Mercy Clinic East Communities | |
615 S New Ballas Rd Administrative Building, 5th Floor Saint Louis MO 63141-8221 | |
(314) 251-6000 | |
Not Available |
Full Name | Mercy Clinic East Communities |
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Speciality | Internal Medicine |
Location | 615 S New Ballas Rd, Saint Louis, Missouri |
Authorized Official Name and Position | John W. Hubert (PRESIDENT) |
Authorized Official Contact | 3142511700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mercy Clinic East Communities 615 S New Ballas Rd Administrative Building, 5th Floor Saint Louis MO 63141-8221 Ph: (314) 251-6000 | Mercy Clinic East Communities 615 S New Ballas Rd Administrative Building, 5th Floor Saint Louis MO 63141-8221 Ph: (314) 251-6000 |
NPI Number | 1073739041 |
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Provider Enumeration Date | 04/18/2007 |
Last Update Date | 05/08/2014 |
Medicare PECOS PAC ID | 7214827922 |
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Medicare Enrollment ID | O20070521000058 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073739041 | NPI | - | NPPES |
Provider Name | Barbara E King |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992918114 PECOS PAC ID: 8820980063 Enrollment ID: I20040325000189 |
Provider Name | Louise L Fields |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275610156 PECOS PAC ID: 6305827189 Enrollment ID: I20040527000364 |
Provider Name | William Howard Fritz |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407820913 PECOS PAC ID: 8921086406 Enrollment ID: I20040712000080 |
Provider Name | Robert D Haskins |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1164469235 PECOS PAC ID: 2567432099 Enrollment ID: I20040730000423 |
Provider Name | Nestor Michael Shust |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1346283066 PECOS PAC ID: 3476525676 Enrollment ID: I20040809000885 |
Provider Name | Darla Martin |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1356502025 PECOS PAC ID: 3375516719 Enrollment ID: I20040816000010 |
Provider Name | Gary Dumontier |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437192481 PECOS PAC ID: 3971497611 Enrollment ID: I20040823000565 |
Provider Name | Kenneth B Smith |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801822747 PECOS PAC ID: 7214821974 Enrollment ID: I20041013000338 |
Provider Name | Gregory A Potts |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1992770887 PECOS PAC ID: 5799747895 Enrollment ID: I20041101000817 |
Provider Name | Kenneth K Hamai |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1073587713 PECOS PAC ID: 6800858598 Enrollment ID: I20041104000102 |
Provider Name | Sarah Dyson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922020064 PECOS PAC ID: 7618925207 Enrollment ID: I20050111000195 |
Provider Name | Peter J Lamble |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144266909 PECOS PAC ID: 4183610728 Enrollment ID: I20050519000016 |
Provider Name | Elizabeth P Hammer |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1073540886 PECOS PAC ID: 6901849587 Enrollment ID: I20050606000028 |
Provider Name | Kristin Weidle |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578507570 PECOS PAC ID: 8820032261 Enrollment ID: I20050616000064 |
Provider Name | Jamie Borgmann |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184750770 PECOS PAC ID: 4880626928 Enrollment ID: I20050909000016 |
Provider Name | James R Grimes |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649262106 PECOS PAC ID: 3678583317 Enrollment ID: I20060426000293 |
Provider Name | Sarah B Shores |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1356424485 PECOS PAC ID: 8022904119 Enrollment ID: I20070201000121 |
Provider Name | Craig W Boyd |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1821171927 PECOS PAC ID: 0547262784 Enrollment ID: I20070201000138 |
Provider Name | Victoria L Yenzer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043422488 PECOS PAC ID: 7719084953 Enrollment ID: I20070522000567 |
Provider Name | Karen M Gross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518170596 PECOS PAC ID: 3173620325 Enrollment ID: I20070522000675 |
Provider Name | Lori A Repp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982817953 PECOS PAC ID: 2668579749 Enrollment ID: I20070524000373 |
Provider Name | Kelly A Rourke |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033185285 PECOS PAC ID: 0648377721 Enrollment ID: I20070524000383 |
Provider Name | Barbara L Blaue |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417169855 PECOS PAC ID: 7810094992 Enrollment ID: I20070524000395 |
Provider Name | Melissa E Manhart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679786990 PECOS PAC ID: 8426152851 Enrollment ID: I20070524000483 |
Provider Name | Jennifer Scheer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487621256 PECOS PAC ID: 9739286634 Enrollment ID: I20070529000267 |
Provider Name | Nicole A Meitz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982805354 PECOS PAC ID: 2769581842 Enrollment ID: I20070702000210 |
Provider Name | Felipe A Eljaiek |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003927773 PECOS PAC ID: 3173616778 Enrollment ID: I20070912000095 |
Provider Name | Jose R Remo |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598876450 PECOS PAC ID: 3072607779 Enrollment ID: I20070925000328 |
