Joseph Wisterman, | |
3801 S National Ave, Springfield, MO 65807-5210 | |
(417) 269-6000 | |
Not Available |
Full Name | Joseph Wisterman |
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Gender | Male |
Speciality | Anesthesiologist Assistant |
Location | 3801 S National Ave, Springfield, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790173474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Primary |
Entity Name | Ozark Anesthesia Associates, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831109586 PECOS PAC ID: 1850290149 Enrollment ID: O20041109000614 |
Mailing Address | Practice Location Address |
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Joseph Wisterman, 1000 E Primrose St Ste 520, Springfield, MO 65807-5180 Ph: () - | Joseph Wisterman, 3801 S National Ave, Springfield, MO 65807-5210 Ph: (417) 269-6000 |
Charis Denovi, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-6000 | |
Asher Herbet, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-6000 | |
Kayla Conner Gibson, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 E Primrose St Ste 520, Springfield, MO 65807 Phone: 417-269-4550 | |
Taylor G Harris, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 E Primrose St, Springfield, MO 65807 Phone: 417-269-4550 | |
Corrine Calzone, C-AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 E Primrose St Ste 520, Springfield, MO 65807 Phone: 417-269-4550 | |
Brittany Anderson, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 3801 S National Ave, Springfield, MO 65807 Phone: 417-269-6000 | |
Jonathan D Brady, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852 |