A T Still University Health Science

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

117553 Issued in MO

Legal business name

A T STILL UNIVERSITY HEALTH SCIENCE

Practice address

500 S Osteopathy
Kirksville, MO 63501

Phone

(660) 626-2136

Fax

(660) 626-2457

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Monnie Harrison, CPA

Title

Treasurer Controllers Office

Phone

(660) 626-2325

Specialties & licenses 2

Addresses

Tax ID family

Wayne R Hawkins OD5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• A T Still University of Health Sciences

  • Rural Health Clinic/Center
  • Kirksville, MO
  • NPI 1245051895
  NPD tax ID
• A T Still University of Health Sciences

  • Audiologist
  • Mesa, AZ
  • NPI 1346586468
  NPD tax ID
• A.T. Still University of Health Sciences

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1326349523
  NPD tax ID
• Afa Institute

  • Physical Therapy Clinic/Center
  • Mesa, AZ
  • NPI 1457797615
  NPD tax ID

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508072950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W JEFFERSON",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "63501",
            "telephone_number": "660-626-2136",
            "fax_number": "660-626-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S OSTEOPATHY",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "63501",
            "telephone_number": "660-626-2136",
            "fax_number": "660-626-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A T STILL UNIVERSITY HEALTH SCIENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "MONNIE",
        "authorized_official_title_or_position": "TREASURER CONTROLLERS OFFICE",
        "authorized_official_telephone_number": "660-626-2325",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MO",
            "license": "2004028645",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MO",
            "license": "117553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A T Still University of Health Sciences
• A T Still University of Health Sciences
• Mohammad Abbas, DO
• Susan H Abrahams, MA, NCC, LPC
• Academic Medicine

• Geriatric Medicine (Internal Medicine) Physician in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Geriatric Medicine (Internal Medicine) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.