Washington University, Department Of Cardiothoracic Surgery | |
660 S Euclid Ave Saint Louis MO 63110-1010 | |
(314) 362-4964 | |
(314) 747-4871 |
Full Name | Washington University, Department Of Cardiothoracic Surgery |
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Speciality | Clinic/Center |
Location | 660 S Euclid Ave, Saint Louis, Missouri |
Authorized Official Name and Position | Cathy L Eghigian (DIRECTOR, CREDENTIALING OPERATIONS) |
Authorized Official Contact | 3142730770 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Washington University, Department Of Cardiothoracic Surgery 4240 Duncan Ave Suite 301 Saint Louis MO 63110-1123 Ph: (314) 273-0770 | Washington University, Department Of Cardiothoracic Surgery 660 S Euclid Ave Saint Louis MO 63110-1010 Ph: (314) 362-4964 |
NPI Number | 1174563662 |
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Provider Enumeration Date | 06/07/2006 |
Last Update Date | 03/26/2015 |
Medicare PECOS PAC ID | 9830008770 |
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Medicare Enrollment ID | O20040129000732 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174563662 | NPI | - | NPPES |
3846 | Other | MO | GHP MASTER VENDOR |
610916400 | Other | MO | DEPARTMENT OF LABOR |
673341 | Other | MO | AETNA HMO |
6112340 | Other | MO | SPECIAL HEALTH CARE NEEDS |
92215227 | Other | IL | BLUE SHIELD |
18-01999 | Other | MO | UHC GROUP NUMBER |
553061003 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Rita L Gardner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154349835 PECOS PAC ID: 6406755016 Enrollment ID: I20040102000548 |
Provider Name | Daniel Kreisel |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1407872716 PECOS PAC ID: 3870522857 Enrollment ID: I20050810000386 |
Provider Name | Mohammad A Helwani |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1053379438 PECOS PAC ID: 8527031723 Enrollment ID: I20070203000115 |
Provider Name | Lynelle A Jolliff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881744175 PECOS PAC ID: 0941306088 Enrollment ID: I20070507000007 |
Provider Name | Nabil A Munfakh |
---|---|
Provider Type | Practitioner - Cardiac Surgery |
Provider Identifiers | NPI Number: 1578634226 PECOS PAC ID: 1254305808 Enrollment ID: I20090609000143 |
Provider Name | Varun Puri |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1336366087 PECOS PAC ID: 5395898241 Enrollment ID: I20090724000676 |
Provider Name | Bryan F Meyers |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1275551913 PECOS PAC ID: 9335284074 Enrollment ID: I20100304000933 |
Provider Name | George A Patterson |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1154347375 PECOS PAC ID: 2062486541 Enrollment ID: I20100322000246 |
Provider Name | Michael K Pasque |
---|---|
Provider Type | Practitioner - Cardiac Surgery |
Provider Identifiers | NPI Number: 1750309175 PECOS PAC ID: 0042346587 Enrollment ID: I20100412000053 |
Provider Name | Charl J Dewet |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1538186036 PECOS PAC ID: 1153458211 Enrollment ID: I20100421000304 |
Provider Name | Michael S Avidan |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1053338582 PECOS PAC ID: 8729116314 Enrollment ID: I20100430000584 |
Provider Name | Ralph James Damiano |
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Provider Type | Practitioner - Cardiac Surgery |
Provider Identifiers | NPI Number: 1578580023 PECOS PAC ID: 7517931090 Enrollment ID: I20100504000384 |
Provider Name | Daniel A Emmert |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1346494705 PECOS PAC ID: 7618153446 Enrollment ID: I20110512000361 |
Provider Name | Pirooz Eghtesady |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1780636571 PECOS PAC ID: 2062514359 Enrollment ID: I20110520000497 |
Provider Name | Thomas J Graetz |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1003942764 PECOS PAC ID: 0244400562 Enrollment ID: I20110824000465 |
Provider Name | Lindsey A Gleeson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699078071 PECOS PAC ID: 4385825702 Enrollment ID: I20110914000198 |
Provider Name | Kimberly A Lee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811257611 PECOS PAC ID: 2163673690 Enrollment ID: I20121110000062 |
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 | Michael D Crittenden |
---|---|