Provider Name | David Bruce Glover |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1538103569 PECOS PAC ID: 4082709738 Enrollment ID: I20070926001061 |
Provider Name | Gretchen E Farmer |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720283450 PECOS PAC ID: 4981799475 Enrollment ID: I20070928000052 |
Provider Name | Tammy Watz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780795658 PECOS PAC ID: 4385730837 Enrollment ID: I20071016000054 |
Provider Name | Terri L Bauer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740386846 PECOS PAC ID: 9830286798 Enrollment ID: I20071025000057 |
Provider Name | Vivian M Dudley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013018654 PECOS PAC ID: 8628158391 Enrollment ID: I20080108000085 |
Provider Name | Kyle Fritz Ostrom |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376746743 PECOS PAC ID: 7214007020 Enrollment ID: I20080605000648 |
Provider Name | Anne K Voss |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801848395 PECOS PAC ID: 3678632841 Enrollment ID: I20081103000146 |
Provider Name | Christy R Bleckman |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1366568891 PECOS PAC ID: 9537220900 Enrollment ID: I20081203000505 |
Provider Name | Briccio S Cadiz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932182722 PECOS PAC ID: 2264598648 Enrollment ID: I20090310000449 |
Provider Name | Jessica H Diekhoff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164662276 PECOS PAC ID: 0244387108 Enrollment ID: I20090409000513 |
Provider Name | Mathew A Strasser |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164447884 PECOS PAC ID: 3072665934 Enrollment ID: I20090723000606 |
Provider Name | Stephanie M Meyer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215148341 PECOS PAC ID: 3779637590 Enrollment ID: I20090813000369 |
Provider Name | Scott M Dembiec |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619178159 PECOS PAC ID: 1557415189 Enrollment ID: I20090818000016 |
Provider Name | Christina Antoinett Garretto |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144430612 PECOS PAC ID: 1951447689 Enrollment ID: I20091009000016 |
Provider Name | Keith M Ratcliff |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841232386 PECOS PAC ID: 1557255221 Enrollment ID: I20091014000079 |
Provider Name | Michael E Rau |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467496216 PECOS PAC ID: 8123023140 Enrollment ID: I20100224000118 |
Provider Name | Shaukat A Thanawalla |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457393134 PECOS PAC ID: 5496750416 Enrollment ID: I20100224000139 |
Provider Name | James S Compton |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336133321 PECOS PAC ID: 4981794724 Enrollment ID: I20100326000923 |
Provider Name | Matthew J Tiefenbrunn |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457393712 PECOS PAC ID: 4981598646 Enrollment ID: I20100508000009 |
Provider Name | Kim D Colter |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336112846 PECOS PAC ID: 3375437049 Enrollment ID: I20100508000020 |
Provider Name | Christiane K Korba |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1164464426 PECOS PAC ID: 3577568591 Enrollment ID: I20100511000888 |
Provider Name | Timothy P Long |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558384214 PECOS PAC ID: 6204720931 Enrollment ID: I20100615000706 |
Provider Name | Bryce A Ayers |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689610446 PECOS PAC ID: 2567356298 Enrollment ID: I20100618000640 |
Provider Name | Robert W Halsted |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447286380 PECOS PAC ID: 5294629929 Enrollment ID: I20100618000723 |
Provider Name | Brenda G Voss |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1407017775 PECOS PAC ID: 3274665641 Enrollment ID: I20100720001003 |
Provider Name | Amanda M Burkheart |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912134834 PECOS PAC ID: 5395879944 Enrollment ID: I20100818000092 |
Provider Name | Lisa A Corwin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740479757 PECOS PAC ID: 4587780572 Enrollment ID: I20100928000195 |
Provider Name | Tammy L Prewitt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831283894 PECOS PAC ID: 9931391620 Enrollment ID: I20101013000845 |
Provider Name | Jessica L Bell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659674463 PECOS PAC ID: 4587853049 Enrollment ID: I20110113001214 |
Provider Name | Mary M Hammel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598067779 PECOS PAC ID: 2668653783 Enrollment ID: I20110223000316 |
Provider Name | Charles E Keefe |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770617318 PECOS PAC ID: 8729262142 Enrollment ID: I20110409000080 |
Provider Name | Tina Louise Valentine |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356337224 PECOS PAC ID: 6608856935 Enrollment ID: I20110803000786 |
Provider Name | Krystle A Reed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215216239 PECOS PAC ID: 6406026194 Enrollment ID: I20110907001527 |
Provider Name | Christina L Byron |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1528266400 PECOS PAC ID: 1355513714 Enrollment ID: I20111006000251 |
