| Thomas Shine, MD | |
|
1225 Graham Rd, Florissant, MO 63031-8014 | |
| (314) 953-6000 | |
| Not Available |
| Full Name | Thomas Shine |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1225 Graham Rd, Florissant, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861417255 | NPI | - | NPPES |
| 201809118 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | R7482 (Missouri) | Primary |
| 207P00000X | Emergency Medicine | 036-105380 (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Shine, MD 75 Remit Dr, Lockbox 6804, Chicago, IL 60675-6804 Ph: (866) 916-5259 | Thomas Shine, MD 1225 Graham Rd, Florissant, MO 63031-8014 Ph: (314) 953-6000 |
Dr. Cynthia Xakellis Wiederholt, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: Fast Track Urgent Care, 2686 N Highway 67, Florissant, MO 63023 Phone: 314-921-7300 | |
William Weston, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1225 Graham Rd, Florissant, MO 63031 Phone: 314-653-5000 | |
Scott Crawford Mcclure, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3433 N Highway 67, Florissant, MO 63033 Phone: 314-720-4380 Fax: 314-720-4381 | |
Roger Waxelman, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1225 Graham Rd, Florissant, MO 63031 Phone: 314-953-6000 | |
Cynthia Bleichroth, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1225 Graham Rd, Florissant, MO 63031 Phone: 314-653-5000 | |
Raj Shivaji, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 Graham Rd, Florissant, MO 63031 Phone: 314-953-6000 | |
Melvyn Ralph Goldberg, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 Graham Rd, Florissant, MO 63031 Phone: 314-525-1900 Fax: 314-525-4868 |