Provider Type | Practitioner - Cardiac Surgery |
Provider Identifiers | NPI Number: 1346296084 PECOS PAC ID: 0042464281 Enrollment ID: I20130216000038 |
Provider Name | Jacob R Miller |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1366738189 PECOS PAC ID: 3971737818 Enrollment ID: I20131009000921 |
Provider Name | Clare H Ridley |
---|---|
Provider Type | Practitioner - Critical Care (intensivists) |
Provider Identifiers | NPI Number: 1093976771 PECOS PAC ID: 9436376167 Enrollment ID: I20140804001561 |
Provider Name | Muhammad Faraz Masood |
---|---|
Provider Type | Practitioner - Cardiac Surgery |
Provider Identifiers | NPI Number: 1306166327 PECOS PAC ID: 6608001847 Enrollment ID: I20150205001294 |
Provider Name | Nicole C Lee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508040817 PECOS PAC ID: 7719289115 Enrollment ID: I20151231000246 |
Provider Name | Benjamin Kozower |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1548283450 PECOS PAC ID: 2062418361 Enrollment ID: I20160902000128 |
Provider Name | Puja Kachroo |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1881899714 PECOS PAC ID: 0648491613 Enrollment ID: I20160912000748 |
Provider Name | Mary E Sullivan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457808214 PECOS PAC ID: 0648555136 Enrollment ID: I20170324000250 |
Provider Name | Ruben Guadalupe Nava-bahena |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1386834901 PECOS PAC ID: 4082979778 Enrollment ID: I20180530001492 |
Provider Name | Kunal Deepak Kotkar |
---|---|
Provider Type | Practitioner - Cardiac Surgery |
Provider Identifiers | NPI Number: 1104292275 PECOS PAC ID: 7315252657 Enrollment ID: I20180814004067 |
Provider Name | Nancy Jean Nickerson |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1053490508 PECOS PAC ID: 6002169190 Enrollment ID: I20181018001911 |
Provider Name | Takashi Murashita |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1760824924 PECOS PAC ID: 4486897196 Enrollment ID: I20181114000862 |
Provider Name | Rachel Marie Biggs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770047664 PECOS PAC ID: 2769720721 Enrollment ID: I20190218000534 |
Provider Name | Dilip S. Nath |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1679539316 PECOS PAC ID: 4688710353 Enrollment ID: I20190311000940 |
Provider Name | Shuddhadeb Ray |
---|---|
Provider Type | Practitioner - Cardiac Surgery |
Provider Identifiers | NPI Number: 1891081055 PECOS PAC ID: 6406085984 Enrollment ID: I20200716001360 |
Provider Name | Tsuyoshi Takahashi |
---|---|
Provider Type | Practitioner - Cardiac Surgery |
Provider Identifiers | NPI Number: 1639606106 PECOS PAC ID: 1759792906 Enrollment ID: I20201119002763 |
Provider Name | Lisa Marie Campbell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629661723 PECOS PAC ID: 6608283585 Enrollment ID: I20210319000778 |
Provider Name | Harold Gene Roberts |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1417936808 PECOS PAC ID: 5193639904 Enrollment ID: I20210921003164 |
Provider Name | Amit Pawale |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1760716161 PECOS PAC ID: 6709190887 Enrollment ID: I20220304000848 |
Provider Name | Matthew Robert Schill |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1992143861 PECOS PAC ID: 3577876721 Enrollment ID: I20220614001518 |
Provider Name | Tsuyoshi Kaneko |
---|---|
Provider Type | Practitioner - Cardiac Surgery |
Provider Identifiers | NPI Number: 1780979070 PECOS PAC ID: 4183869969 Enrollment ID: I20221104001614 |
Provider Name | Nichole Christine Albers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285112276 PECOS PAC ID: 2163831223 Enrollment ID: I20230120001117 |
Provider Name | Whitney Stina Brandt |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1700205622 PECOS PAC ID: 6800196700 Enrollment ID: I20230711003299 |
Provider Name | Jamie Nicole Bunn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417729765 PECOS PAC ID: 1951759190 Enrollment ID: I20231128002166 |
Provider Name | Alexander Angelo Brescia |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1669853289 PECOS PAC ID: 2466767736 Enrollment ID: I20231214000442 |
Provider Name | Maggie Anne Mcgrath |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386422509 PECOS PAC ID: 8123477262 Enrollment ID: I20231214000549 |
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 |