Provider Name | Gretchen H Levey |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1518167261 PECOS PAC ID: 9133391592 Enrollment ID: I20111006000291 |
Provider Name | Margaretta L Mendenhall |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1275730111 PECOS PAC ID: 2668644022 Enrollment ID: I20111006000313 |
Provider Name | Joi C Irving |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457508665 PECOS PAC ID: 9335314863 Enrollment ID: I20111213000159 |
Provider Name | Christen M Elfrink |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700163458 PECOS PAC ID: 6709043730 Enrollment ID: I20120202000881 |
Provider Name | Dena B Kruse |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245503978 PECOS PAC ID: 0749449825 Enrollment ID: I20120308000587 |
Provider Name | Angela M Lloyd |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1518912047 PECOS PAC ID: 9032370069 Enrollment ID: I20120418000269 |
Provider Name | Melissa L Amann |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275886012 PECOS PAC ID: 8527219153 Enrollment ID: I20121108000154 |
Provider Name | Denise P Blackburn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043568280 PECOS PAC ID: 5496906901 Enrollment ID: I20121109000400 |
Provider Name | Patrick J Rose |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811208341 PECOS PAC ID: 6709029259 Enrollment ID: I20130830000531 |
Provider Name | Charles P Coyne |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295048031 PECOS PAC ID: 5991948689 Enrollment ID: I20131001000503 |
Provider Name | Leah R Glass |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1093942997 PECOS PAC ID: 5294960472 Enrollment ID: I20131023001959 |
Provider Name | Amanda A Oswalt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710175815 PECOS PAC ID: 0749418325 Enrollment ID: I20140103000666 |
Provider Name | Tina Montee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942616016 PECOS PAC ID: 2264659432 Enrollment ID: I20140812000847 |
Provider Name | Stephanie Schatz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255748349 PECOS PAC ID: 4385864024 Enrollment ID: I20141001001904 |
Provider Name | Lisa A Dickinson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053498451 PECOS PAC ID: 3375867559 Enrollment ID: I20150116000471 |
Provider Name | Robert Schwenk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720486582 PECOS PAC ID: 6305162892 Enrollment ID: I20150227000425 |
Provider Name | Amanda L K Flamm |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528453354 PECOS PAC ID: 6002134079 Enrollment ID: I20150423001727 |
Provider Name | Jacob W Peyton |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1912293010 PECOS PAC ID: 4486874989 Enrollment ID: I20150721001620 |
Provider Name | Carrie L. Rutledge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992183511 PECOS PAC ID: 1153634720 Enrollment ID: I20150727000158 |
Provider Name | Monica L Board |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437409992 PECOS PAC ID: 4688826498 Enrollment ID: I20150729007558 |
Provider Name | Melinda Auer |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1326336314 PECOS PAC ID: 1456665249 Enrollment ID: I20150807013451 |
Provider Name | Patricia Parks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760750616 PECOS PAC ID: 6002079951 Enrollment ID: I20150819006866 |
Provider Name | Jennifer Walk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346619095 PECOS PAC ID: 4880903293 Enrollment ID: I20151027000390 |
Provider Name | Monica Y Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922030865 PECOS PAC ID: 3274822507 Enrollment ID: I20160510001060 |
Provider Name | Tanis Bast |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295193274 PECOS PAC ID: 3274826904 Enrollment ID: I20160719000114 |
Provider Name | Jessica Freiberger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568814234 PECOS PAC ID: 2163715228 Enrollment ID: I20160727000359 |
Provider Name | Catherine Hutz |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1912261322 PECOS PAC ID: 8527204320 Enrollment ID: I20160908000395 |
Provider Name | Angela Mehler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316362833 PECOS PAC ID: 5395034375 Enrollment ID: I20170117001174 |
Provider Name | Sarah Dobsch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477092062 PECOS PAC ID: 9739463571 Enrollment ID: I20170223000467 |
Provider Name | Kamealya Farrell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215462999 PECOS PAC ID: 1052680576 Enrollment ID: I20170627000543 |
Provider Name | Andrea M Schuster |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063826493 PECOS PAC ID: 8921224593 Enrollment ID: I20170711000789 |
Provider Name | Anthony J Kruse |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306256375 PECOS PAC ID: 6800198227 Enrollment ID: I20170822002319 |
Provider Name | Rebekah Suezann Helmig |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851803159 PECOS PAC ID: 4486910080 Enrollment ID: I20171115001535 |
Provider Name | Tamara Bailey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184122327 PECOS PAC ID: 3375804917 Enrollment ID: I20180222003001 |
Provider Name | Danielle Besand |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932655479 PECOS PAC ID: 9931456944 Enrollment ID: I20180723001701 |
