| Joseph Niland, | |
|
1 S Keene St, Columbia, MO 65201-7199 | |
| (573) 443-2402 | |
| Not Available |
| Full Name | Joseph Niland |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 1 S Keene St, Columbia, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265964670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 66959 (Tennessee) | Secondary |
| 207X00000X | Orthopaedic Surgery | 2024017196 (Missouri) | Primary |
| Entity Name | Columbia Orthopaedic Group Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851392542 PECOS PAC ID: 9335042811 Enrollment ID: O20040130001024 |
| Entity Name | Ssm Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649217837 PECOS PAC ID: 8921917352 Enrollment ID: O20070213000635 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Niland, 1 S Keene St, Columbia, MO 65201-7199 Ph: (573) 443-2402 | Joseph Niland, 1 S Keene St, Columbia, MO 65201-7199 Ph: (573) 443-2402 |
Dr. Kyle Fiala, DPM Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1100 Virginia Ave, Columbia, MO 65212 Phone: 573-882-2663 Fax: 573-884-1246 | |
Prati Jahnu Reddy, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1100 Virginia Ave, Columbia, MO 65212 Phone: 573-882-2663 | |
Randal R Trecha, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1 S Keene St, Columbia, MO 65201 Phone: 573-443-2402 Fax: 573-443-0574 | |
Nicholas J Zarkadis, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1100 Virginia Ave, Columbia, MO 65212 Phone: 573-882-2663 Fax: 573-882-1760 | |
Gregory John Della Rocca, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-2663 Fax: 573-882-0569 | |
Daniel A London, MD, MS Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1100 Virginia Ave, Columbia, MO 65212 Phone: 573-882-2663 Fax: 573-882-1760 | |
Levi Nathan Gause, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1100 Virginia Ave, Columbia, MO 65212 Phone: 573-882-2663 Fax: 573-882-1760 |