| Clayton Medical Center, Llc | |
|
6400 Clayton Rd Suite 303 Saint Louis MO 63117-1850 | |
| (314) 647-6666 | |
| (636) 333-4510 |
| Full Name | Clayton Medical Center, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6400 Clayton Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Piotr Kulikowski (PRESIDENT) |
| Authorized Official Contact | 3146476666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clayton Medical Center, Llc 6400 Clayton Rd Suite 303 Saint Louis MO 63117-1850 Ph: (314) 647-6666 | Clayton Medical Center, Llc 6400 Clayton Rd Suite 303 Saint Louis MO 63117-1850 Ph: (314) 647-6666 |
| NPI Number | 1477761161 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 10/02/2023 |
| Medicare PECOS PAC ID | 4688774060 |
|---|---|
| Medicare Enrollment ID | O20070713000671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477761161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Piotr Kulikowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053388678 PECOS PAC ID: 1355302340 Enrollment ID: I20041022000726 |
| Provider Name | Maria N Winsor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528593928 PECOS PAC ID: 7416224118 Enrollment ID: I20170531001638 |
| Provider Name | Victoria Gelfand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558843755 PECOS PAC ID: 9638420078 Enrollment ID: I20180924001697 |
| Provider Name | Trenton Conway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073233201 PECOS PAC ID: 7113399718 Enrollment ID: I20230208000557 |
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