Kristopher Southard, | |
660 S Euclid Ave, Saint Louis, MO 63110-1010 | |
(314) 747-3000 | |
Not Available |
Full Name | Kristopher Southard |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 660 S Euclid Ave, Saint Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922503242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 2022007193 (Missouri) | Primary |
Entity Name | Saint Lukes Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20050302000266 |
Mailing Address | Practice Location Address |
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Kristopher Southard, 9500 Euclid Ave, Cleveland, OH 44195-0001 Ph: (216) 444-2200 | Kristopher Southard, 660 S Euclid Ave, Saint Louis, MO 63110-1010 Ph: (314) 747-3000 |
Dr. Lauren Flynn, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 231 W Lockwood Ave, Suite 202, Saint Louis, MO 63119 Phone: 314-737-4070 | |
Dr. Antonina S Gesmundo, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1 Jefferson Barracks Dr, Saint Louis, MO 63125 Phone: 314-894-6636 | |
Mr. Robert Harry Brady, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1430 Olive St, Suite 500, Saint Louis, MO 63103 Phone: 314-206-3724 Fax: 314-206-3708 | |
Dr. Marcus E Raichle, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 517 S Euclid Ave, Ground Floor, Saint Louis, MO 63110 Phone: 314-362-6907 Fax: 314-747-3258 | |
Rohit Pawar, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10018 Kennerly Rd, Saint Louis, MO 63128 Phone: 314-525-7275 Fax: 314-525-7260 | |
Dr. Rushaniya Albeptovna Khairova, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 24 S Kingshighway Blvd, Saint Louis, MO 63108 Phone: 314-286-1700 Fax: 314-286-1730 | |
Dr. Alyssa E Smith, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1 Childrens Pl, Div Neurology Pediatrics, Saint Louis, MO 63110 Phone: 314-362-1408 Fax: 314-454-2523 |