| Amy Elizabeth Thomas, MD | |
|
1465 South Grand 6644, St Louis, MO 63104 | |
| (314) 577-5369 | |
| Not Available |
| Full Name | Amy Elizabeth Thomas |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1465 South Grand 6644, St Louis, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316033525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2004034267 (Missouri) | Primary |
| 2085R0001X | Radiology - Radiation Oncology | 2004034267 (Missouri) | Secondary |
| Entity Name | Ssm Health Care St Louis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Elizabeth Thomas, MD 1465 South Grand, G644, St Louis, MO 63104 Ph: (314) 577-5369 | Amy Elizabeth Thomas, MD 1465 South Grand 6644, St Louis, MO 63104 Ph: (314) 577-5369 |
Dr. Rafael Gutierrez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Pl Msc 8116-0043-08, St Louis, MO 63110 Phone: 314-454-4826 Fax: 314-454-4633 | |
Mrs. Bonita M Wolff, RN CPNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1465 S Grant Blvd, Cardinal Glennon Childrens Medical Center, St Louis, MO 63104 Phone: 314-577-5648 Fax: 314-268-6448 | |
Sangeeta Dhammu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Pl. 8116-0043-08, St Louis, MO 63110 Phone: 314-454-6095 Fax: 314-454-2561 | |
Danielle St Leger, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 802 N Kingshighway, St Louis, MO 63108 Phone: 314-367-4428 Fax: 314-367-4429 | |
Dr. Megan Jewell Whitlock, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Pl Msc 8116-0043-10, St Louis, MO 63110 Phone: 314-454-6051 Fax: 314-454-6225 | |
Dr. Daniel Raphael Levinson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Children's Place, St Louis, MO 63110 Phone: 314-454-6173 Fax: 314-454-2412 |