| Timothy G Graven, DO | |
|
112 Piper Hill Dr, Saint Peters, MO 63376-1690 | |
| (636) 441-3444 | |
| (636) 441-9832 |
| Full Name | Timothy G Graven |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 42 Years |
| Location | 112 Piper Hill Dr, Saint Peters, 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 |
|---|---|---|---|
| 1417015827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | R2F62 (Missouri) | Secondary |
| 207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | R2F62 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm St Joseph Health Center | Saint charles, MO | Hospital |
| Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Medical Group Inc | 6608776299 | 500 |
| Entity Name | Ssm Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy G Graven, DO Po Box 430, Saint Peters, MO 63376-0008 Ph: (636) 441-3444 | Timothy G Graven, DO 112 Piper Hill Dr, Saint Peters, MO 63376-1690 Ph: (636) 441-3444 |
Thomas E Albus, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 112 Piper Hill Dr, Suite 6, Saint Peters, MO 63376 Phone: 636-229-5900 Fax: 636-229-5920 | |
Theodore S. Rummel, DO Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 112 Piper Hill Dr, Suite 6, Saint Peters, MO 63376 Phone: 636-229-5900 Fax: 636-229-5011 | |
Terrence L Piper, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 112 Piper Hill Dr, Suite 6, Saint Peters, MO 63376 Phone: 636-229-5900 Fax: 636-229-5011 | |
Dr. William Anthony Frisella Jr., MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 112 Piper Hill Drive, Suite 9, Saint Peters, MO 63376 Phone: 636-441-3444 Fax: 636-441-9832 |