Joseph Kohout, MD | |
2 Progress Point Ct, O Fallon, MO 63368-2208 | |
(636) 916-9000 | |
Not Available |
Full Name | Joseph Kohout |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 2 Progress Point Ct, O Fallon, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811914450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2000157005 (Missouri) | Primary |
207P00000X | Emergency Medicine | 35-076162K (Ohio) | Secondary |
Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434 |
Mailing Address | Practice Location Address |
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Joseph Kohout, MD 75 Remitt Drive, Lockbox 1337, Chicago, IL 60675-1337 Ph: (866) 916-5259 | Joseph Kohout, MD 2 Progress Point Ct, O Fallon, MO 63368-2208 Ph: (636) 916-9000 |
Leo Hsu, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Progress Point Ct, O Fallon, MO 63368 Phone: 636-344-1151 | |
Miss Kristen M Farris, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 Progress Point Pkwy Ste 100, O Fallon, MO 63368 Phone: 636-344-3105 | |
Dr. Nancy Jane Niemann Royer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2 Progress Point Parkway, Progress West Health Care Center Attn Er, O Fallon, MO 63368 Phone: 636-344-1151 Fax: 636-344-1176 | |
Robert D Wiele, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2 Progress Point Ct, Progress West Health Center, O Fallon, MO 63368 Phone: 314-740-6471 | |
Mrs. Andrea Lynn Gagliano, NP Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2 Progress Point Pkwy # 812024, O Fallon, MO 63368 Phone: 636-344-1151 | |
Timothy D Moore, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2630 Highway K, O Fallon, MO 63368 Phone: 636-240-5454 Fax: 636-980-5335 |