Novus Health Inc | |
3960 Lindell Blvd Saint Louis MO 63108-3204 | |
(314) 652-0100 | |
Not Available |
Full Name | Novus Health Inc |
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Speciality | Internal Medicine |
Location | 3960 Lindell Blvd, Saint Louis, Missouri |
Authorized Official Name and Position | Phillip Johnson (COMMUNITY OUTREACH LIAISON) |
Authorized Official Contact | 3146520100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Novus Health Inc 3960 Lindell Blvd Saint Louis MO 63108-3204 Ph: (314) 652-0100 | Novus Health Inc 3960 Lindell Blvd Saint Louis MO 63108-3204 Ph: (314) 652-0100 |
NPI Number | 1013533181 |
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Provider Enumeration Date | 06/24/2020 |
Last Update Date | 12/12/2022 |
Medicare PECOS PAC ID | 3779901756 |
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Medicare Enrollment ID | O20200909000336 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013533181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Mark A Scheperle |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265417034 PECOS PAC ID: 0244238020 Enrollment ID: I20061110000383 |
Provider Name | Autumn M Clark |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1912911090 PECOS PAC ID: 6103950415 Enrollment ID: I20100820001116 |
Provider Name | Matthew Cary |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619233525 PECOS PAC ID: 8325201296 Enrollment ID: I20120514000350 |
Provider Name | Erin E Duvall |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003254087 PECOS PAC ID: 5294975348 Enrollment ID: I20130712000428 |
Provider Name | Chanel Mitchell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1912329954 PECOS PAC ID: 7315352903 Enrollment ID: I20210211002650 |
Provider Name | Brian Brennan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487298725 PECOS PAC ID: 4082020417 Enrollment ID: I20210310001746 |
Provider Name | Alexis Desirae' Anderson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588395859 PECOS PAC ID: 3577944735 Enrollment ID: I20220719002132 |
Provider Name | Gavyn Michael Stys |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174245385 PECOS PAC ID: 6709258213 Enrollment ID: I20230209002634 |
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