GARRETT CHILD (NPI# 1952715609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952715609 |
Entity Type | Individual |
Full Name | GARRETT CHILD |
Practice Address |
1602 N 2nd St Clinton MO 64735-1192 |
Mailing Address |
500 Foothill Dr Salt Lake City UT 84148-0001 |
Practice Telephone | 6608858171 |
Enumeration Date | 2014-06-19 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2017023338 | MO | Podiatric Medicine & Surgery Service Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
500 Foothill Dr, Salt Lake City, UT 841480001 | 8015821565 |
Street Address |
1602 N 2ND ST |
City | CLINTON |
State | MO |
Zip Code | 64735-1192 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841288834 | Candice J. Baker | Nurse Practitioner | 1602 N 2nd St, Clinton, MO 64735-1192 | 2005-10-12 |
1760967533 | Heather Dains | Nurse Practitioner | 1602 N 2nd St, Clinton, MO 64735-1192 | 2018-09-27 |
1356820179 | Brenda Gale Messer | Nurse Practitioner | 1602 N 2nd St, Clinton, MO 64735-1192 | 2018-08-13 |
1043705080 | Taylor Marie Lincoln | Nurse Practitioner | 1602 N 2nd St, Clinton, MO 64735-1192 | 2018-06-22 |
1144767302 | Melondy Ann Bowland | Social Worker | 1602 N 2nd St, Clinton, MO 64735-1192 | 2017-01-26 |
1538605001 | Angela Heck | Social Worker | 1602 N 2nd St, Clinton, MO 64735 | 2017-01-09 |
1346694106 | Golden Valley Memorial Hospital District | Clinic/Center | 1602 N 2nd St, Clinton, MO 64735-1192 | 2016-04-19 |
1811357411 | Luke Schumacher | Physician Assistant | 1602 N 2nd St, Clinton, MO 64735-1192 | 2016-02-25 |
1528443264 | Renee Baker | Nurse Practitioner | 1602 N 2nd St, Clinton, MO 64735-1192 | 2015-07-23 |
1861875684 | Golden Valley Memorial Hospital | Nurse Practitioner | 1602 N 2nd St, Clinton, MO 64735-1192 | 2015-06-30 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730543778 | Courtney Briggs | Speech-Language Pathologist | 502 S. 5th, Clinton, MO 64735 | 2016-04-06 |
1447669924 | James Taylor Thatcher II | Counselor | 1800 Community Drive, Clinton, MO 64735 | 2014-08-08 |
1205271897 | Rocksheng Zhong | Psychiatry & Neurology | 1800 Community Dr, Clinton, MO 64735 | 2013-05-08 |
1407196272 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1501 E Ohio St, Clinton, MO 64735 | 2013-02-15 |
1265614176 | Kristal Lynn Moran | Registered Nurse | 1600 N Second St, Clinton, MO 64735 | 2007-12-03 |
1174653406 | Gary Allen Groff | Dentist | 1100 E Ohio St, Clinton, MO 64735 | 2007-03-06 |
1306908512 | Andrea Jolynn Bruck | Dentist | 906 E Ohio, Clinton, MO 64735 | 2006-12-14 |
1992873889 | Golden Valley Memorial Hospital Home Services | Home Health | 1600 North Second Street, Clinton, MO 64735 | 2006-12-01 |
1033205521 | Bradley Mark Townsend | Family Medicine | 1413 South Second Street, Clinton, MO 64735 | 2006-10-04 |
1871688473 | Michael Jay Harrison | Chiropractor | 704 E. Ohio, Clinton, MO 64735 | 2006-10-03 |
Find all providers in zip 64735 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255756797 | Foot Clinic of South Carolina, LLC | Podiatrist | 1035 Medical Ridge Rd, Clinton, SC 29325-4542 | 2014-02-20 |
1225021223 | Charles H Allison | Podiatrist | 216 5th Ave S, Clinton, IA 52732-4309 | 2005-08-24 |
1578884466 | Ashley Dawn Blackwell | Podiatrist | 705 Highway 80 W, Clinton, MS 39056-4103 | 2010-06-15 |
1437387230 | Jashan Valjee | Podiatrist | 9135 Piscataway Rd, Suite 102, Clinton, MD 20735 | 2009-06-30 |
1285809715 | Larry S. Hotchkiss, Dpm, PC | Podiatrist | 9135 Piscataway Rd, Ste 102, Clinton, MD 20735-2549 | 2008-04-25 |
1124132147 | Larry S. Hotchkiss, Dpm PC | Podiatrist | 9135 Piscataway Rd, Ste 102, Clinton, MD 20735-2549 | 2006-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851923023 | Center for Advanced Foot & Ankle Surgery, Inc. | Podiatrist | 3915 Watson Rd Ste 200, Saint Louis, MO 63109-1251 | 2020-02-06 |
1518486885 | Sunflower Podiatry and Wellness | Podiatrist | 1316 Hebert Street, Saint Louis, MO 63107 | 2017-09-18 |
1144753492 | Creighton Woolsey | Podiatrist | 1155 W Parkview St Ste 2j, Bolivar, MO 65613-8598 | 2017-04-04 |
1457701559 | Robert Austin Djali | Podiatrist | 1224 Graham Rd Ste 3010, Florissant, MO 63031-8028 | 2016-06-20 |
1770978074 | Shelly Diane Sedberry | Podiatrist | 1801 W 32nd St Bldg C, Joplin, MO 64804 | 2015-04-02 |
1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
1093117335 | True Health Integration and Synergy | Podiatrist | 6311 Ronald Reagan Dr, #167, Lake St Louis, MO 63367-2681 | 2014-09-18 |
1710305677 | Kevin M Renner | Podiatrist | 225 Physicians Park Ste 102, Poplar Bluff, MO 63901-3918 | 2014-03-28 |
1134474554 | Rajan K Patel | Podiatrist | 3930 S Jackson Dr, Apt 308, Independence, MO 64057-1706 | 2012-07-23 |
1720346307 | Feet for Life Centers Inc PC | Podiatrist | 17201 Chesterfield Airport Rd, Chesterfield, MO 63005-1423 | 2012-05-02 |
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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.