Clinical Medical Services Llc | |
1400 Lemay Ferry Rd Saint Louis MO 63125-2408 | |
(314) 773-1822 | |
Not Available |
Full Name | Clinical Medical Services Llc |
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Speciality | Internal Medicine |
Location | 1400 Lemay Ferry Rd, Saint Louis, Missouri |
Authorized Official Name and Position | Junaid Syed (PRESIDENT) |
Authorized Official Contact | 3147731822 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clinical Medical Services Llc 3535 S Jefferson Ave Saint Louis MO 63118-3930 Ph: () - | Clinical Medical Services Llc 1400 Lemay Ferry Rd Saint Louis MO 63125-2408 Ph: (314) 773-1822 |
NPI Number | 1497132286 |
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Provider Enumeration Date | 04/30/2015 |
Last Update Date | 05/11/2021 |
Medicare PECOS PAC ID | 3375857394 |
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Medicare Enrollment ID | O20150805006875 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497132286 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Phillip J Greene |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346248481 PECOS PAC ID: 3476549221 Enrollment ID: I20040913000268 |
Provider Name | Nabeela Saeed |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134295629 PECOS PAC ID: 6507896677 Enrollment ID: I20050818000121 |
Provider Name | Lawrence Wells |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669430112 PECOS PAC ID: 2567419914 Enrollment ID: I20051004000119 |
Provider Name | Emily Jane Garrett-pruett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952503690 PECOS PAC ID: 1254426836 Enrollment ID: I20070927000679 |
Provider Name | Jeffery Scott Davis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639402738 PECOS PAC ID: 2961540281 Enrollment ID: I20091106000321 |
Provider Name | Allison N Brauch |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972792968 PECOS PAC ID: 7113194598 Enrollment ID: I20120126000051 |
Provider Name | Shawn Michael Gao |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740424704 PECOS PAC ID: 6901025055 Enrollment ID: I20140922002747 |
Provider Name | Anis Berhil |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811283609 PECOS PAC ID: 4587802293 Enrollment ID: I20141017000861 |
Provider Name | Phylicia Grossich |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053782276 PECOS PAC ID: 0941598197 Enrollment ID: I20161004001729 |
Provider Name | Kathryn L Ries |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275071326 PECOS PAC ID: 4486930203 Enrollment ID: I20170411000058 |
Provider Name | Amber Marie Patterson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952848707 PECOS PAC ID: 0749554673 Enrollment ID: I20170915002306 |
Provider Name | Joseph Adam Reighard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295938934 PECOS PAC ID: 6204174147 Enrollment ID: I20190219001068 |
Provider Name | Helen W Garner |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215191861 PECOS PAC ID: 4688625718 Enrollment ID: I20200225001012 |
Provider Name | Rebecca Merchiori |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588068464 PECOS PAC ID: 1254655020 Enrollment ID: I20210308000495 |
Provider Name | Danna R France |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538827175 PECOS PAC ID: 5991196529 Enrollment ID: I20211215001761 |
Provider Name | Shanika Shanta Pruitt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659818904 PECOS PAC ID: 5799177408 Enrollment ID: I20220108000173 |
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