Eric D Bettis (NPI# 1598874851, PAC ID# 1658421771) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1598874851 |
| PAC ID by PECOS | 1658421771 |
| Professional Enrollment ID | I20090611000504 |
| Full Name | Eric D Bettis |
| Organization Legal Name | CENTERPOINTE HOSPITAL OF COLUMBIA LLC |
| Address |
1201 International Dr Columbia MO 65202-1612 |
| Phone Number | 5736152001 |
| Gender | M |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1992 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0446502652 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260068 | BOONE HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1201 International Dr, Columbia, MO 65202-1612 | 5736152001 | CENTERPOINTE HOSPITAL OF COLUMBIA LLC |
| 1600 E Broadway, Columbia, MO 65201-5897 | 5738754545 | SOUTHEASTERN EMERGENCY PHYSICIANS OF MEMPHIS LLC |
| 2003 W Broadway, Suite 100, Columbia, MO 65203-1136 | 5737775880 | BROADWAY URGENT CARE LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_331_overall | Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 96% | |
| MIPS_EC_331_overall | Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 96% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 98% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 98% |
| Organization Legal Name | CENTERPOINTE HOSPITAL OF COLUMBIA LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahmed A Taranissi | Psychiatry | Centerpointe Hospital of Columbia LLC | 1201 International Dr, Columbia, MO 65202-1612 |
| Dina Goodin | Nurse Practitioner | Centerpointe Hospital of Columbia LLC | 1201 International Dr, Columbia, MO 65202-1612 |
| Femi Popoola | Psychiatry | Centerpointe Hospital of Columbia LLC | 1201 International Dr, Columbia, MO 65202-1612 |
| Agara Reddy | Psychiatry | Centerpointe Hospital of Columbia LLC | 1201 International Dr, Columbia, MO 65202-1612 |
| Andrea Earlywine | Nurse Practitioner | Centerpointe Hospital of Columbia LLC | 1201 International Dr, Columbia, MO 65202-1612 |
| Marcia J Walmer | Nurse Practitioner | Centerpointe Hospital of Columbia LLC | 1201 International Dr, Columbia, MO 65202-1612 |
| Street Address |
1201 INTERNATIONAL DR |
| City | COLUMBIA |
| State | MO |
| Zip | 65202-1612 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahmed A Taranissi | Psychiatry | Centerpointe Hospital of Columbia LLC | 1201 International Dr, Columbia, MO 65202-1612 |
| Dina Goodin | Nurse Practitioner | Centerpointe Hospital of Columbia LLC | 1201 International Dr, Columbia, MO 65202-1612 |
| Femi Popoola | Psychiatry | Centerpointe Hospital of Columbia LLC | 1201 International Dr, Columbia, MO 65202-1612 |
| Agara Reddy | Psychiatry | Centerpointe Hospital of Columbia LLC | 1201 International Dr, Columbia, MO 65202-1612 |
| Andrea Earlywine | Nurse Practitioner | Centerpointe Hospital of Columbia LLC | 1201 International Dr, Columbia, MO 65202-1612 |
| Marcia J Walmer | Nurse Practitioner | Centerpointe Hospital of Columbia LLC | 1201 International Dr, Columbia, MO 65202-1612 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carole J Rodon | Clinical Psychologist | 5120 N Hwy Pp, Columbia, MO 65202-0097 | |
| Kenneth E Sattizahn | Chiropractic | 1705 N Stadium Blvd, Suite A, Columbia, MO 65202-1305 | |
| Cynthia Elaine Baker | Clinical Social Worker | Deer Oaks Mental Health Associates PC | 1406 W Business Loop, Suite 70, Columbia, MO 65202-1324 |
| Kody R Johnson | Chiropractic | 908 Rain Forest Pkwy, Suite B, Columbia, MO 65202-1657 | |
| Jason Hanft | Chiropractic | 908 Rain Forest Pkwy B, Columbia, MO 65202-1657 | |
| Sherryl L Laws | Clinical Social Worker | 1516 Business Loop 70, Columbia, MO 65202-1784 | |
| Jerry R Blair | Ophthalmology | Retina Associates of Missouri, P.C. | 3600 Amron Ct, Columbia, MO 65202-1918 |
| Richelle Jaworski Koopman | Family Medicine | The Curators of The University of Missouri | 2325 Smiley Ln, Columbia, MO 65202-1947 |
| Casey Drew Williams | Family Medicine | The Curators of The University of Missouri | 2325 Smiley Ln, Columbia, MO 65202-1947 |
| Carin E Reust | Family Medicine | The Curators of The University of Missouri | 2325 Smiley Ln, Columbia, MO 65202-1947 |
| Find all physicians in zip 65202 | |||
| City | COLUMBIA |
| Zip Code | 65202 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | COLUMBIA + EMERGENCY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.