| Ssm Select Rehab St Louis Llc | |
|
1027 Bellevue Avenue Richmond Heights MO 63117 | |
| (314) 768-8000 | |
| Not Available |
| Full Name | Ssm Select Rehab St Louis Llc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1027 Bellevue Avenue, Richmond Heights, Missouri |
| Authorized Official Name and Position | Michael E. Tarvin (VICE PRESIDENT) |
| Authorized Official Contact | 7179721100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ssm Select Rehab St Louis Llc 4714 Gettysburg Rd Attn Legal Department Mechanicsburg PA 17055-4325 Ph: (717) 972-1100 | Ssm Select Rehab St Louis Llc 1027 Bellevue Avenue Richmond Heights MO 63117 Ph: (314) 768-8000 |
| NPI Number | 1558403261 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 10/07/2011 |
| Medicare PECOS PAC ID | 2567510449 |
|---|---|
| Medicare Enrollment ID | O20100423000488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558403261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| Provider Name | Phuong T Nguyen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841227402 PECOS PAC ID: 1052400611 Enrollment ID: I20071204000662 |
| Provider Name | Laura L Nieder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740484674 PECOS PAC ID: 2860549748 Enrollment ID: I20090410000020 |
| Provider Name | Ahmed S Ali |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1194887265 PECOS PAC ID: 4880783885 Enrollment ID: I20090812000493 |
| Provider Name | Abna A Ogle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962438267 PECOS PAC ID: 9537299300 Enrollment ID: I20100605000173 |
| Provider Name | Gerard J Erker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023052479 PECOS PAC ID: 8628108123 Enrollment ID: I20100609000976 |
| Provider Name | Archana Bhatt |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154522472 PECOS PAC ID: 5294827002 Enrollment ID: I20120210000775 |
| Provider Name | Mabel Anti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104215631 PECOS PAC ID: 2163748013 Enrollment ID: I20150311002411 |
| Provider Name | Victoria Herberger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912374398 PECOS PAC ID: 0446568596 Enrollment ID: I20151009000534 |
| Provider Name | Kristin H Hinrichs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831541200 PECOS PAC ID: 1052605011 Enrollment ID: I20160815000584 |
| Provider Name | Stephanie R Potts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144873159 PECOS PAC ID: 1254661432 Enrollment ID: I20191002000135 |
| Provider Name | Christina Hollman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629857503 PECOS PAC ID: 1355796871 Enrollment ID: I20231018001038 |
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