Dr. Maryellen A Amato
Nuclear Medicine Specialist
1235 E Cherokee St
Springfield
, Missouri 65804-2203
Dr. Maryellen A Amato
Nuclear Medicine Specialist
1235 E Cherokee St
Springfield
, Missouri 65804-2203
(417) 829-4316
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Dr. Maryellen A Amato
- Po Box 2580
- Springfield, MO
- Zip : 65801-2580
- Fax : (417) 829-4316
- Phone : (417) 829-4620
Second Address
- Dr. Maryellen A Amato
- 1235 E Cherokee St
- Springfield, MO
- Zip : 65804-2203
- Fax : (417) 820-7865
- Phone : (417) 820-2865
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207U00000X | Nuclear Medicine Specialist | R4C09 | MO |
National Provider Identifier
| NPI | 1710021324 |
|---|---|
| Provider Name | Dr. Maryellen A Amato |
| First Address | Springfield, MO 65801-2580 |
| Second Address | Springfield, MO 65804-2203 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/02/2007 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 82709 | AR BLUE SHIELD # (01) | MO |
| A12784 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.