| Endocrinology Diabetes & Metabolism Consultants P C | |
|
10004 Kennerly Rd Suite 160b Saint Louis MO 63128-2141 | |
| (314) 842-1588 | |
| (314) 543-5298 |
| Full Name | Endocrinology Diabetes & Metabolism Consultants P C |
|---|---|
| Speciality | Internal Medicine |
| Location | 10004 Kennerly Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | K George Thampy (DIRECTOR) |
| Authorized Official Contact | 3148421588 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrinology Diabetes & Metabolism Consultants P C 10004 Kennerly Rd Suite 160b Saint Louis MO 63128-2141 Ph: (314) 842-1588 | Endocrinology Diabetes & Metabolism Consultants P C 10004 Kennerly Rd Suite 160b Saint Louis MO 63128-2141 Ph: (314) 842-1588 |
| NPI Number | 1174699193 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 04/22/2020 |
| Medicare PECOS PAC ID | 4284602657 |
|---|---|
| Medicare Enrollment ID | O20040923000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174699193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 112762 (Missouri) | Primary |
| Provider Name | Joy Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851321103 PECOS PAC ID: 9537250261 Enrollment ID: I20070809000092 |
| Provider Name | K George Thampy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205816790 PECOS PAC ID: 4688674468 Enrollment ID: I20080923000097 |
| Provider Name | Whitney Suzanne Cawvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972022101 PECOS PAC ID: 9335415652 Enrollment ID: I20171031002644 |
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