| Advanced Senior Care, Inc | |
|
910 N College Ave Suite 4 Columbia MO 65201-4797 | |
| (636) 642-1215 | |
| (573) 234-4769 |
| Full Name | Advanced Senior Care, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 910 N College Ave, Columbia, Missouri |
| Authorized Official Name and Position | Brad Beaird (PRESIDENT) |
| Authorized Official Contact | 6366421215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Senior Care, Inc 910 N College Ave Suite 4 Columbia MO 65201-4797 Ph: (636) 642-1215 | Advanced Senior Care, Inc 910 N College Ave Suite 4 Columbia MO 65201-4797 Ph: (636) 642-1215 |
| NPI Number | 1821305376 |
|---|---|
| Provider Enumeration Date | 09/04/2010 |
| Last Update Date | 11/06/2024 |
| Medicare PECOS PAC ID | 6204010846 |
|---|---|
| Medicare Enrollment ID | O20110406000560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821305376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Beth A Sjoblom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558371781 PECOS PAC ID: 1355236001 Enrollment ID: I20040220000264 |
| Provider Name | Ann E Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477590057 PECOS PAC ID: 0446146260 Enrollment ID: I20040226000960 |
| Provider Name | Ruanne Stamps |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659380186 PECOS PAC ID: 2961420393 Enrollment ID: I20051104000072 |
| Provider Name | Damascene Sriyan Kurukulasuriya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578526497 PECOS PAC ID: 5193892156 Enrollment ID: I20080917000709 |
| Provider Name | Shahbaz A Riaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992952113 PECOS PAC ID: 9436227444 Enrollment ID: I20081003000564 |
| Provider Name | Wael Sayed Mourad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558339150 PECOS PAC ID: 3375623903 Enrollment ID: I20081217000709 |
| Provider Name | Thomas D Robbins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508836115 PECOS PAC ID: 4183769508 Enrollment ID: I20100309000601 |
| Provider Name | Cheryl L Kyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972735637 PECOS PAC ID: 2062671357 Enrollment ID: I20120306000420 |
| Provider Name | Melissa A Pickett |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1548565666 PECOS PAC ID: 2961666193 Enrollment ID: I20120619000399 |
| Provider Name | David T James |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033398771 PECOS PAC ID: 0941355697 Enrollment ID: I20120816000084 |
| Provider Name | Penny Fulks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770997728 PECOS PAC ID: 4082830112 Enrollment ID: I20140728000523 |
| Provider Name | Patricia J Struby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124425459 PECOS PAC ID: 5597088484 Enrollment ID: I20141230000250 |
| Provider Name | Kristen S Stampehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134657117 PECOS PAC ID: 2365717915 Enrollment ID: I20200109001059 |
| Provider Name | Samantha Paige Kreitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215561741 PECOS PAC ID: 4183053598 Enrollment ID: I20200407000800 |
| Provider Name | Syed Osama Hassan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245728492 PECOS PAC ID: 4981005477 Enrollment ID: I20210622000202 |
| Provider Name | Randi Elizabeth Luper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790442143 PECOS PAC ID: 3173915063 Enrollment ID: I20220127000543 |
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Sme Virginia Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5728 Pergola Dr Apt 207, Columbia, MO 65201 Phone: 678-977-5507 | |
University Physicians Specialty Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3100 W Broadway, Columbia, MO 65203 Phone: 573-884-7701 | |
Sme Utah, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5728 Pergola Dr Apt 207, Columbia, MO 65201 Phone: 678-977-5507 | |
Sme Idaho P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5728 Pergola Dr Apt 207, Columbia, MO 65201 Phone: 678-977-5507 | |
Nephrology And Hypertension Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1205 W Broadway, Columbia, MO 65203 Phone: 573-499-0642 Fax: 573-449-1787 | |
Family Dental Center Columbia East Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2475 Broadway Bluffs Dr, Suite 200, Columbia, MO 65201 Phone: 573-777-9282 Fax: 573-777-9569 |