Harmonycares Medical Group | |
8706 Manchester Rd Ste 106 Saint Louis MO 63144-2733 | |
(314) 961-3570 | |
(314) 961-6450 |
Full Name | Harmonycares Medical Group |
---|---|
Speciality | Family Medicine |
Location | 8706 Manchester Rd Ste 106, Saint Louis, Missouri |
Authorized Official Name and Position | Jeffrey Stevens (OWNER) |
Authorized Official Contact | 2488246623 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Harmonycares Medical Group Po Box 639295 Dept 93394 Cincinnati OH 45263-9295 Ph: (248) 824-6600 | Harmonycares Medical Group 8706 Manchester Rd Ste 106 Saint Louis MO 63144-2733 Ph: (314) 961-3570 |
NPI Number | 1760706337 |
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Provider Enumeration Date | 03/25/2010 |
Last Update Date | 04/26/2024 |
Medicare PECOS PAC ID | 9234041948 |
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Medicare Enrollment ID | O20100818000518 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760706337 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Missouri) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208D00000X | General Practice | (* (Not Available)) | Secondary |
Provider Name | Laurain C Hendricks |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326159245 PECOS PAC ID: 0345216321 Enrollment ID: I20040910000014 |
Provider Name | Diana A Prablek |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588689541 PECOS PAC ID: 9335175066 Enrollment ID: I20050713000721 |
Provider Name | Ben W. Swink |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104958719 PECOS PAC ID: 2567492481 Enrollment ID: I20050819000305 |
Provider Name | Jasper Fullard |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770523540 PECOS PAC ID: 4486549276 Enrollment ID: I20070307000590 |
Provider Name | Linda Therkildsen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902909278 PECOS PAC ID: 8729071030 Enrollment ID: I20070524000442 |
Provider Name | Clay M Anderson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588601215 PECOS PAC ID: 6204933393 Enrollment ID: I20070524000455 |
Provider Name | Barbara J King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508981820 PECOS PAC ID: 8729170360 Enrollment ID: I20070827000769 |
Provider Name | Laurie Ann Heaps |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922295633 PECOS PAC ID: 8820175409 Enrollment ID: I20080407000394 |
Provider Name | Michael A Howard |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942381199 PECOS PAC ID: 0143353383 Enrollment ID: I20101026001530 |
Provider Name | Mary H Brice |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134310519 PECOS PAC ID: 9638354343 Enrollment ID: I20110422000258 |
Provider Name | Mary Lynn Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013209188 PECOS PAC ID: 1850579947 Enrollment ID: I20110620000259 |
Provider Name | Mohammad A Zaman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346350196 PECOS PAC ID: 6002701471 Enrollment ID: I20120120000457 |
Provider Name | Troy A Dowers |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841497716 PECOS PAC ID: 5092880450 Enrollment ID: I20121020000038 |
Provider Name | Yashica N Hawkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104161405 PECOS PAC ID: 1153575550 Enrollment ID: I20130213000064 |
Provider Name | Mary Kay Rauth-farley |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1033520291 PECOS PAC ID: 1759603004 Enrollment ID: I20141124000817 |
Provider Name | Donita L Hall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629378401 PECOS PAC ID: 9739492307 Enrollment ID: I20150727000043 |
Provider Name | Anita S Wiggs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497138614 PECOS PAC ID: 3375857915 Enrollment ID: I20150727002608 |
Provider Name | Donna M Whitley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851769418 PECOS PAC ID: 2668789868 Enrollment ID: I20150921002814 |
Provider Name | Andrea Itzkowitz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285696831 PECOS PAC ID: 7517278252 Enrollment ID: I20151021001605 |
Provider Name | Polly Jackson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790150688 PECOS PAC ID: 3476845405 Enrollment ID: I20160712000500 |
Provider Name | Alison J Smith |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1326255746 PECOS PAC ID: 8628114659 Enrollment ID: I20160919002407 |
Provider Name | Mana Hobson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851447049 PECOS PAC ID: 6507810736 Enrollment ID: I20161010000854 |
Provider Name | Julie Fultz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710274410 PECOS PAC ID: 6709006216 Enrollment ID: I20170109000147 |
Provider Name | Donna Jo Harmon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891238895 PECOS PAC ID: 5698057735 Enrollment ID: I20170124003196 |
Provider Name | Quychi H Le |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366738445 PECOS PAC ID: 0042580201 Enrollment ID: I20170720000737 |
Provider Name | Bernard Victor Miller |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851576029 PECOS PAC ID: 3971885500 Enrollment ID: I20171025002176 |
Provider Name | Philip B Augustine |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003195215 PECOS PAC ID: 8224357033 Enrollment ID: I20171110000557 |
Provider Name | Meghan E Skief |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750894085 PECOS PAC ID: 1951660539 Enrollment ID: I20180108001062 |
Provider Name | William Lewis Dobie |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1265640049 PECOS PAC ID: 5395821433 Enrollment ID: I20180124002264 |
Provider Name | Lisa M Grasing |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487099388 PECOS PAC ID: 9234363094 Enrollment ID: I20180130000026 |
Provider Name | Sarah Ann Sotta |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164913141 PECOS PAC ID: 9830446491 Enrollment ID: I20180727001766 |
Provider Name | Stacia Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437638764 PECOS PAC ID: 5294087128 Enrollment ID: I20181004000409 |
Provider Name | Simi Dhillon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205423688 PECOS PAC ID: 5092124610 Enrollment ID: I20210512001792 |
Provider Name | Shanika Shanta Pruitt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659818904 PECOS PAC ID: 5799177408 Enrollment ID: I20220108000173 |
Provider Name | Carrie Mungai |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124126669 PECOS PAC ID: 0345265906 Enrollment ID: I20230517002362 |
Provider Name | Marie Sedlak Lupone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558456152 PECOS PAC ID: 2163599937 Enrollment ID: I20230912002069 |
Provider Name | Jose Ruiz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437768991 PECOS PAC ID: 1052736261 Enrollment ID: I20230914003892 |
Provider Name | Bhadra Komarraju |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831529296 PECOS PAC ID: 1759606296 Enrollment ID: I20231118000371 |
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