Easter Seals Midwest

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

EASTER SEALS MIDWEST

Practice address

918 Bernadette Drive
Columbia, MO 65203

Phone

(314) 394-7100

Fax

(314) 394-4007

NPI assigned

Mar 9, 2007

Reactivated

Feb 3, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John W. Adkins

Title

Vice President, Cfo

Phone

(314) 394-7100

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Easter Seals Midwest16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

• Easter Seals Midwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Kirkwood, MO
  • NPI 1093857112
  NPD tax ID
• Easter Seals Midwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • St. Louis, MO
  • NPI 1144352824
  NPD tax ID
• Easter Seals Midwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • St. Louis, MO
  • NPI 1225160146
  NPD tax ID
• Easter Seals Midwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • University City, MO
  • NPI 1245373190
  NPD tax ID
• Easter Seals Midwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ballwin, MO
  • NPI 1417090374
  NPD tax ID
• Easter Seals Midwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • St. Louis, MO
  • NPI 1578605606
  NPD tax ID
• Easter Seals Midwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Springfield, MO
  • NPI 1588796221
  NPD tax ID
• Easter Seals Midwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Hazelwood, MO
  • NPI 1629100342
  NPD tax ID
• Easter Seals Midwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ballwin, MO
  • NPI 1649301789
  NPD tax ID
• Easter Seals Midwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Spanish Lake, MO
  • NPI 1699818542
  NPD tax ID
• Easter Seals Midwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Overland, MO
  • NPI 1700929627
  NPD tax ID
• Easter Seals Midwest

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Cape Girardeau, MO
  • NPI 1871625566
  NPD tax ID

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Buenemann, MA, BCBA, LBA

  • Behavior Analyst
  • Columbia, MO
  • NPI 1790193696
  NPD (past)
• Kayleigh Elizabeth Fogle, BCBA, LBA

  • Behavior Analyst
  • Columbia, MO
  • NPI 1649826884
  NPD (past)
• Jennifer Leann Hoernig, MSW, BCBA, LBA

  • Behavior Analyst
  • Columbia, MO
  • NPI 1093189938
  NPD (past)
• Rebecca Yorke Lenger, BCBA

  • Behavior Analyst
  • Columbia, MO
  • NPI 1275044679
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1164554853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13545 BARRETT PARKWAY DRIVE",
            "address_2": "SUITE 300",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "63021",
            "telephone_number": "314-394-7100",
            "fax_number": "314-394-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 BERNADETTE DRIVE",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65203",
            "telephone_number": "314-394-7100",
            "fax_number": "314-394-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS MIDWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2015-02-23",
        "deactivation_date": "2011-01-06",
        "reactivation_date": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "VICE PRESIDENT, CFO",
        "authorized_official_telephone_number": "314-394-7100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "855404208",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth K. 'Susie' Early, M.D.
• Jeffrey K Early, PA-C
• Shania Early, PHARMD
• Andrea Earlywine, APN
• Ease Healthcare
• Ollie Danielle Easter, L.C.S.W.
• Gary D Eaton, DO
• Katherine Eaton
• Lynn Margaret Eaton, RD, LD, CDCES
• Mohamed Ahmed Ebada, M.D.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Columbia, MO
• Providers in Columbia, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.