| Missouri Baptist Medical Center | |
|
3015 N Ballas Rd Saint Louis MO 63131-2329 | |
| (314) 996-5000 | |
| (314) 996-3610 |
| Full Name | Missouri Baptist Medical Center |
|---|---|
| Speciality | General Practice |
| Location | 3015 N Ballas Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Ann Abad (PRESIDENT) |
| Authorized Official Contact | 3149968401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Missouri Baptist Medical Center 3015 N Ballas Rd Saint Louis MO 63131-2329 Ph: (314) 996-5000 | Missouri Baptist Medical Center 3015 N Ballas Rd Saint Louis MO 63131-2329 Ph: (314) 996-5000 |
| NPI Number | 1467461434 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 01/20/2023 |
| Medicare PECOS PAC ID | 3476461955 |
|---|---|
| Medicare Enrollment ID | O20041013000043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467461434 | NPI | - | NPPES |
| 103189 | Other | HEALTH LINK | |
| 0536913 | Other | AETNA HMO | |
| 010419307 | Medicaid | MO | |
| 109 | Other | BLUE CROSS | |
| 5000192 | Other | UNITED HEALTH CARE | |
| 6350715 | Other | AETNA PPO | |
| 540419306 | Medicaid | MO | |
| 260108 | Other | MERCY HEALTH PLANS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 282N00000X | General Acute Care Hospital | (* (Not Available)) | Secondary |
| Provider Name | Nancy J Spreen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790789360 PECOS PAC ID: 2860471182 Enrollment ID: I20040824000602 |
| Provider Name | Carole Ladriere Mclaughlin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336251719 PECOS PAC ID: 5092781484 Enrollment ID: I20040908000001 |
| Provider Name | Lisa G Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609894336 PECOS PAC ID: 0143289736 Enrollment ID: I20041008000393 |
| Provider Name | Joanna Hagemeier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639141096 PECOS PAC ID: 8729041710 Enrollment ID: I20041110000818 |
| Provider Name | Christopher R Fichter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366580284 PECOS PAC ID: 5597788810 Enrollment ID: I20060112000232 |
| Provider Name | Jeffrey Mormol |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639103377 PECOS PAC ID: 7113922618 Enrollment ID: I20060915000170 |
| Provider Name | Nitin Jagdish Anand |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336235050 PECOS PAC ID: 1456454818 Enrollment ID: I20070306000247 |
| Provider Name | Jeffrey W Coleman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396857405 PECOS PAC ID: 7315043189 Enrollment ID: I20070511000108 |
| Provider Name | Angela M Reining |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043352263 PECOS PAC ID: 5294823415 Enrollment ID: I20071121000221 |
| Provider Name | Chrysa M Wagener |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407023336 PECOS PAC ID: 3072683861 Enrollment ID: I20080605000478 |
| Provider Name | Meera R Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427120948 PECOS PAC ID: 0345312476 Enrollment ID: I20080708000051 |
| Provider Name | Denise A Meckler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356413876 PECOS PAC ID: 4486726130 Enrollment ID: I20080724000410 |
| Provider Name | Choendal M Zasaretti |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972656817 PECOS PAC ID: 2769558097 Enrollment ID: I20080910000141 |
| Provider Name | Brian T Wessman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316010242 PECOS PAC ID: 1557428505 Enrollment ID: I20090319000234 |
| Provider Name | Kristen M Liebig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356585467 PECOS PAC ID: 0042369373 Enrollment ID: I20090515000551 |
| Provider Name | Sarah B Strand |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497751614 PECOS PAC ID: 2264474758 Enrollment ID: I20100206000243 |
| Provider Name | Chris D Mcdonald |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437107794 PECOS PAC ID: 4880737907 Enrollment ID: I20100211000182 |
| Provider Name | Robyn L Ridder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750339016 PECOS PAC ID: 7517000680 Enrollment ID: I20100211000646 |
| Provider Name | Diane M Richter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417906579 PECOS PAC ID: 6507909686 Enrollment ID: I20100211000673 |
| Provider Name | Enyo A Ablordeppey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548468200 PECOS PAC ID: 6608906854 Enrollment ID: I20100614000868 |
| Provider Name | Jennifer H Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134237498 PECOS PAC ID: 0840322707 Enrollment ID: I20100713000611 |
| Provider Name | David L Weinstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043328305 PECOS PAC ID: 8022140987 Enrollment ID: I20100713000625 |
| Provider Name | Jonathan Joseph Picarella |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619292877 PECOS PAC ID: 5294868220 Enrollment ID: I20100728000440 |
| Provider Name | David A Striker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831102193 PECOS PAC ID: 8921132564 Enrollment ID: I20100817001673 |
| Provider Name | Robert S Martin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487765426 PECOS PAC ID: 4981738309 Enrollment ID: I20100819001003 |
| Provider Name | Caren Pauline Schaecher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326067711 PECOS PAC ID: 6800911033 Enrollment ID: I20100913000145 |
| Provider Name | Mark J Jostes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477518595 PECOS PAC ID: 1456477363 Enrollment ID: I20100929000307 |
| Provider Name | John Heckroth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558353359 PECOS PAC ID: 3678542693 Enrollment ID: I20110316000886 |
| Provider Name | Timothy C Philpott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861570004 PECOS PAC ID: 8224296801 Enrollment ID: I20120229000086 |
| Provider Name | John K Appelbaum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154409399 PECOS PAC ID: 0840206371 Enrollment ID: I20120229000136 |
| Provider Name | Chi Y Kim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487929618 PECOS PAC ID: 4789835513 Enrollment ID: I20121103000094 |
| Provider Name | Paul W Kerby |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1578768461 PECOS PAC ID: 5799936225 Enrollment ID: I20121110000083 |
