-03-21 |
1083261648 | Dr Beams Medical Home | Clinic/Center | 10794 Hickory Ridge Rd, Columbia, MD 21044-3646 | 2019-08-19 |
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.