| Affinia Healthcare | |
|
1717 Biddle St Saint Louis MO 63106-3454 | |
| (314) 898-1700 | |
| Not Available |
| Full Name | Affinia Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 1717 Biddle St, Saint Louis, Missouri |
| Authorized Official Name and Position | Janet Voss (CFO) |
| Authorized Official Contact | 3148148571 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affinia Healthcare Po Box 551 Saint Louis MO 63188-0551 Ph: (314) 814-8515 | Affinia Healthcare 1717 Biddle St Saint Louis MO 63106-3454 Ph: (314) 898-1700 |
| NPI Number | 1902816077 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 04/07/2016 |
| Medicare PECOS PAC ID | 1052386919 |
|---|---|
| Medicare Enrollment ID | O20040902000048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902816077 | NPI | - | NPPES |
| 26D1046060 | Other | MO | CLIA |
| 507226801 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 507226801 (Missouri) | Primary |
| Provider Name | Phillip V Asaro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962428284 PECOS PAC ID: 9830166701 Enrollment ID: I20040911000193 |
| Provider Name | Angeline A Stanislaus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801886213 PECOS PAC ID: 2961470638 Enrollment ID: I20040921000172 |
| Provider Name | Kathleen M Sinks |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1679639991 PECOS PAC ID: 2062442189 Enrollment ID: I20050818000460 |
| Provider Name | Barbara A Lutey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306862628 PECOS PAC ID: 6507888013 Enrollment ID: I20051228000024 |
| Provider Name | Angel N Simmons |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841473063 PECOS PAC ID: 2365465994 Enrollment ID: I20060110000845 |
| Provider Name | Lisa L Armbruster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518930502 PECOS PAC ID: 3577660646 Enrollment ID: I20070524000263 |
| Provider Name | Steven P Mishkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235398132 PECOS PAC ID: 5395817449 Enrollment ID: I20080707000181 |
| Provider Name | Jessica M Despotovic |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346455490 PECOS PAC ID: 0446325682 Enrollment ID: I20080821000666 |
| Provider Name | David A Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487793089 PECOS PAC ID: 7113094392 Enrollment ID: I20080930000636 |
| Provider Name | Rajeev John |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508017849 PECOS PAC ID: 7416018437 Enrollment ID: I20081210000049 |
| Provider Name | Margaret Louise Shields |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902049307 PECOS PAC ID: 6608926167 Enrollment ID: I20090604000322 |
| Provider Name | Melissa D Tepe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306928825 PECOS PAC ID: 7719031855 Enrollment ID: I20090824000642 |
| Provider Name | Vani Pachalla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063418382 PECOS PAC ID: 2264513878 Enrollment ID: I20100320000115 |
| Provider Name | Thomas Kuciejczyk-kernan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669478970 PECOS PAC ID: 4486778974 Enrollment ID: I20100907000365 |
| Provider Name | Jeffrey Scott Brooks |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962418277 PECOS PAC ID: 1254344427 Enrollment ID: I20101102001533 |
| Provider Name | Timothy J Mccann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538147491 PECOS PAC ID: 9537152236 Enrollment ID: I20110210001106 |
| Provider Name | Bradley A Breeden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891812814 PECOS PAC ID: 0941483622 Enrollment ID: I20110318000326 |
| Provider Name | Angela M Schiefelbein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972692283 PECOS PAC ID: 5698959021 Enrollment ID: I20110411000060 |
| Provider Name | Nealya Bell-silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679738264 PECOS PAC ID: 0042494080 Enrollment ID: I20110415000163 |
| Provider Name | Erin M Brooks |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689960601 PECOS PAC ID: 3173791720 Enrollment ID: I20110726000334 |
| Provider Name | Shirley Mae Visser |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366697906 PECOS PAC ID: 8921278672 Enrollment ID: I20120807000276 |
| Provider Name | Jared John Visser |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174812358 PECOS PAC ID: 2062680564 Enrollment ID: I20120924000505 |
| Provider Name | Sonia Salas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114254281 PECOS PAC ID: 1254475171 Enrollment ID: I20121001000169 |
| Provider Name | Amanda L Parsley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770719171 PECOS PAC ID: 4284885732 Enrollment ID: I20121112000042 |
