Michael S Severance (NPI# 1790708907, PAC ID# 3678539707) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
Nation Provider ID (NPI) | 1790708907 |
PAC ID by PECOS | 3678539707 |
Professional Enrollment ID | I20100820000479 |
Full Name | Michael S Severance |
Organization Legal Name | UROLOGY CARE, INC. |
Address |
3207 W Truman Blvd Suite A Jefferson City MO 65109-0892 |
Phone Number | 5736365115 |
Gender | M |
Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
Graduation Year | 1988 |
Primary Specialty | UROLOGY |
Group Practice PAC ID | 4688630718 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
260047 | CAPITAL REGION MEDICAL CENTER |
260011 | SSM HEALTH ST MARY'S HOSPITAL JEFFERSON CITY |
Address | Phone | Organization |
---|---|---|
3207 W Truman Blvd, Suite A, Jefferson City, MO 65109-0892 | 5736365115 | UROLOGY CARE, INC. |
Organization Legal Name | UROLOGY CARE, INC. |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Eric I Vogt | Urology | Urology Care, Inc. | 3207 W Truman Blvd, Suite A, Jefferson City, MO 65109-0892 |
Douglas A West | Urology | Urology Care, Inc. | 3207 W Truman Blvd, Suite A, Jefferson City, MO 65109-0892 |
James C H Ng | Urology | Urology Care, Inc. | 1380 Lusitana St, Suite 1004, Honolulu, HI 96813-2461 |
Robert G Carlile | Urology | Urology Care, Inc. | 1380 Lusitana St, Suite 1004, Honolulu, HI 96813-2461 |
Jerry J Trulson | Urology | Urology Care, Inc. | 3207 W Truman Blvd, Suite A, Jefferson City, MO 65109-0892 |
Street Address |
3207 W TRUMAN BLVD SUITE A |
City | JEFFERSON CITY |
State | MO |
Zip | 65109-0892 |
Name | Specialty | Organization | Address |
---|---|---|---|
Eric I Vogt | Urology | Urology Care, Inc. | 3207 W Truman Blvd, Suite A, Jefferson City, MO 65109-0892 |
Douglas A West | Urology | Urology Care, Inc. | 3207 W Truman Blvd, Suite A, Jefferson City, MO 65109-0892 |
Jerry J Trulson | Urology | Urology Care, Inc. | 3207 W Truman Blvd, Suite A, Jefferson City, MO 65109-0892 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lindsey M Koelling | Registered Dietitian Or Nutrition Professional | Hy Vee Inc | 3721 W Truman Boulevard, Jefferson City, MO 65109-0536 |
Robyn Ellen Powers | Nurse Practitioner | Jefferson City Medical Group PC | 3605 Country Club Dr, Jefferson City, MO 65109-1070 |
Tanner W Coleman | Chiropractic | Jefferson City Medical Group PC | 3605 Country Club Dr, Jefferson City, MO 65109-1070 |
Thomas D Robbins | Family Medicine | Jefferson City Medical Group PC | 3605 Country Club Dr, Jefferson City, MO 65109-1070 |
Kaitlyn Belisle | Chiropractic | Health Quest Physicians Group, LLC | 3349 American Ave, Suite B, Jefferson City, MO 65109-1079 |
Brian Conley | Pediatric Medicine | Ssm Regional Health Services | 3348 American Ave, Jefferson City, MO 65109-1079 |
Rachel Wieberg | Nurse Practitioner | Health Quest Physicians Group, LLC | 3349 American Ave, Suite B, Jefferson City, MO 65109-1079 |
Teodoro Tang | Chiropractic | Health Quest Physicians Group, LLC | 3349 American Ave, Suite B, Jefferson City, MO 65109-1079 |
Teresa A Distler | Nurse Practitioner | Health Quest Physicians Group, LLC | 3349 American Ave, Suite B, Jefferson City, MO 65109-1079 |
Brandon Lehr | Chiropractic | Health Quest Physicians Group, LLC | 3349 American Ave, Suite B, Jefferson City, MO 65109-1079 |
Find all physicians in zip 65109 |
City | JEFFERSON CITY |
Zip Code | 65109 |
Specialty | UROLOGY |
City + Specialty | JEFFERSON CITY + UROLOGY |
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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.