Armela Agasino, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

33219 Issued in MO

Practice address

751 Sappington Bridge Rd
Sullivan, MO 63080-2354

Phone

(573) 468-1997

Fax

(573) 468-1998

NPI assigned

Aug 23, 2006

Last updated

Dec 7, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Missouri Baptist Hospital of Sullivan

  dba Riverside Medical Clinic

  • Rural Health Clinic/Center
  • Sullivan, MO
  • NPI 1962591958
  NPD (past)
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1467569954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 MASON RIDGE CENTER DR",
            "address_2": "STE. 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418573",
            "telephone_number": "573-468-1997",
            "fax_number": "573-468-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 SAPPINGTON BRIDGE RD",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630802354",
            "telephone_number": "573-468-1997",
            "fax_number": "573-468-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGASINO",
        "first_name": "ARMELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "33219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200277903",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan Gabriel Acree, DO
• Tyler Joseph Adamski, DNP
• Advanced Psychiatric Services
• Ambreen Ahmed, MD
• Air Evac EMS Inc (Air Evac Lifeteam)
• Naureen Ali, M.D.
• Rebekah Allen, DO
• Alternatives Care System, Inc. (Happy Acres)

• Family Medicine Physician in Sullivan, MO
• Providers in Sullivan, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.