| Inpatient Consultants Of Kansas Pa | |
|
12125 Woodcrest Executive Dr 220 Saint Louis MO 63141-5001 | |
| (314) 317-0600 | |
| (314) 317-0606 |
| Full Name | Inpatient Consultants Of Kansas Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 12125 Woodcrest Executive Dr, Saint Louis, Missouri |
| Authorized Official Name and Position | Robert Ray Frantz (PRESIDENT) |
| Authorized Official Contact | 8656931000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inpatient Consultants Of Kansas Pa 1643 Nw 136th Ave Ste 100 Sunrise FL 33323-2857 Ph: (800) 424-3672 | Inpatient Consultants Of Kansas Pa 12125 Woodcrest Executive Dr 220 Saint Louis MO 63141-5001 Ph: (314) 317-0600 |
| NPI Number | 1861795635 |
|---|---|
| Provider Enumeration Date | 12/16/2010 |
| Last Update Date | 11/12/2020 |
| Medicare PECOS PAC ID | 9335329556 |
|---|---|
| Medicare Enrollment ID | O20110204000829 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861795635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
| Provider Name | Nial K Castle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780677831 PECOS PAC ID: 1355309303 Enrollment ID: I20041222000565 |
| Provider Name | Mary Ann Lillig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902899834 PECOS PAC ID: 9335107184 Enrollment ID: I20041227000198 |
| Provider Name | James P Mulhall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780677625 PECOS PAC ID: 9739147588 Enrollment ID: I20041227000258 |
| Provider Name | William F Sudholt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164486254 PECOS PAC ID: 1759305378 Enrollment ID: I20060124000100 |
| Provider Name | Mohd L Boda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285673038 PECOS PAC ID: 8820180482 Enrollment ID: I20070828000025 |
| Provider Name | Nelopher Hathiary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023159522 PECOS PAC ID: 3971529017 Enrollment ID: I20070907000199 |
| Provider Name | Joe Ramsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619962099 PECOS PAC ID: 7517065121 Enrollment ID: I20071012000685 |
| Provider Name | Kevin F Ring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407840853 PECOS PAC ID: 1658449160 Enrollment ID: I20081010000616 |
| Provider Name | Jacqueline J Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194704312 PECOS PAC ID: 7012076821 Enrollment ID: I20081110000072 |
| Provider Name | Thomas Wayne Fulbright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548213119 PECOS PAC ID: 1557302080 Enrollment ID: I20090320000099 |
| Provider Name | Rose Anne G Ong Yiu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245451889 PECOS PAC ID: 5991875734 Enrollment ID: I20090624000488 |
| Provider Name | Elisabeth L Cozad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194936393 PECOS PAC ID: 0446302665 Enrollment ID: I20090729000768 |
| Provider Name | Reggie Jo Voboril |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821054693 PECOS PAC ID: 9537139423 Enrollment ID: I20100818000485 |
| Provider Name | Jayne L Bumgarner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770774440 PECOS PAC ID: 8628192283 Enrollment ID: I20100903000512 |
| Provider Name | Amit Patel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1144414244 PECOS PAC ID: 9739371501 Enrollment ID: I20101012001416 |
| Provider Name | Reetu Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407871577 PECOS PAC ID: 3870644016 Enrollment ID: I20101020000407 |
| Provider Name | Alison Leigh Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265730899 PECOS PAC ID: 8224213053 Enrollment ID: I20110421000181 |
| Provider Name | Anil Lakshman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366607798 PECOS PAC ID: 5698946309 Enrollment ID: I20110928000630 |
| Provider Name | Deanna M Mahoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063709640 PECOS PAC ID: 8325211618 Enrollment ID: I20111102000213 |
| Provider Name | Erica Bourbon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376810598 PECOS PAC ID: 4385819564 Enrollment ID: I20111216000484 |
| Provider Name | Martha L Lapietra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932194925 PECOS PAC ID: 2365548054 Enrollment ID: I20120105000859 |
| Provider Name | Yee Ai See |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790068732 PECOS PAC ID: 7719153188 Enrollment ID: I20120106000099 |
| Provider Name | Doncy Joji Eapen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225300791 PECOS PAC ID: 3678734860 Enrollment ID: I20120416000309 |
| Provider Name | Julia C Bradbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700122306 PECOS PAC ID: 6406091115 Enrollment ID: I20130426000473 |
| Provider Name | Tracy Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285898122 PECOS PAC ID: 8921242934 Enrollment ID: I20130912000680 |
| Provider Name | Kristie Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124051941 PECOS PAC ID: 1850310269 Enrollment ID: I20140707000255 |
| Provider Name | Trista Calhoun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659787281 PECOS PAC ID: 5395060255 Enrollment ID: I20150303001020 |
| Provider Name | James L Paulsgrove |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982964607 PECOS PAC ID: 1658591326 Enrollment ID: I20150609000202 |
