| Dr. Petre I Anguelinin, Llc | |
|
1015 Bowles Ave Fenton MO 63026-2394 | |
| (636) 207-0277 | |
| Not Available |
| Full Name | Dr. Petre I Anguelinin, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1015 Bowles Ave, Fenton, Missouri |
| Authorized Official Name and Position | Peter Angelin (PRESIDENT) |
| Authorized Official Contact | 3146554486 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Petre I Anguelinin, Llc Po Box 411582 Saint Louis MO 63141-3582 Ph: () - | Dr. Petre I Anguelinin, Llc 1015 Bowles Ave Fenton MO 63026-2394 Ph: (636) 207-0277 |
| NPI Number | 1265538177 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 10/08/2020 |
| Medicare PECOS PAC ID | 4981602927 |
|---|---|
| Medicare Enrollment ID | O20070102000375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265538177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2003010400 (Missouri) | Primary |
| Provider Name | Leslie B Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801834056 PECOS PAC ID: 8729973425 Enrollment ID: I20040220000627 |
| Provider Name | Sarina T Phatak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366556912 PECOS PAC ID: 0941196893 Enrollment ID: I20040226000485 |
| Provider Name | Kelly Ludwig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992720361 PECOS PAC ID: 2365439437 Enrollment ID: I20040429000783 |
| Provider Name | Veena Krishnan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871567586 PECOS PAC ID: 3476519273 Enrollment ID: I20041203000274 |
| Provider Name | Danuta M Zukowska |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699733691 PECOS PAC ID: 9830147149 Enrollment ID: I20050104000293 |
| Provider Name | Peter I Angelin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225133440 PECOS PAC ID: 4385664283 Enrollment ID: I20051206000641 |
| Provider Name | Stephen M Slowik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376746800 PECOS PAC ID: 5496813636 Enrollment ID: I20081016000565 |
| Provider Name | Debra L Foersterling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710125497 PECOS PAC ID: 8628127727 Enrollment ID: I20090520000318 |
| Provider Name | Scott M Dembiec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619178159 PECOS PAC ID: 1557415189 Enrollment ID: I20090818000016 |
| Provider Name | Valerie T Taca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740331735 PECOS PAC ID: 7618073297 Enrollment ID: I20110203000874 |
| Provider Name | Timothy J Brinker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114181948 PECOS PAC ID: 0749467439 Enrollment ID: I20110606000678 |
| Provider Name | Julie K Wittenauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609092634 PECOS PAC ID: 8820142904 Enrollment ID: I20130805000646 |
| Provider Name | Jacqueline Rickard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336235928 PECOS PAC ID: 0244330629 Enrollment ID: I20130815000886 |
| Provider Name | Jason R Collier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750692232 PECOS PAC ID: 9830324227 Enrollment ID: I20131018001600 |
| Provider Name | Guoyu Ling |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104112994 PECOS PAC ID: 8224276357 Enrollment ID: I20140807000538 |
| Provider Name | Rebekah S Allen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710263033 PECOS PAC ID: 9234351800 Enrollment ID: I20141114001467 |
| Provider Name | Mohsin U Qazi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437461084 PECOS PAC ID: 6507091469 Enrollment ID: I20141205001733 |
| Provider Name | Conor Mccartney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003158221 PECOS PAC ID: 9537461082 Enrollment ID: I20160517001703 |
| Provider Name | Colleen M Wingate |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194160127 PECOS PAC ID: 1557655321 Enrollment ID: I20160802003196 |
| Provider Name | Aaron David Schenone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508276353 PECOS PAC ID: 5698077089 Enrollment ID: I20170608000530 |
| Provider Name | Joseph R Wheeler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801206826 PECOS PAC ID: 5698077055 Enrollment ID: I20170627003311 |
| Provider Name | Joseph W Moleski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417337676 PECOS PAC ID: 5799087268 Enrollment ID: I20180521001605 |
Suburban West Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 Bowles Ave, Suite 300, Fenton, MO 63026 Phone: 636-496-5000 Fax: 636-496-5045 | |
Rockwood Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1747 Smizer Station Rd, Suite 3b, Fenton, MO 63026 Phone: 636-529-9595 Fax: 636-529-9494 | |
Covington Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1747 Smizer Station Rd Ste 3a, Fenton, MO 63026 Phone: 636-225-8855 | |
Alegis Care - Missouri Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 S Highway Dr Ste 200, Fenton, MO 63026 Phone: 773-292-4800 | |
Physicians Health Group Medical Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 960 S. Highway Dr, Fenton, MO 63026 Phone: 636-305-2000 Fax: 314-584-7007 | |
Family Practice Of South County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 Bowles Ave, Suite 300, Fenton, MO 63026 Phone: 636-496-5000 Fax: 636-496-5055 |