Nathan Andrew Mall, MD | |
333 S Kirkwood Rd Ste 200, Kirkwood, MO 63122-6161 | |
(314) 991-4335 | |
Not Available |
Full Name | Nathan Andrew Mall |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 18 Years |
Location | 333 S Kirkwood Rd Ste 200, Kirkwood, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760509095 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 2012011153 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Louis Home Health | Saint louis, MO | Home health agency |
Southeasthealth | Cape girardeau, MO | Hospital |
Barnes-jewish West County Hospital | Creve coeur, MO | Hospital |
Saint Francis Medical Center | Cape girardeau, MO | Hospital |
Southeasthealth Center Of Stoddard County | Dexter, MO | Hospital |
Poplar Bluff Regional Medical Center | Poplar bluff, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Joint Health Llc | 2567695893 | 11 |
Physical Therapy Spine And Sports Medicine Llc | 3173654936 | 86 |
Health Facilities Rehab Services Inc | 3476679226 | 94 |
Select Physical Therapy Holdings Inc | 9537076401 | 1557 |
Entity Name | The Orthopedic Center Of St Louis Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881808483 PECOS PAC ID: 2668408022 Enrollment ID: O20050718000075 |
Entity Name | Joint Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235571134 PECOS PAC ID: 2567695893 Enrollment ID: O20140512000996 |
Mailing Address | Practice Location Address |
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Nathan Andrew Mall, MD 333 S Kirkwood Rd Ste 200, Kirkwood, MO 63122-6161 Ph: (314) 991-4335 | Nathan Andrew Mall, MD 333 S Kirkwood Rd Ste 200, Kirkwood, MO 63122-6161 Ph: (314) 991-4335 |