| Washington University, Department Of Urologic Surgery | |
|
660 S Euclid Ave Saint Louis MO 63110-1010 | |
| (314) 273-0770 | |
| (314) 273-0470 |
| Full Name | Washington University, Department Of Urologic Surgery |
|---|---|
| Speciality | Clinic/Center |
| Location | 660 S Euclid Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Cathy L Eghigian (SR. DIRECTOR, WU MANAGED CARE) |
| Authorized Official Contact | 3142730770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington University, Department Of Urologic Surgery 4240 Duncan Ave Suite 301 Saint Louis MO 63110-1123 Ph: (314) 273-0770 | Washington University, Department Of Urologic Surgery 660 S Euclid Ave Saint Louis MO 63110-1010 Ph: (314) 273-0770 |
| NPI Number | 1760425474 |
|---|---|
| Provider Enumeration Date | 06/13/2006 |
| Last Update Date | 08/24/2023 |
| Medicare PECOS PAC ID | 9830008770 |
|---|---|
| Medicare Enrollment ID | O20040315000891 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760425474 | NPI | - | NPPES |
| 553061508 | Medicaid | MO | |
| 553061508 | Other | MO | MEDICAID PHARMACY NUMBER |
| 673341 | Other | MO | AETNA HMO GROUP |
| 19-01999 | Other | MO | UHC GROUP NUMBER |
| 610916400 | Other | MO | DEPARTMENT OF LABOR |
| 6460186 | Other | MO | SPECIAL HEALTH CARE NEEDS |
| 92215227 | Other | IL | BLUE SHIELD |
| 8760 | Other | MO | GHP MASTER VENDOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Sam B Bhayani |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376569509 PECOS PAC ID: 0244203487 Enrollment ID: I20040817000197 |
| Provider Name | Kimberly C Berni |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245289677 PECOS PAC ID: 9436188646 Enrollment ID: I20050808001303 |
| Provider Name | Anita D Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710904305 PECOS PAC ID: 2062435969 Enrollment ID: I20060106000011 |
| Provider Name | Jeffrey S Glaser |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679556401 PECOS PAC ID: 2961506381 Enrollment ID: I20070419000334 |
| Provider Name | Hing H Lai |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376676734 PECOS PAC ID: 4587762513 Enrollment ID: I20070614000249 |
| Provider Name | Douglas E Coplen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972529295 PECOS PAC ID: 2769559699 Enrollment ID: I20080919000050 |
| Provider Name | Erica J Traxel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235266024 PECOS PAC ID: 4385798859 Enrollment ID: I20090818000424 |
| Provider Name | Gerald Andriole |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295752723 PECOS PAC ID: 2365331394 Enrollment ID: I20091211000555 |
| Provider Name | Arnold D Bullock |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992721120 PECOS PAC ID: 4688714298 Enrollment ID: I20091211000569 |
| Provider Name | Robert S Figenshau |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992723316 PECOS PAC ID: 7214077825 Enrollment ID: I20091211000581 |
| Provider Name | Ralph J Torrence |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861501579 PECOS PAC ID: 0244236891 Enrollment ID: I20100329000701 |
| Provider Name | Sunil M Apte |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598792269 PECOS PAC ID: 9931093663 Enrollment ID: I20100506001037 |
| Provider Name | Nita M Eggers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497991012 PECOS PAC ID: 7012041189 Enrollment ID: I20100812000160 |
| Provider Name | Jessica A File |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881961787 PECOS PAC ID: 1658522388 Enrollment ID: I20121106000433 |
| Provider Name | Gilbert M Comola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629321161 PECOS PAC ID: 3375796998 Enrollment ID: I20130110000322 |
| Provider Name | Christopher T Arett |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972600559 PECOS PAC ID: 5092882415 Enrollment ID: I20150813011776 |
| Provider Name | Charissa Faith Holesko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619343274 PECOS PAC ID: 4385944297 Enrollment ID: I20151125001598 |
| Provider Name | Kongkeo Thiky Walther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528433430 PECOS PAC ID: 7618275041 Enrollment ID: I20160418001742 |