| Provider Name | Tareq I Nabhan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689921314 PECOS PAC ID: 6305090440 Enrollment ID: I20130125000267 |
| Provider Name | Rebekah L Hassler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598853699 PECOS PAC ID: 1355524349 Enrollment ID: I20130730000668 |
| Provider Name | Summer Y Boyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336411404 PECOS PAC ID: 6002050259 Enrollment ID: I20130910000520 |
| Provider Name | Catalina Belean |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205270626 PECOS PAC ID: 1052555828 Enrollment ID: I20130917000438 |
| Provider Name | Brandy Cruesoe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568476992 PECOS PAC ID: 7113154808 Enrollment ID: I20131231000439 |
| Provider Name | Lori N Sindel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689997520 PECOS PAC ID: 8224266531 Enrollment ID: I20140113001554 |
| Provider Name | Marsha J Hill |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033340138 PECOS PAC ID: 8325216583 Enrollment ID: I20140512001973 |
| Provider Name | Stephanie C. Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639595069 PECOS PAC ID: 3678796968 Enrollment ID: I20140513001441 |
| Provider Name | Kenneth E Hemba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760772966 PECOS PAC ID: 2769615293 Enrollment ID: I20140811001463 |
| Provider Name | Hari K Nallapaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609076728 PECOS PAC ID: 5991945123 Enrollment ID: I20140815002106 |
| Provider Name | Mary B Keegan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164733515 PECOS PAC ID: 7517196256 Enrollment ID: I20140828000250 |
| Provider Name | Kathleen N Guerrein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699819235 PECOS PAC ID: 4880814243 Enrollment ID: I20141007000581 |
| Provider Name | Naga Neelima Nallapaneni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114155454 PECOS PAC ID: 8123249877 Enrollment ID: I20141021002050 |
| Provider Name | Micaela E Oneil Callahan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568783850 PECOS PAC ID: 5799914909 Enrollment ID: I20141024001866 |
| Provider Name | Yasmin Dara Jilla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386804870 PECOS PAC ID: 2163579376 Enrollment ID: I20150507002682 |
| Provider Name | Patrick J Stark |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982950267 PECOS PAC ID: 3870741739 Enrollment ID: I20150917002328 |
| Provider Name | Justin E Hampton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184001380 PECOS PAC ID: 9931419942 Enrollment ID: I20151103002336 |
| Provider Name | Ige A George |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255644761 PECOS PAC ID: 8628207388 Enrollment ID: I20151218000417 |
| Provider Name | Michelle L Mullin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144674441 PECOS PAC ID: 9133418155 Enrollment ID: I20160516000233 |
| Provider Name | Kimberly A Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427407972 PECOS PAC ID: 6204127012 Enrollment ID: I20160627001318 |
| Provider Name | Colleen Elsbeth Donovan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093079352 PECOS PAC ID: 0345479093 Enrollment ID: I20160711001602 |
| Provider Name | Mechelle E Elosiebo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417185984 PECOS PAC ID: 1557675204 Enrollment ID: I20160715000510 |
| Provider Name | Emily L Rumora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699017624 PECOS PAC ID: 0143545749 Enrollment ID: I20160815002795 |
| Provider Name | Mckenna C Bellamy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669752689 PECOS PAC ID: 7618262445 Enrollment ID: I20160818001041 |
| Provider Name | Kenya S Shotwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740735885 PECOS PAC ID: 6901192707 Enrollment ID: I20160902001045 |
| Provider Name | Karen D Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154849578 PECOS PAC ID: 1254606346 Enrollment ID: I20170928002406 |
| Provider Name | Patrick J Battaglia |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467993212 PECOS PAC ID: 6002182037 Enrollment ID: I20171019000561 |
| Provider Name | Catherine R Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942614250 PECOS PAC ID: 2668699323 Enrollment ID: I20171101003444 |
| Provider Name | Jennifer Juanita Marks-foster |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225289721 PECOS PAC ID: 5294092698 Enrollment ID: I20171120001125 |
| Provider Name | Mihiret M Belihu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073928107 PECOS PAC ID: 1355568817 Enrollment ID: I20180319000410 |
