Mr Douglas Thane Romney Cody Ii, MD | |
1115 Alaska St Ste 214, West Plains, MO 65775-2014 | |
(417) 505-7114 | |
(417) 853-5302 |
Full Name | Mr Douglas Thane Romney Cody Ii |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 1115 Alaska St Ste 214, West Plains, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558328377 | NPI | - | NPPES |
P00449774 | Other | IA | RR MC MSC |
2019029148 | Other | MO | STATE LICENSE |
1558328377 | Medicaid | IA | |
3141838 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 31264 (Iowa) | Primary |
Entity Name | Morrison Community Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700907250 PECOS PAC ID: 2466349907 Enrollment ID: O20040301000685 |
Entity Name | Morrison Community Hospital District |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1184844938 PECOS PAC ID: 2466349907 Enrollment ID: O20080716000761 |
Mailing Address | Practice Location Address |
---|---|
Mr Douglas Thane Romney Cody Ii, MD Po Box 1100, West Plains, MO 65775-1100 Ph: (417) 505-7114 | Mr Douglas Thane Romney Cody Ii, MD 1115 Alaska St Ste 214, West Plains, MO 65775-2014 Ph: (417) 505-7114 |
Kirstie R. Recktenwald, FNP Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1409 Doctors Dr, West Plains, MO 65775 Phone: 417-255-1373 | |
Frederick S Lorenz, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1100 N Kentucky Ave, West Plains, MO 65775 Phone: 417-256-1794 Fax: 417-256-1774 |