| Nathan Andrew Mall, MD | |
|
333 S Kirkwood Rd Ste 200, Kirkwood, MO 63122-6161 | |
| (314) 991-4335 | |
| Not Available |
| Full Name | Nathan Andrew Mall |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 20 Years |
| Location | 333 S Kirkwood Rd Ste 200, Kirkwood, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760509095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 2012011153 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grace Reliant Health Services, Llc | Cape girardeau, MO | Home health agency |
| St Louis Home Health | Saint louis, MO | Home health agency |
| Southeasthealth | Cape girardeau, MO | Hospital |
| Saint Francis Medical Center | Cape girardeau, MO | Hospital |
| Barnes-jewish West County Hospital | Creve coeur, MO | Hospital |
| St Lukes Hospital | Chesterfield, MO | Hospital |
| Missouri Delta Medical Center | Sikeston, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health Facilities Rehab Services Inc | 3476679226 | 154 |
| Select Physical Therapy Holdings Inc | 9537076401 | 2148 |
| Joint Health Llc | 2567695893 | 12 |
| Entity Name | The Orthopedic Center Of St Louis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881808483 PECOS PAC ID: 2668408022 Enrollment ID: O20050718000075 |
| Entity Name | Joint Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235571134 PECOS PAC ID: 2567695893 Enrollment ID: O20140512000996 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan Andrew Mall, MD 333 S Kirkwood Rd Ste 200, Kirkwood, MO 63122-6161 Ph: (314) 991-4335 | Nathan Andrew Mall, MD 333 S Kirkwood Rd Ste 200, Kirkwood, MO 63122-6161 Ph: (314) 991-4335 |