| Provider Name | Kefu Du |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326346388 PECOS PAC ID: 9234361486 Enrollment ID: I20160810000873 |
| Provider Name | Eric H Kim |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992068019 PECOS PAC ID: 6406085786 Enrollment ID: I20170705000727 |
| Provider Name | Dane Johnson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730479932 PECOS PAC ID: 6507187853 Enrollment ID: I20170808000026 |
| Provider Name | Gregory Pote Murphy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962798652 PECOS PAC ID: 7315239647 Enrollment ID: I20170816000263 |
| Provider Name | Kristina Marie Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386995595 PECOS PAC ID: 4183980543 Enrollment ID: I20171117002075 |
| Provider Name | Renee Michelle Warmbrodt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134617764 PECOS PAC ID: 2668737685 Enrollment ID: I20180522002508 |
| Provider Name | Stephanie E Clawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760733182 PECOS PAC ID: 2365788544 Enrollment ID: I20190109000051 |
| Provider Name | Charles Nottingham |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821352428 PECOS PAC ID: 4385946284 Enrollment ID: I20200701000448 |
| Provider Name | Emily Sarah Cherry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972145787 PECOS PAC ID: 4486079951 Enrollment ID: I20200730002208 |
| Provider Name | Lewis J Thomas |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790043362 PECOS PAC ID: 9032355755 Enrollment ID: I20200825001761 |
| Provider Name | Suzanne Marie Curtin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992304174 PECOS PAC ID: 8527479377 Enrollment ID: I20201130000968 |
| Provider Name | Paul Kogan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023377736 PECOS PAC ID: 8022254788 Enrollment ID: I20210617001741 |
| Provider Name | Woodson Wade Smelser |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528453990 PECOS PAC ID: 9234430265 Enrollment ID: I20220712001404 |
| Provider Name | Michael Hiroshi Johnson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1770710469 PECOS PAC ID: 4981832755 Enrollment ID: I20220720001943 |
| Provider Name | Zeynep Gul |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073909768 PECOS PAC ID: 7315360062 Enrollment ID: I20220901001771 |
| Provider Name | Jason Michael Farrow |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740675792 PECOS PAC ID: 6406153907 Enrollment ID: I20220921002057 |
| Provider Name | John Yujun Sheng |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1396277901 PECOS PAC ID: 9335524206 Enrollment ID: I20220922000860 |
| Provider Name | Daria Wawrzyniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356053425 PECOS PAC ID: 9739559691 Enrollment ID: I20230110002722 |
| Provider Name | Maria Louise Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992417158 PECOS PAC ID: 2860857190 Enrollment ID: I20230420001492 |
| Provider Name | Rachel M Fricker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558939207 PECOS PAC ID: 7911304464 Enrollment ID: I20230613001590 |
| Provider Name | Ethan H Vargo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821593401 PECOS PAC ID: 3678826278 Enrollment ID: I20230616000199 |
| Provider Name | Rebekah Keller |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1801387451 PECOS PAC ID: 4385991017 Enrollment ID: I20230630002991 |
| Provider Name | Fernandino Louis Vilson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609309566 PECOS PAC ID: 2264891530 Enrollment ID: I20230705000764 |
| Provider Name | Nathan Colon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275067142 PECOS PAC ID: 1850751355 Enrollment ID: I20230715000482 |
| Provider Name | Charles Jones |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003347105 PECOS PAC ID: 2961774526 Enrollment ID: I20230717001807 |
| Provider Name | Sophia Marie Italiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740064591 PECOS PAC ID: 4183078454 Enrollment ID: I20230921000535 |
| Provider Name | Meredith Rae Metcalf |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841618337 PECOS PAC ID: 8921304577 Enrollment ID: I20240521001992 |
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 |