Washington University, Department Of Neurological Surgery | |
660 S Euclid Ave Saint Louis MO 63110-1010 | |
(314) 747-2053 | |
Not Available |
Full Name | Washington University, Department Of Neurological 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 | 3149350770 |
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 Neurological Surgery 7425 Forsyth Blvd Campus Box 8221 Saint Louis MO 63105-2171 Ph: (314) 935-0770 | Washington University, Department Of Neurological Surgery 660 S Euclid Ave Saint Louis MO 63110-1010 Ph: (314) 747-2053 |
NPI Number | 1538100565 |
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Provider Enumeration Date | 06/09/2006 |
Last Update Date | 12/06/2007 |
Medicare PECOS PAC ID | 9830008770 |
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Medicare Enrollment ID | O20040301000143 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538100565 | NPI | - | NPPES |
06-01999 | Other | MO | UHC GROUP NUMBER |
3914 | Other | MO | GHP MASTER VENDOR |
673341 | Other | MO | AETNA HMO GROUP |
610916400 | Other | MO | DEPARTMENT OF LABOR |
552944704 | Medicaid | MO | |
107RP9001 | Other | MO | BLUE SHIELD |
0125610 | Other | MO | SPECIAL HEALTH CARE NEEDS |
92215221 | Other | IL | IL BLUE SHIELD |
552944704 | Other | MO | MEDICAID PHARMACY NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Paul Santiago |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1114945540 PECOS PAC ID: 1052304375 Enrollment ID: I20040405000387 |
Provider Name | Gregory J Zipfel |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1255357489 PECOS PAC ID: 5395713523 Enrollment ID: I20040924000131 |
Provider Name | Eric C Leuthardt |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1265465132 PECOS PAC ID: 1658309125 Enrollment ID: I20061128000216 |
Provider Name | Dyan Renee Cooper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578739124 PECOS PAC ID: 6709958853 Enrollment ID: I20080707000127 |
Provider Name | David D Limbrick |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1386850881 PECOS PAC ID: 9931271798 Enrollment ID: I20080710000574 |
Provider Name | Tae S Park |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1376560805 PECOS PAC ID: 5597813394 Enrollment ID: I20090505000452 |
Provider Name | Keith Rich |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1861410326 PECOS PAC ID: 3072662535 Enrollment ID: I20090513000218 |
Provider Name | Ralph G Dacey |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1003833567 PECOS PAC ID: 1557258100 Enrollment ID: I20090513000235 |
Provider Name | Joshua L Dowling |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1710905443 PECOS PAC ID: 2466586896 Enrollment ID: I20100819001111 |
Provider Name | Michelle R Reitz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306172408 PECOS PAC ID: 3274727169 Enrollment ID: I20101104001025 |
Provider Name | Albert H Kim |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1235203670 PECOS PAC ID: 7113199886 Enrollment ID: I20111003000298 |
Provider Name | Wilson Z Ray |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1669575619 PECOS PAC ID: 4486828159 Enrollment ID: I20111114000859 |
Provider Name | Elaine C Kennedy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437449725 PECOS PAC ID: 3779743208 Enrollment ID: I20120321000168 |
Provider Name | Ian G Dorward |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1841417896 PECOS PAC ID: 3971739764 Enrollment ID: I20131127000879 |
Provider Name | Elvisa Kurtovic |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780011023 PECOS PAC ID: 1951539998 Enrollment ID: I20140120000713 |
Provider Name | Jon T Willie |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1194934034 PECOS PAC ID: 7517145287 Enrollment ID: I20141216001550 |
Provider Name | Jennifer Strahle |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1528221322 PECOS PAC ID: 4880904325 Enrollment ID: I20151112001175 |
Provider Name | Joshua Osbun |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1316139793 PECOS PAC ID: 0749406791 Enrollment ID: I20160803000435 |
Provider Name | Sean Mcevoy |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1598086779 PECOS PAC ID: 5890099907 Enrollment ID: I20180518000117 |
