LORDEX SPINE CENTER OF COLUMBIA P.C. (NPI# 1992884217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992884217 |
| Entity Type | Organization |
| Organization Name | LORDEX SPINE CENTER OF COLUMBIA P.C. |
| Practice Address |
3400 Buttonwood Dr Ste C Columbia MO 65201-3720 |
| Practice Telephone | 5734430551 |
| Practice Fax Number | 5734422959 |
| Mailing Telephone | 5734430551 |
| Mailing Fax Number | 5734422959 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2009-08-17 |
| Authorized Official Name | DR. BROOKS M TRAVIS (OWNER) |
| Authorized Official Telephone | 5734430551 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 2002023835 | MO | Allopathic & Osteopathic Physicians |
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | R8620 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
3400 BUTTONWOOD DR STE C |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-3720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427427806 | Physicians Home Health & Infusion PC | Home Health | 3400 Buttonwood Dr, Ste C, Columbia, MO 65201-3720 | 2015-09-16 |
| 1114069978 | Travis Chiropractic | Chiropractor | 3400 Buttonwood Dr, Ste C, Columbia, MO 65201-3720 | 2007-02-12 |
| 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 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437194925 | Manual Therapy Center, LLC | Neuromusculoskeletal Medicine, Sports Medicine | 19401 E Us Highway 40, Suite 200, Independence, MO 64055-5451 | 2006-06-18 |
| 1790728632 | Cyd Charisse Thomas Williams | Neuromusculoskeletal Medicine, Sports Medicine | 2310 Hwy 94 South Outer Road, Saint Charles, MO 63303-2104 | 2006-06-14 |
| 1255811337 | Institute for Regenerative Meidicine LLC | Neuromusculoskeletal Medicine, Sports Medicine | 7721 Clayton Rd, Clayton, MO 63117-1301 | 2018-08-17 |
| 1609021104 | Stephen Russell Bergman | Neuromusculoskeletal Medicine, Sports Medicine | 800 W Jefferson St, Kirksville, MO 63501-1443 | 2008-11-25 |
| 1144339334 | Athletics Sports Medicine | Neuromusculoskeletal Medicine, Sports Medicine | 7508 Big Bend Blvd, Saint Louis, MO 63119-2104 | 2006-08-30 |
| 1033130588 | Jay Noffsinger | Neuromusculoskeletal Medicine, Sports Medicine | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2006-07-21 |
| 1497720825 | George Arthur Paletta Jr. | Neuromusculoskeletal Medicine, Sports Medicine | 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2026 | 2006-02-20 |
| 1215902648 | Lyndon Bernard Gross | Neuromusculoskeletal Medicine, Sports Medicine | 14825 N Outer 40, Suite 200, Chesterfield, MO 63017-2026 | 2006-02-20 |
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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.