| St Louis County Dept Of Health | |
|
6121 N Hanley Rd Saint Louis MO 63134-2003 | |
| (314) 615-0600 | |
| (314) 615-8303 |
| Full Name | St Louis County Dept Of Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 6121 N Hanley Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Faisal Khan (DIRECTOR) |
| Authorized Official Contact | 3146156445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Louis County Dept Of Health 6121 N Hanley Rd Saint Louis MO 63134-2003 Ph: (314) 615-0500 | St Louis County Dept Of Health 6121 N Hanley Rd Saint Louis MO 63134-2003 Ph: (314) 615-0600 |
| NPI Number | 1780639088 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 06/17/2015 |
| Medicare PECOS PAC ID | 0941285720 |
|---|---|
| Medicare Enrollment ID | O20040628000772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780639088 | NPI | - | NPPES |
| 8595 | Other | MO | HEALTHCAREUSA - NORTH CENTRAL |
| 511086308 | Medicaid | MO | |
| 8717 | Other | MO | HEALTHCARE USA SOUTH |
| 8283 | Other | MO | HEALTH CARE USA - JC MURPHY |
| 9281 | Other | MO | HEALTHCARE USA LAKESIDE |
| CC9075 | Other | MO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (Missouri) | Primary |
| Provider Name | Susan K Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700877032 PECOS PAC ID: 5698757896 Enrollment ID: I20040602000813 |
| Provider Name | Diane M Petersen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790719342 PECOS PAC ID: 0345203469 Enrollment ID: I20041110000133 |
| Provider Name | Kathleen A Bernhard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073590550 PECOS PAC ID: 1850345364 Enrollment ID: I20050308000822 |
| Provider Name | Robert D Baird |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932187531 PECOS PAC ID: 6204873680 Enrollment ID: I20050418000195 |
| Provider Name | James H Hinrichs |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578517967 PECOS PAC ID: 6406808336 Enrollment ID: I20050419000533 |
| Provider Name | Leslie M Mccloskey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609800234 PECOS PAC ID: 0446281810 Enrollment ID: I20050825000287 |
| Provider Name | Mitul B Shah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083645436 PECOS PAC ID: 3870506314 Enrollment ID: I20060728000221 |
| Provider Name | Patricia Edwards-parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275568628 PECOS PAC ID: 1052317534 Enrollment ID: I20061011000753 |
| Provider Name | Bradley P Stoner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659334555 PECOS PAC ID: 2163526310 Enrollment ID: I20070328000629 |
| Provider Name | Walter Glauber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821210287 PECOS PAC ID: 9830298272 Enrollment ID: I20070626000119 |
| Provider Name | Denise L Spear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548411671 PECOS PAC ID: 1254499304 Enrollment ID: I20081020000130 |
| Provider Name | Sabrina D Jordan Childs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649267675 PECOS PAC ID: 1557269792 Enrollment ID: I20090803000022 |
| Provider Name | Pericles F Xynos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558562355 PECOS PAC ID: 1658424791 Enrollment ID: I20090806000406 |
| Provider Name | Brenda D Bush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316192610 PECOS PAC ID: 3577620020 Enrollment ID: I20091016000483 |
| Provider Name | Thomas C Bailey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538187349 PECOS PAC ID: 5092844456 Enrollment ID: I20100522000108 |
| Provider Name | Valerie K Higginbotham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790873743 PECOS PAC ID: 4284768623 Enrollment ID: I20100819001257 |
| Provider Name | Carolyn Louise Seifert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720011869 PECOS PAC ID: 8820082514 Enrollment ID: I20101008001271 |
| Provider Name | Molly J Nelsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437243581 PECOS PAC ID: 0244423820 Enrollment ID: I20101015000636 |
| Provider Name | Erica P Criss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780834747 PECOS PAC ID: 0042373227 Enrollment ID: I20110912000469 |
| Provider Name | Jessica A Whelan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033544747 PECOS PAC ID: 2365671245 Enrollment ID: I20140219001125 |
| Provider Name | Emily Drazinski Doucette |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487940078 PECOS PAC ID: 5991931222 Enrollment ID: I20140729002527 |
| Provider Name | Anna Cristina Fernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720378847 PECOS PAC ID: 1658510938 Enrollment ID: I20141006000358 |
| Provider Name | Amy C Bilyeu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316238041 PECOS PAC ID: 7719298116 Enrollment ID: I20150625000640 |
| Provider Name | Shearita A Sandoval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053705392 PECOS PAC ID: 4385958206 Enrollment ID: I20150805007211 |
| Provider Name | Sarah C Gebauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225392087 PECOS PAC ID: 6608180518 Enrollment ID: I20150806009949 |
| Provider Name | Ige A George |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255644761 PECOS PAC ID: 8628207388 Enrollment ID: I20151218000417 |
| Provider Name | Surachai Amornsawadwattana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952666976 PECOS PAC ID: 5698074805 Enrollment ID: I20160421002305 |
| Provider Name | Kelly A Wilkens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841660792 PECOS PAC ID: 8123317518 Enrollment ID: I20160525002487 |
| Provider Name | Ian Robert Ross |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659710580 PECOS PAC ID: 5193954485 Enrollment ID: I20160603000605 |
| Provider Name | Ruo-qi Hu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1144276072 PECOS PAC ID: 9436183126 Enrollment ID: I20160819001696 |
| Provider Name | Erin Elizabeth Fisk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871889360 PECOS PAC ID: 2668768169 Enrollment ID: I20160909000799 |
| Provider Name | Rebecca J Rezaei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740390004 PECOS PAC ID: 1153607486 Enrollment ID: I20170420001756 |
| Provider Name | Theresa M Drallmeier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467871137 PECOS PAC ID: 4486872595 Enrollment ID: I20170808002076 |
| Provider Name | Michael F Donovan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669852448 PECOS PAC ID: 8426351974 Enrollment ID: I20180625000789 |
| Provider Name | Bernadette T Sheffield |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396366589 PECOS PAC ID: 5092131615 Enrollment ID: I20200805001277 |
| Provider Name | Daniel T Vo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518344704 PECOS PAC ID: 3971824558 Enrollment ID: I20200930002100 |
| Provider Name | Amy F Loreen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730534066 PECOS PAC ID: 2365735487 Enrollment ID: I20201014003637 |
| Provider Name | Christopher M Elliott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174919989 PECOS PAC ID: 6709297773 Enrollment ID: I20201123002247 |
| Provider Name | Kim Lesley Ferguson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912169400 PECOS PAC ID: 2264844539 Enrollment ID: I20201209002954 |
| Provider Name | Kanwal S Mahmood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689693616 PECOS PAC ID: 7113180647 Enrollment ID: I20210825000205 |
| Provider Name | Jevinne Khan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225623085 PECOS PAC ID: 6709279755 Enrollment ID: I20220215001825 |
| Provider Name | Kento Sonoda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265926661 PECOS PAC ID: 6608126305 Enrollment ID: I20220728002696 |
| Provider Name | Mary V Mason |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1093844540 PECOS PAC ID: 8921478868 Enrollment ID: I20230110001637 |
| Provider Name | Surbhi C Jain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043877301 PECOS PAC ID: 0941536445 Enrollment ID: I20230627000985 |
| Provider Name | Nicole M Gloor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437619269 PECOS PAC ID: 0143555995 Enrollment ID: I20230627001414 |
| Provider Name | Donald Lee Hong |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487149365 PECOS PAC ID: 5395106819 Enrollment ID: I20230801000986 |
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 |