| Preston Thomas, | |
|
1 Hospital Dr # Mc404, Columbia, MO 65212-1000 | |
| (573) 884-2000 | |
| (573) 884-2000 |
| Full Name | Preston Thomas |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 1 Hospital Dr # Mc404, 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 |
|---|---|---|---|
| 1083135180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2017022167 (Missouri) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 2017022167 (Missouri) | Primary |
| Entity Name | Alliance Radiology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467400663 PECOS PAC ID: 8426961517 Enrollment ID: O20031105000794 |
| Entity Name | Carroll County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528067113 PECOS PAC ID: 2860485638 Enrollment ID: O20040407000120 |
| Entity Name | Johnson County Imaging Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720135114 PECOS PAC ID: 8628978053 Enrollment ID: O20200611000316 |
| Mailing Address | Practice Location Address |
|---|---|
| Preston Thomas, 1 Hospital Dr # Mc404, Columbia, MO 65212-1000 Ph: (573) 884-2000 | Preston Thomas, 1 Hospital Dr # Mc404, Columbia, MO 65212-1000 Ph: (573) 884-2000 |
Dr. Neal R Meyer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 311 N Keene St, Columbia, MO 65201 Phone: 573-442-1788 Fax: 573-442-1789 | |
Dr. Joshua Morrell, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr # Dc10m292, Department Of Radiology, School Of Medicine, Columbia, MO 65212 Phone: 701-391-3685 | |
Dr. Ayesha Nasrullah, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-884-7770 Fax: 573-882-9876 | |
Hugh J Murrell, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1705 E Broadway, Suite 100, Columbia, MO 65201 Phone: 573-874-7800 Fax: 573-443-3627 | |
Mustafa Al-sabbagh, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-1026 Fax: 573-884-4487 | |
Dr. Mohamed Khalaf Mahmoud Abdelhakiem, MD Radiology Medicare: Medicare Enrolled Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-884-7770 Fax: 573-882-9879 | |
Alex Loiland Pederson, DO Radiology Medicare: Medicare Enrolled Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-884-4082 Fax: 573-884-6661 |