Northwest Missouri State University
NPI 1225310204ActiveOrganization· Family Medicine· Maryville, MO
Family Medicine in Maryville, Missouri, registered in NPPES in September 2011. The authorized official on file is Matthew Cannella, LAT, Head Athletic Trainer.
Overview
| NPI | 1225310204 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 15, 2011 |
| Last updated in NPPES | Feb 21, 2022 |
| Certified by provider | Feb 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Family Medicine providers in Maryville
- 1124633995
- 1043212228
- 1316941180
- 1669476354
- 1275854465
- 1689639619
- 1225032923
- 1295791366
- 1134504012
- 1669477972
- 1922035070
- 1023687217