Provider Name | Elizabeth O'brien |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992243265 PECOS PAC ID: 3971876889 Enrollment ID: I20180802002274 |
Provider Name | Keith M Patten |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518443225 PECOS PAC ID: 8426301854 Enrollment ID: I20181031002413 |
Provider Name | Julie Salmo Coenen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588122972 PECOS PAC ID: 8628311347 Enrollment ID: I20190521003189 |
Provider Name | Kyle Lester Ogle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629627625 PECOS PAC ID: 5597097121 Enrollment ID: I20200504002496 |
Provider Name | Brenton Henry Pennicooke |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1093093064 PECOS PAC ID: 6204173214 Enrollment ID: I20200804001261 |
Provider Name | Camilo A Molina |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1639440506 PECOS PAC ID: 0840430542 Enrollment ID: I20200813000596 |
Provider Name | Ananth Kesav Vellimana |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1144583113 PECOS PAC ID: 2163651290 Enrollment ID: I20210517000915 |
Provider Name | Mohammed Alghamdi |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1194346585 PECOS PAC ID: 5092133587 Enrollment ID: I20210526000751 |
Provider Name | Amber Criswell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174146906 PECOS PAC ID: 0042631772 Enrollment ID: I20210603000411 |
Provider Name | Mandi Tuhro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588335137 PECOS PAC ID: 2567852783 Enrollment ID: I20211202001282 |
Provider Name | Muhammad Burhan Ud Din Janjua |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1295140820 PECOS PAC ID: 0446580252 Enrollment ID: I20211207001190 |
Provider Name | Jarod Roland |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1568758779 PECOS PAC ID: 9537399761 Enrollment ID: I20220209001151 |
Provider Name | Galal A Elsayed |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1114314440 PECOS PAC ID: 9638467137 Enrollment ID: I20220628002783 |
Provider Name | John Iyanuolu Ogunlade |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1154733723 PECOS PAC ID: 9133538937 Enrollment ID: I20220727001334 |
Provider Name | Nitin Agarwal |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1366855249 PECOS PAC ID: 3173924065 Enrollment ID: I20220802003323 |
Provider Name | Magalie Cadieux |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1669107587 PECOS PAC ID: 8224411756 Enrollment ID: I20220817000225 |
Provider Name | Daniel Hafez |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1134534621 PECOS PAC ID: 6709006018 Enrollment ID: I20220914003307 |
Provider Name | Jennifer Marie Jacobi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003383324 PECOS PAC ID: 5496167496 Enrollment ID: I20221109001297 |
Provider Name | Ashley Danielle Nator |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740997527 PECOS PAC ID: 5395113617 Enrollment ID: I20221117001679 |
Provider Name | Jacob Kalman Greenberg |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1902287220 PECOS PAC ID: 9638483506 Enrollment ID: I20230511002434 |
Provider Name | Kumar Vasudevan |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1932467594 PECOS PAC ID: 0547591323 Enrollment ID: I20230703000974 |
Provider Name | Peter Huayue Yang |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1659722130 PECOS PAC ID: 5092175604 Enrollment ID: I20230714000239 |
Provider Name | Dimitrios Mathios |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1568857373 PECOS PAC ID: 6406103415 Enrollment ID: I20230714000278 |
Provider Name | Anna Lea Huguenard |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1760833792 PECOS PAC ID: 4486014800 Enrollment ID: I20230718000263 |
Provider Name | Young Lee |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1881060358 PECOS PAC ID: 7012311889 Enrollment ID: I20230720003224 |
Provider Name | Bradley Joseph Budde |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1952755951 PECOS PAC ID: 8921461195 Enrollment ID: I20230906001000 |
Provider Name | Irma Hodzic |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881452720 PECOS PAC ID: 0446699524 Enrollment ID: I20240423000788 |
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 |