| Provider Name | Clay B Tummins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326470352 PECOS PAC ID: 4880828722 Enrollment ID: I20131009000924 |
| Provider Name | James P Bosanquet |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164650875 PECOS PAC ID: 9234368812 Enrollment ID: I20140227002115 |
| Provider Name | Margaret L Mccarthy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609986629 PECOS PAC ID: 0446475933 Enrollment ID: I20140625000173 |
| Provider Name | Justin Gawron Knittel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104053032 PECOS PAC ID: 8426217563 Enrollment ID: I20140922000267 |
| Provider Name | Kenneth E Remy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235345042 PECOS PAC ID: 5092971267 Enrollment ID: I20150504000764 |
| Provider Name | Juliana C Verticchio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285999508 PECOS PAC ID: 1951530484 Enrollment ID: I20150716002867 |
| Provider Name | Jessica B Barks |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720252190 PECOS PAC ID: 0244418929 Enrollment ID: I20150908002677 |
| Provider Name | Erin M Dumontier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386934768 PECOS PAC ID: 7113234964 Enrollment ID: I20150911000695 |
| Provider Name | Bahaa A Bedair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356780449 PECOS PAC ID: 2163651563 Enrollment ID: I20160609002052 |
| Provider Name | Jennifer L Hawn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932566536 PECOS PAC ID: 8022306539 Enrollment ID: I20161017002254 |
| Provider Name | Alexandra D Schatz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457601767 PECOS PAC ID: 2264751189 Enrollment ID: I20170111000360 |
| Provider Name | Julie Ann Valle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861623514 PECOS PAC ID: 0446303572 Enrollment ID: I20170503002405 |
| Provider Name | Kelsey L Gutesa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023474657 PECOS PAC ID: 4284995895 Enrollment ID: I20180222001337 |
| Provider Name | Natasha Renee Goodwin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467965004 PECOS PAC ID: 5991067639 Enrollment ID: I20180319000028 |
| Provider Name | Belal Firwana |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639424211 PECOS PAC ID: 2860629334 Enrollment ID: I20180726001835 |
| Provider Name | Kyle Glenn Jacobsen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740697879 PECOS PAC ID: 3870841745 Enrollment ID: I20180809000353 |
| Provider Name | Jennifer Lee Valway |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487163259 PECOS PAC ID: 3678832888 Enrollment ID: I20190514002412 |
| Provider Name | Marlene Cano |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861830721 PECOS PAC ID: 1557505435 Enrollment ID: I20190822001609 |
| Provider Name | Kelli Ann Kreher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558742791 PECOS PAC ID: 8325352503 Enrollment ID: I20190910000302 |
| Provider Name | Sarah E Cusworth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306251525 PECOS PAC ID: 2769602440 Enrollment ID: I20200326000330 |
| Provider Name | Kathryn M Gratza |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902199037 PECOS PAC ID: 0446426803 Enrollment ID: I20200713002463 |
| Provider Name | Demitra M Nichoalds |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144841461 PECOS PAC ID: 2668896440 Enrollment ID: I20200727002317 |
| Provider Name | Abigail Thuet Chitwood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841647310 PECOS PAC ID: 8628364528 Enrollment ID: I20200826000163 |
| Provider Name | Jessica E. Altman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790392991 PECOS PAC ID: 9638580244 Enrollment ID: I20201202001889 |
| Provider Name | John Vianney Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912007873 PECOS PAC ID: 3971561507 Enrollment ID: I20210322000514 |
| Provider Name | Ryan Shelton Lee |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720406812 PECOS PAC ID: 2668782251 Enrollment ID: I20210614001956 |
| Provider Name | Rebecca Elizabeth Stang |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174296990 PECOS PAC ID: 5294132163 Enrollment ID: I20210920001296 |
| Provider Name | Melissa Ann Harness |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083292643 PECOS PAC ID: 7113319633 Enrollment ID: I20220113000551 |
| Provider Name | Ashley M Shulman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114674710 PECOS PAC ID: 5597145938 Enrollment ID: I20220701002034 |
| Provider Name | Kelsey Koyanagi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164164604 PECOS PAC ID: 8022499367 Enrollment ID: I20220719000833 |
| Provider Name | Lynexis P Mcvey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801543277 PECOS PAC ID: 1850774233 Enrollment ID: I20220817003146 |
| Provider Name | Kristen Pool |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770226748 PECOS PAC ID: 8820472285 Enrollment ID: I20220902000420 |
| Provider Name | Paige Loring Alvarado |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316669781 PECOS PAC ID: 0143696708 Enrollment ID: I20221022000117 |
| Provider Name | Elizabeth Shireman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598241309 PECOS PAC ID: 5092066688 Enrollment ID: I20221028001910 |
| Provider Name | Jooho P Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205228723 PECOS PAC ID: 1850635681 Enrollment ID: I20221205001485 |
| Provider Name | Lindsay Ann Davidson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558765503 PECOS PAC ID: 7810212636 Enrollment ID: I20221223000345 |
| Provider Name | John C Grotberg |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659865079 PECOS PAC ID: 7315293313 Enrollment ID: I20230218000553 |
| Provider Name | Nnamdi Anunobi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548767775 PECOS PAC ID: 4688047418 Enrollment ID: I20230227001030 |
| Provider Name | Alexandra Lynn White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891484481 PECOS PAC ID: 3779946702 Enrollment ID: I20230824000347 |
| Provider Name | Patrick Duncan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326577172 PECOS PAC ID: 9739459066 Enrollment ID: I20230912001618 |
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 |