Fast Track Medical Llc | |
5701 Chippewa St Saint Louis MO 63109-1544 | |
(314) 921-7300 | |
Not Available |
Full Name | Fast Track Medical Llc |
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Speciality | Clinic/Center |
Location | 5701 Chippewa St, Saint Louis, Missouri |
Authorized Official Name and Position | Christopher Long (PRESIDENT) |
Authorized Official Contact | 3149217300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fast Track Medical Llc 2686 N Highway 67 Florissant MO 63033-1438 Ph: (314) 921-7300 | Fast Track Medical Llc 5701 Chippewa St Saint Louis MO 63109-1544 Ph: (314) 921-7300 |
NPI Number | 1568770626 |
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Provider Enumeration Date | 09/22/2010 |
Last Update Date | 04/11/2024 |
Medicare PECOS PAC ID | 2062693336 |
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Medicare Enrollment ID | O20110218000623 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568770626 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
Provider Name | Sanit Saengsamran |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629093000 PECOS PAC ID: 4981596400 Enrollment ID: I20040329000333 |
Provider Name | Susan K Reynolds |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700877032 PECOS PAC ID: 5698757896 Enrollment ID: I20040602000813 |
Provider Name | Sonny Satnam Saggar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578596235 PECOS PAC ID: 1254314321 Enrollment ID: I20040610000003 |
Provider Name | John E Emmons |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437275948 PECOS PAC ID: 7517939010 Enrollment ID: I20040806000111 |
Provider Name | Paul D D Rains |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437152303 PECOS PAC ID: 1153310172 Enrollment ID: I20040924000684 |
Provider Name | Donn R Richards |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588723704 PECOS PAC ID: 3173580768 Enrollment ID: I20041215000548 |
Provider Name | Sarah Renfert |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932171600 PECOS PAC ID: 9537181383 Enrollment ID: I20051221000603 |
Provider Name | Nancy E Noel |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1063482958 PECOS PAC ID: 1951315688 Enrollment ID: I20060201000473 |
Provider Name | Pilaipun Williams |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437194784 PECOS PAC ID: 5193732881 Enrollment ID: I20060322000050 |
Provider Name | Lisa L Armbruster |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518930502 PECOS PAC ID: 3577660646 Enrollment ID: I20070524000263 |
Provider Name | Laurie Ann Heaps |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922295633 PECOS PAC ID: 8820175409 Enrollment ID: I20080407000394 |
Provider Name | Manuel L San |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245443548 PECOS PAC ID: 2567540040 Enrollment ID: I20080424000058 |
Provider Name | Pamela Buchanan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164633111 PECOS PAC ID: 8325115736 Enrollment ID: I20080927000029 |
Provider Name | Melvyn R Goldberg |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1821112574 PECOS PAC ID: 7911913637 Enrollment ID: I20101206000277 |
Provider Name | Bessevelyn M Tables |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225291248 PECOS PAC ID: 3072784222 Enrollment ID: I20110919000629 |
Provider Name | Ashley S Emmert |
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Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1699948745 PECOS PAC ID: 3678745395 Enrollment ID: I20110930000364 |
Provider Name | David Dunn |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265451199 PECOS PAC ID: 4688734239 Enrollment ID: I20120106000543 |
Provider Name | Nadeemuddin Qureshi |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1659618726 PECOS PAC ID: 4486895497 Enrollment ID: I20130801000859 |
Provider Name | Raymond Leung |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871716027 PECOS PAC ID: 7315266194 Enrollment ID: I20150428002362 |
Provider Name | Sreelatha C Varma |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689624116 PECOS PAC ID: 9133025711 Enrollment ID: I20150721000954 |
Provider Name | Kathryn A Followell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396831780 PECOS PAC ID: 5092746750 Enrollment ID: I20180614002132 |
Provider Name | Cynthia X Wiederholt |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1215190558 PECOS PAC ID: 4082965694 Enrollment ID: I20180920002401 |
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