Matthew Powell, MD | |
660 S Euclid Ave, Msc 8116-0043-08, St. Louis, MO 63110-1010 | |
(314) 454-4569 | |
(314) 454-2561 |
Full Name | Matthew Powell |
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Gender | Male |
Speciality | Pediatrics |
Location | 660 S Euclid Ave, 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 |
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1306282785 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 9408066 (Kansas) | Secondary |
208000000X | Pediatrics | 2025023110 (Missouri) | Primary |
Entity Name | University Of Kansas School Of Medicine Wichita Medical Practice Assoc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639143712 PECOS PAC ID: 3577464841 Enrollment ID: O20040119000674 |
Entity Name | Wesley Physicians Medical Specialties Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699069732 PECOS PAC ID: 1355509886 Enrollment ID: O20120229000737 |
Mailing Address | Practice Location Address |
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Matthew Powell, MD 660 S Euclid Ave, Msc 8116-0043-08, St. Louis, MO 63110-1010 Ph: (314) 454-4569 | Matthew Powell, MD 660 S Euclid Ave, Msc 8116-0043-08, St. Louis, MO 63110-1010 Ph: (314) 454-4569 |
Patrick Francis Durkin, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Place, 3rd Floor, Suite 3s34, St. Louis, MO 63110 Phone: 314-454-6006 | |
Shulamit Menashe Portnoy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1465 S Grand Blvd, St. Louis, MO 63104 Phone: 314-577-5609 Fax: 314-268-4028 | |
Felicia L. Harvey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11642 West Florissant, St. Louis, MO 63033 Phone: 314-838-8220 Fax: 314-838-8091 | |
Mary S Heaney, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1465 S Grand Blvd, St. Louis, MO 63104 Phone: 314-268-4101 Fax: 314-577-5379 | |
Dr. Kristen M Mennemeier, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3009 N. Ballas Rd., Suite 257c, St. Louis, MO 63131 Phone: 314-569-2112 Fax: 314-569-1270 | |
Lauren Marie Hayes, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1465 South Grand Boulevard, Room 1204, Ssm Cardinal Glennon Children's Medical Center, St. Louis, MO 63104 Phone: 314-577-5600 Fax: 314-577-5616 | |
Carine Rafic Anka, 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 |