| Provider Name | Muhammed K Banday |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790071074 PECOS PAC ID: 8224260096 Enrollment ID: I20150730011302 |
| Provider Name | Karan Chander Mohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801295258 PECOS PAC ID: 7012223233 Enrollment ID: I20150903000202 |
| Provider Name | Cherrie Termulo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710117296 PECOS PAC ID: 9739335498 Enrollment ID: I20160331000890 |
| Provider Name | Srinivasa R Vasireddi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073806071 PECOS PAC ID: 5193940922 Enrollment ID: I20160331001332 |
| Provider Name | Chunmei Xie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205278306 PECOS PAC ID: 6608197744 Enrollment ID: I20160401000380 |
| Provider Name | Syreeta Van Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063539823 PECOS PAC ID: 9436457546 Enrollment ID: I20160405002558 |
| Provider Name | Amy M Tolles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083076392 PECOS PAC ID: 5294024410 Enrollment ID: I20160511001556 |
| Provider Name | Ann Heatherly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598189615 PECOS PAC ID: 4082846373 Enrollment ID: I20160602000648 |
| Provider Name | Aradhana Pandey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467628040 PECOS PAC ID: 9830352236 Enrollment ID: I20160627001954 |
| Provider Name | Ursula Reusch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477633063 PECOS PAC ID: 4082614755 Enrollment ID: I20160712000627 |
| Provider Name | Valerie Njuguna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811340508 PECOS PAC ID: 7416241872 Enrollment ID: I20160822001219 |
| Provider Name | Suzanne K Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568734424 PECOS PAC ID: 4284938820 Enrollment ID: I20160823003055 |
| Provider Name | Vishal Pankaj Kapadia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609219864 PECOS PAC ID: 5597069377 Enrollment ID: I20160912000171 |
| Provider Name | Anusha Bandla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861827552 PECOS PAC ID: 2769777630 Enrollment ID: I20160912000453 |
| Provider Name | Mana Hobson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851447049 PECOS PAC ID: 6507810736 Enrollment ID: I20161010000854 |
| Provider Name | Uyen Phan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427498286 PECOS PAC ID: 4688800063 Enrollment ID: I20161011002280 |
| Provider Name | Sarah A. Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851833347 PECOS PAC ID: 9638458383 Enrollment ID: I20170103001643 |
| Provider Name | James E Burrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659819688 PECOS PAC ID: 3072897230 Enrollment ID: I20170307001673 |
| Provider Name | Seema Sharma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467992057 PECOS PAC ID: 9335424530 Enrollment ID: I20170510002266 |
| Provider Name | Kelsy G Darby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740701804 PECOS PAC ID: 9739452509 Enrollment ID: I20170830003137 |
| Provider Name | Jeena Eapen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023018926 PECOS PAC ID: 2062483092 Enrollment ID: I20170906000708 |
| Provider Name | Philip B Augustine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003195215 PECOS PAC ID: 8224357033 Enrollment ID: I20171110000557 |
| Provider Name | Jacob Matthew Shepherd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730574963 PECOS PAC ID: 7315249281 Enrollment ID: I20180621002795 |
| Provider Name | Tommel Samani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649651100 PECOS PAC ID: 7113214131 Enrollment ID: I20180924001685 |
| Provider Name | Gewel G De Los Santos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205287737 PECOS PAC ID: 8921338880 Enrollment ID: I20190919002597 |
| Provider Name | Sospeter O Otieno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609418763 PECOS PAC ID: 9436584406 Enrollment ID: I20200325002798 |
| Provider Name | Chereena C Walker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457703530 PECOS PAC ID: 8628492659 Enrollment ID: I20200722003278 |
| Provider Name | Kevin Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891130936 PECOS PAC ID: 5991120917 Enrollment ID: I20210222001478 |
St. Louis Center For Preventive And Longevity Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 777 S New Ballas Rd, Suite 200 E, Saint Louis, MO 63141 Phone: 314-994-1536 Fax: 314-692-0241 | |
Town And Country Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3009 N Ballas Rd, Suite 300a, Saint Louis, MO 63131 Phone: 314-872-8999 | |
Family Care Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Lynch St, Saint Louis, MO 63118 Phone: 314-531-5444 Fax: 314-531-0063 | |
Wusm Bjc Aco Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S Euclid Ave, Campus Box 8081, Saint Louis, MO 63110 Phone: 314-273-0770 | |
Victus Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12607 Olive Blvd, Saint Louis, MO 63141 Phone: 314-327-8070 | |
Salvation Army Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2900 Washington Ave, Saint Louis, MO 63103 Phone: 314-898-1700 Fax: 314-814-8542 | |
Dtg Ii Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3819 Tesson Ct, Saint Louis, MO 63123 Phone: 800-268-7713 Fax: 415-704-3294 |