Theodore Kremer, MD | |
637 Dunn Rd Ste 180, Hazelwood, MO 63042-1759 | |
(314) 838-7912 | |
(314) 921-6283 |
Full Name | Theodore Kremer |
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Gender | Male |
Speciality | Pediatrics |
Location | 637 Dunn Rd Ste 180, Hazelwood, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013397751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2018011910 (Missouri) | Primary |
Entity Name | Ssm Health Care St Louis |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
Mailing Address | Practice Location Address |
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Theodore Kremer, MD Po Box 23340, Saint Louis, MO 63156-3340 Ph: (314) 851-1000 | Theodore Kremer, MD 637 Dunn Rd Ste 180, Hazelwood, MO 63042-1759 Ph: (314) 838-7912 |
Jeong Nam Kim-judd, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 637 Dunn Rd Ste 180, Hazelwood, MO 63042 Phone: 314-838-7912 Fax: 314-921-6283 | |
Dr. Earline Abigail Brownridge, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 637 Dunn Rd, Suite 144, Hazelwood, MO 63042 Phone: 314-731-1299 Fax: 314-731-2145 | |
John Galgani, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 637 Dunn Rd Ste 180, Hazelwood, MO 63042 Phone: 314-838-7912 Fax: 314-921-6283 | |
Shirley M Knight, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 637 Dunn Rd Ste 180, Hazelwood, MO 63042 Phone: 314-838-7912 Fax: 314-921-6283 | |
Keri P Johnson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 637 Dunn Rd Ste 102b, Hazelwood, MO 63042 Phone: 314-921-4500 Fax: 314-921-1077 | |
Dr. Richard D Knight, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 637 Dunn Rd Ste 102b, Hazelwood, MO 63042 Phone: 314-921-4500 |