Washington University, Department Of Pathology | |
660 S Euclid Ave Saint Louis MO 63110-1010 | |
(314) 362-5641 | |
(314) 362-0369 |
Full Name | Washington University, Department Of Pathology |
---|---|
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 Pathology 4240 Duncan Ave Suite 301 Saint Louis MO 63110-1123 Ph: (314) 273-0770 | Washington University, Department Of Pathology 660 S Euclid Ave Saint Louis MO 63110-1010 Ph: (314) 362-5641 |
NPI Number | 1316987746 |
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Provider Enumeration Date | 06/07/2006 |
Last Update Date | 11/28/2016 |
Medicare PECOS PAC ID | 9830008770 |
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Medicare Enrollment ID | O20040406001038 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316987746 | NPI | - | NPPES |
3842 | Other | MO | GHP MASTER VENDOR |
552946402 | Medicaid | MO | |
6499422 | Other | MO | SPECIAL HEALTH CARE NEEDS |
673341 | Other | MO | AETNA HMO GROUP |
610916400 | Other | MO | DEPARTMENT OF LABOR |
92215227 | Other | IL | BLUE SHIELD |
11-01999 | Other | MO | UHC GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Friederike Helene Kreisel |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1962428185 PECOS PAC ID: 5991798878 Enrollment ID: I20040406001270 |
Provider Name | George J Harocopos |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1427074657 PECOS PAC ID: 5092774687 Enrollment ID: I20041008000429 |
Provider Name | Joseph Christopher Corbo |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1487670790 PECOS PAC ID: 9234021700 Enrollment ID: I20050718000630 |
Provider Name | John Lawrence Frater |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1407873920 PECOS PAC ID: 4082624317 Enrollment ID: I20060501000424 |
Provider Name | Hannah R Krigman |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1336114164 PECOS PAC ID: 6305925116 Enrollment ID: I20080506000073 |
Provider Name | Brenda J Grossman |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1811908478 PECOS PAC ID: 9234289943 Enrollment ID: I20090617000635 |
Provider Name | Rebecca D Chernock |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1770657900 PECOS PAC ID: 6002960952 Enrollment ID: I20090812000508 |
Provider Name | Charles S Eby |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1457377764 PECOS PAC ID: 9234284571 Enrollment ID: I20090910000016 |
Provider Name | Juan G Gonzalez |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1801826425 PECOS PAC ID: 0840395182 Enrollment ID: I20090917000571 |
Provider Name | Anjum Hassan |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1184640302 PECOS PAC ID: 1456496140 Enrollment ID: I20100305000374 |
Provider Name | Louis P Dehner |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1265450738 PECOS PAC ID: 5890830582 Enrollment ID: I20100305000390 |
Provider Name | Erika C Crouch |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1912923145 PECOS PAC ID: 3870638562 Enrollment ID: I20100305000402 |
Provider Name | John David Pfeifer |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1306864822 PECOS PAC ID: 8426193129 Enrollment ID: I20100305000516 |
Provider Name | Deborah Jean Veis |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1790701001 PECOS PAC ID: 8325183031 Enrollment ID: I20100305000532 |
Provider Name | Jon H Ritter |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1366460784 PECOS PAC ID: 8921143637 Enrollment ID: I20100305000570 |
Provider Name | Steven L Teitelbaum |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1346267853 PECOS PAC ID: 0547305252 Enrollment ID: I20100305000594 |
Provider Name | George J Despotis |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1497771612 PECOS PAC ID: 2264560036 Enrollment ID: I20100514000805 |
Provider Name | Robert E Schmidt |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1942228622 PECOS PAC ID: 3577688001 Enrollment ID: I20100921000391 |
Provider Name | Sonika M Dahiya |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1790980571 PECOS PAC ID: 6709054018 Enrollment ID: I20110712000345 |
Provider Name | Joseph Perry Gaut |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1356532477 PECOS PAC ID: 2961670278 Enrollment ID: I20110712000359 |
Provider Name | Eric James Duncavage |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1992898688 PECOS PAC ID: 3971796210 Enrollment ID: I20110712000446 |
Provider Name | Cory Thomas Bernadt |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1205046273 PECOS PAC ID: 3173793197 Enrollment ID: I20110831000357 |
Provider Name | Kiran Raj Vij |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1518173194 PECOS PAC ID: 3375704372 Enrollment ID: I20120419000134 |
Provider Name | Ronald Richard Jackups |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1699927020 PECOS PAC ID: 3678739208 Enrollment ID: I20120725000592 |
Provider Name | Marianna B Ruzinova |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1194917278 PECOS PAC ID: 3577687771 Enrollment ID: I20120816000726 |
Provider Name | Ta Chiang Liu |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1205082807 PECOS PAC ID: 5991954026 Enrollment ID: I20121005000319 |
Provider Name | Jessica A File |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881961787 PECOS PAC ID: 1658522388 Enrollment ID: I20121106000433 |
Provider Name | Meaghan Anne Keeven |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265771554 PECOS PAC ID: 0042457269 Enrollment ID: I20130507000673 |
Provider Name | Ilana Shaina Rosman |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1508027897 PECOS PAC ID: 3173764107 Enrollment ID: I20130802000143 |
Provider Name | Ian Sean Hagemann |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1275795569 PECOS PAC ID: 1557504131 Enrollment ID: I20130829000441 |
Provider Name | Chang Liu |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1124337340 PECOS PAC ID: 8224357298 Enrollment ID: I20150425000324 |
Provider Name | Jennifer Kathryn Sehn |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1720372709 PECOS PAC ID: 6800053273 Enrollment ID: I20150908002582 |
Provider Name | George Wettach |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1407077852 PECOS PAC ID: 5799931598 Enrollment ID: I20160412002238 |