| Provider Name | Katherine Cameron Macleod |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225575145 PECOS PAC ID: 3678836590 Enrollment ID: I20180406000395 |
| Provider Name | Amy L Schaag |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356867816 PECOS PAC ID: 4880958073 Enrollment ID: I20180516002282 |
| Provider Name | Jaime E Flores Ruiz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063894608 PECOS PAC ID: 8628382397 Enrollment ID: I20180724000724 |
| Provider Name | Dawn S Patrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609234871 PECOS PAC ID: 8628318219 Enrollment ID: I20190318002274 |
| Provider Name | Kelcey A Depass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437614823 PECOS PAC ID: 5294076592 Enrollment ID: I20190415002839 |
| Provider Name | Julia Tuberty Kiehl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235794793 PECOS PAC ID: 9931433422 Enrollment ID: I20190703001690 |
| Provider Name | Kristen D Beatty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598325086 PECOS PAC ID: 4789919408 Enrollment ID: I20190717001137 |
| Provider Name | Julia R Weber |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518343532 PECOS PAC ID: 4486981099 Enrollment ID: I20190805003411 |
| Provider Name | Brianne Noud |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1861052474 PECOS PAC ID: 9032448253 Enrollment ID: I20190912001247 |
| Provider Name | Jessica A Norton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336520592 PECOS PAC ID: 5991019556 Enrollment ID: I20190924000727 |
| Provider Name | Bernadette T Sheffield |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396366589 PECOS PAC ID: 5092131615 Enrollment ID: I20200805001277 |
| Provider Name | Alexa Arastoo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245753284 PECOS PAC ID: 1850710492 Enrollment ID: I20200930002261 |
| Provider Name | Mahamaya Bhattacharyya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255719530 PECOS PAC ID: 7618284423 Enrollment ID: I20210325001750 |
| Provider Name | Larissa D Venhaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609475425 PECOS PAC ID: 4688070212 Enrollment ID: I20210908000913 |
| Provider Name | Jenna M Abrams |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1255957197 PECOS PAC ID: 5890191324 Enrollment ID: I20210909001019 |
| Provider Name | Iesha Draper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730541202 PECOS PAC ID: 3274821491 Enrollment ID: I20211027001431 |
| Provider Name | Mary B Summerville |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508946195 PECOS PAC ID: 4981625837 Enrollment ID: I20220104000308 |
| Provider Name | Jevinne Khan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225623085 PECOS PAC ID: 6709279755 Enrollment ID: I20220215001825 |
| Provider Name | Manuela Mejia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871086579 PECOS PAC ID: 3870914856 Enrollment ID: I20221019000360 |
| Provider Name | Kristia P Abernathy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710545405 PECOS PAC ID: 5597099077 Enrollment ID: I20221129002050 |
| Provider Name | Ellen Onica |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1407591225 PECOS PAC ID: 8224408380 Enrollment ID: I20230105002476 |
| Provider Name | Erica L Marks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174021539 PECOS PAC ID: 7113385642 Enrollment ID: I20230615001289 |
| Provider Name | Dana M Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720782444 PECOS PAC ID: 6709779838 Enrollment ID: I20231103002353 |
| Provider Name | Lisa Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558140921 PECOS PAC ID: 3678922259 Enrollment ID: I20231207002216 |
| Provider Name | Devon Rose Camp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730758590 PECOS PAC ID: 9234534447 Enrollment ID: I20241106000731 |
| Provider Name | Phyllis L Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629459557 PECOS PAC ID: 1658807425 Enrollment ID: I20241204002170 |
| Provider Name | Sravya Motheramgari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568048940 PECOS PAC ID: 4284024696 Enrollment ID: I20241212000198 |
| Provider Name | Camila M Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134700537 PECOS PAC ID: 9133520240 Enrollment ID: I20241227000442 |
| Provider Name | Thomas C Mckinney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073623641 PECOS PAC ID: 8022545300 Enrollment ID: I20241227000624 |
St. Louis Center For Preventive And Longevity Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare 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 | |
Affinia Healthcare 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 |