Provider Name | Sara D Mcallister |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518449065 PECOS PAC ID: 4486906047 Enrollment ID: I20181009002144 |
Provider Name | Jessica Lynn Gengler |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1629380522 PECOS PAC ID: 2365686383 Enrollment ID: I20190123001820 |
Provider Name | Erica N Mullen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194282103 PECOS PAC ID: 7315288305 Enrollment ID: I20190329002063 |
Provider Name | Megan L Stutheit |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972155232 PECOS PAC ID: 2062740012 Enrollment ID: I20190828003857 |
Provider Name | Casey Lynn Buncher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891336178 PECOS PAC ID: 3678905312 Enrollment ID: I20191118001941 |
Provider Name | Kelly Marie Rogers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184265753 PECOS PAC ID: 9830523240 Enrollment ID: I20191217003244 |
Provider Name | Jillian Poretti |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1760857833 PECOS PAC ID: 8022442466 Enrollment ID: I20191218001195 |
Provider Name | Hailee Brooke Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467095356 PECOS PAC ID: 7214361245 Enrollment ID: I20191230001362 |
Provider Name | Katherine Mary Jasper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942841390 PECOS PAC ID: 8921436775 Enrollment ID: I20200310001958 |
Provider Name | Sheila Ann Buesking |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669018602 PECOS PAC ID: 2769811215 Enrollment ID: I20200403000833 |
Provider Name | Amanda Carroll |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1396079208 PECOS PAC ID: 4385872415 Enrollment ID: I20200520003219 |
Provider Name | Cheng Xin Jiang |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1174043301 PECOS PAC ID: 1254607633 Enrollment ID: I20200716004024 |
Provider Name | Kimberly A Mcclure |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942730320 PECOS PAC ID: 1850667775 Enrollment ID: I20200821000591 |
Provider Name | Nancy Christine Bryan-schatz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326634080 PECOS PAC ID: 4981019502 Enrollment ID: I20210212000580 |
Provider Name | Danielle S Grunloh-gumpenberger |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1285164053 PECOS PAC ID: 6800162967 Enrollment ID: I20210923003377 |
Provider Name | Sarah Abigail Chalk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104590801 PECOS PAC ID: 7416354808 Enrollment ID: I20210928001773 |
Provider Name | Miranda Mae Pickens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093488322 PECOS PAC ID: 3870990096 Enrollment ID: I20210930000458 |
Provider Name | Megan Kathren Bell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912509399 PECOS PAC ID: 0547659070 Enrollment ID: I20211122002384 |
Provider Name | Andrea Anita Strothcamp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710552757 PECOS PAC ID: 9436542347 Enrollment ID: I20220216001735 |
Provider Name | Christina Marie Blankenship |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609537562 PECOS PAC ID: 5395139950 Enrollment ID: I20220224000234 |
Provider Name | Julie Allison Ingle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275286759 PECOS PAC ID: 1153715727 Enrollment ID: I20220224000467 |
Provider Name | Karli Katherine Philpot |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982350609 PECOS PAC ID: 0345635322 Enrollment ID: I20220310001183 |
Provider Name | Jessica Mae Goins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609524917 PECOS PAC ID: 7810384112 Enrollment ID: I20220504002088 |
Provider Name | Delaina Evans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417682824 PECOS PAC ID: 2668856816 Enrollment ID: I20220907001704 |
Provider Name | Celia Jauregui |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487377347 PECOS PAC ID: 8224405287 Enrollment ID: I20221103001228 |
Provider Name | Brenna Ann Panhorst |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700500147 PECOS PAC ID: 2062880511 Enrollment ID: I20221115001547 |
Provider Name | Jennifer Courtouise |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265140263 PECOS PAC ID: 8224409610 Enrollment ID: I20230123001290 |
Provider Name | Laura Pape Hill |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477044642 PECOS PAC ID: 9830448372 Enrollment ID: I20230707001428 |
Provider Name | Megan Reidy Landis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902422421 PECOS PAC ID: 5193148195 Enrollment ID: I20230912002387 |
Provider Name | Amanda Leanna Hellebusch |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1437794898 PECOS PAC ID: 5395190318 Enrollment ID: I20231011003171 |
Provider Name | Philip John Hoffman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942648225 PECOS PAC ID: 9436422532 Enrollment ID: I20231018002061 |
Provider Name | Rebecca Talley |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1043879489 PECOS PAC ID: 0840526927 Enrollment ID: I20231109003230 |
Provider Name | Brooke Nicole Harness |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124805080 PECOS PAC ID: 6103278981 Enrollment ID: I20240117002261 |
Provider Name | Charles E Landis |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1184184483 PECOS PAC ID: 1951636703 Enrollment ID: I20240403003320 |
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 |