| Generation Clinical Partners Llc | |
|
10426 Baur Blvd Saint Louis MO 63132-1905 | |
| (314) 925-0903 | |
| Not Available |
| Full Name | Generation Clinical Partners Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10426 Baur Blvd, Saint Louis, Missouri |
| Authorized Official Name and Position | Walter Lin (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3149250903 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Generation Clinical Partners Llc 11500 Olive Blvd Ste 235 Saint Louis MO 63141-7141 Ph: (314) 925-0903 | Generation Clinical Partners Llc 10426 Baur Blvd Saint Louis MO 63132-1905 Ph: (314) 925-0903 |
| NPI Number | 1104235241 |
|---|---|
| Provider Enumeration Date | 08/02/2014 |
| Last Update Date | 06/29/2023 |
| Medicare PECOS PAC ID | 1557687803 |
|---|---|
| Medicare Enrollment ID | O20150303001785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104235241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Sarina T Phatak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366556912 PECOS PAC ID: 0941196893 Enrollment ID: I20040226000485 |
| Provider Name | Hana Alul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568458412 PECOS PAC ID: 9234113309 Enrollment ID: I20040616000356 |
| Provider Name | Felice Rolnick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659317188 PECOS PAC ID: 5890757272 Enrollment ID: I20041028000568 |
| Provider Name | Drupadi A Kumar |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1043328412 PECOS PAC ID: 2163518325 Enrollment ID: I20071018000647 |
| Provider Name | Marsha R Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154595072 PECOS PAC ID: 6305915943 Enrollment ID: I20080521000850 |
| Provider Name | Rex Erwin Hudson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1235113325 PECOS PAC ID: 8123173051 Enrollment ID: I20090828000368 |
| Provider Name | Sarah Md Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417120577 PECOS PAC ID: 7517115819 Enrollment ID: I20120911000633 |
| Provider Name | Walter Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952481913 PECOS PAC ID: 9931425295 Enrollment ID: I20150317000993 |
| Provider Name | Abby Cronin Peer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679964191 PECOS PAC ID: 6709106669 Enrollment ID: I20150518001489 |
| Provider Name | Kimberly H Harsy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437555653 PECOS PAC ID: 7113247651 Enrollment ID: I20150522001371 |
| Provider Name | Katherine A Burnley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013397967 PECOS PAC ID: 0749598829 Enrollment ID: I20151009001780 |
| Provider Name | Andrea Itzkowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285696831 PECOS PAC ID: 7517278252 Enrollment ID: I20151021001605 |
| Provider Name | Anne Leslie Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326441478 PECOS PAC ID: 0345564787 Enrollment ID: I20160211001437 |
| Provider Name | Francisco Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861841694 PECOS PAC ID: 5890087092 Enrollment ID: I20160708000854 |
| Provider Name | Kaylene Inama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528440450 PECOS PAC ID: 7214241215 Enrollment ID: I20170503000106 |
| Provider Name | Yorvoll Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508381039 PECOS PAC ID: 9537431614 Enrollment ID: I20180420001104 |
| Provider Name | Michelle Vandorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093817355 PECOS PAC ID: 5597731273 Enrollment ID: I20200728002860 |
| Provider Name | Elizabeth Elaine Bernat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356973366 PECOS PAC ID: 1456789494 Enrollment ID: I20211116002093 |
| Provider Name | Rajesh Kumar Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083841902 PECOS PAC ID: 2860634771 Enrollment ID: I20220218000615 |
| Provider Name | Kelly Stromsdorfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225746910 PECOS PAC ID: 8022486364 Enrollment ID: I20221117002696 |
| Provider Name | Devon T Knupp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063105120 PECOS PAC ID: 9032577812 Enrollment ID: I20230627001126 |
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