Provider Name | Katherine E Schwetye |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1962780155 PECOS PAC ID: 4385934983 Enrollment ID: I20160610000885 |
Provider Name | Yi-shan Lee |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1295143675 PECOS PAC ID: 0749568426 Enrollment ID: I20161101000126 |
Provider Name | Mai He |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1538315106 PECOS PAC ID: 6305912221 Enrollment ID: I20161110001644 |
Provider Name | Christine Nicola |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992240758 PECOS PAC ID: 0244512994 Enrollment ID: I20170113000246 |
Provider Name | John S.a Chrisinger |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1033474192 PECOS PAC ID: 9032481817 Enrollment ID: I20170815002054 |
Provider Name | Julie Ann Neidich |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1962690180 PECOS PAC ID: 4385916337 Enrollment ID: I20170825000616 |
Provider Name | Deyali Chatterjee |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1528404696 PECOS PAC ID: 6406120492 Enrollment ID: I20170914000442 |
Provider Name | Leigh Anne Compton |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1154662856 PECOS PAC ID: 7012158983 Enrollment ID: I20170919001605 |
Provider Name | Suzanne R Thibodeaux |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1073958658 PECOS PAC ID: 2567738867 Enrollment ID: I20171031001985 |
Provider Name | Zhongren Zhou |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1265448856 PECOS PAC ID: 4688725393 Enrollment ID: I20180201001948 |
Provider Name | Cody Weimholt |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1417399320 PECOS PAC ID: 5496003071 Enrollment ID: I20180731000466 |
Provider Name | Mena Magdi Zaki Mansour |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1144562125 PECOS PAC ID: 9133413990 Enrollment ID: I20180808002601 |
Provider Name | Chieh-yu Lin |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1164842878 PECOS PAC ID: 6002164860 Enrollment ID: I20180810000264 |
Provider Name | Kathleen Byrnes |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1417399676 PECOS PAC ID: 4486924065 Enrollment ID: I20180821003242 |
Provider Name | Bijal A Parikh |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1235329947 PECOS PAC ID: 6901141183 Enrollment ID: I20181215000559 |
Provider Name | Liang-i Kang |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1407231921 PECOS PAC ID: 6709124100 Enrollment ID: I20190211000596 |
Provider Name | Richard James Cote |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1467468330 PECOS PAC ID: 3779665187 Enrollment ID: I20190827001624 |
Provider Name | Samuel James Ballentine |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1881038735 PECOS PAC ID: 8426392044 Enrollment ID: I20190829003428 |
Provider Name | Pooja Navale |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1528454360 PECOS PAC ID: 0446595391 Enrollment ID: I20200731000195 |
Provider Name | Fouad Ismat Boulos |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1417098831 PECOS PAC ID: 2860810009 Enrollment ID: I20200921000374 |
Provider Name | Vijayalakshmi Padmanabhan |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1376579078 PECOS PAC ID: 4183698459 Enrollment ID: I20201130001647 |
Provider Name | Lulu Sun |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1043662067 PECOS PAC ID: 7810227147 Enrollment ID: I20210517001961 |
Provider Name | Xiuli Liu |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1912117268 PECOS PAC ID: 0244325561 Enrollment ID: I20210614001568 |
Provider Name | Aaron Jacob Russell |
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Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1568813863 PECOS PAC ID: 5294066544 Enrollment ID: I20210712000815 |
Provider Name | Nidia Cordeiro Messias |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1881896041 PECOS PAC ID: 9638263270 Enrollment ID: I20210818000861 |
Provider Name | Changqing Ma |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1326277989 PECOS PAC ID: 2860620481 Enrollment ID: I20210825001172 |
Provider Name | Mark Alan Zaydman |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1588017842 PECOS PAC ID: 5597160895 Enrollment ID: I20210825001413 |
Provider Name | Rongbin Ge |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1598127136 PECOS PAC ID: 4981996436 Enrollment ID: I20220516000113 |
Provider Name | Mei San Tang |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1700362316 PECOS PAC ID: 1850622721 Enrollment ID: I20220516001512 |
Provider Name | Dana Ashley Hill |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1275551756 PECOS PAC ID: 2860567815 Enrollment ID: I20230203001824 |
Provider Name | Jacqueline Elise Payton |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1750407714 PECOS PAC ID: 5395117410 Enrollment ID: I20230217001092 |
Provider Name | Alicia Gabrielle Dessain |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1194219261 PECOS PAC ID: 6709133127 Enrollment ID: I20230306002005 |
Provider Name | Andrew E O Hughes |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1659924710 PECOS PAC ID: 3476883810 Enrollment ID: I20230608002138 |
Provider Name | Vahid Azimi |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1154947810 PECOS PAC ID: 3476970567 Enrollment ID: I20230620001845 |
Provider Name | Nima Mosammaparast |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1053790170 PECOS PAC ID: 9436519063 Enrollment ID: I20230714001025 |
Provider Name | Nathan Buck Mclamb |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1326493354 PECOS PAC ID: 0840525341 Enrollment ID: I20230911002255 |
Provider Name | Adam Lee Booth |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1538510300 PECOS PAC ID: 1759782212 Enrollment ID: I20231114003030 |
Provider Name | Amanda O Wong |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1770100679 PECOS PAC ID: 1052738143 Enrollment ID: I20231120002458 |
Provider Name | Abigail Renee Mccarthy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528834744 PECOS PAC ID: 1355794462 Enrollment ID: I20240125000243 |
Provider Name | Anne L Chen |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1043605918 PECOS PAC ID: 5092133009 Enrollment ID: I20240208004139 |
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 |