Homer G. Phillips Health Center | |
2425 Whittier St Saint Louis MO 63113-2950 | |
(314) 371-3100 | |
(314) 289-8718 |
Full Name | Homer G. Phillips Health Center |
---|---|
Speciality | Clinic/Center |
Location | 2425 Whittier St, Saint Louis, Missouri |
Authorized Official Name and Position | Angela R Clabon (CEO) |
Authorized Official Contact | 3143675820 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Homer G. Phillips Health Center 2425 Whittier St Saint Louis MO 63113-2950 Ph: (314) 367-5820 | Homer G. Phillips Health Center 2425 Whittier St Saint Louis MO 63113-2950 Ph: (314) 371-3100 |
NPI Number | 1376685529 |
---|---|
Provider Enumeration Date | 02/13/2007 |
Last Update Date | 09/26/2018 |
Medicare PECOS PAC ID | 1557269289 |
---|---|
Medicare Enrollment ID | O20031219000441 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376685529 | NPI | - | NPPES |
507523702 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Missouri) | Primary |
Provider Name | Jade D James-halbert |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1073514592 PECOS PAC ID: 6608761010 Enrollment ID: I20040216000870 |
Provider Name | Michael L Spearman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164598579 PECOS PAC ID: 8325036890 Enrollment ID: I20040504000272 |
Provider Name | Katherine M Dewey |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1194786434 PECOS PAC ID: 3375584618 Enrollment ID: I20050518000029 |
Provider Name | Diana A Prablek |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588689541 PECOS PAC ID: 9335175066 Enrollment ID: I20050713000721 |
Provider Name | Michael W Rich |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1912925488 PECOS PAC ID: 0244267045 Enrollment ID: I20050725000008 |
Provider Name | Lucias D Meyer |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1720032600 PECOS PAC ID: 0941235576 Enrollment ID: I20051003000028 |
Provider Name | Alicia D Gonzalez |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1578610713 PECOS PAC ID: 7618991233 Enrollment ID: I20060123000599 |
Provider Name | Michael A Specter |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1629021175 PECOS PAC ID: 6709893092 Enrollment ID: I20060310000506 |
Provider Name | Ardell Mays |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821056888 PECOS PAC ID: 9335159086 Enrollment ID: I20060426000365 |
Provider Name | Laila G Hanna |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336157692 PECOS PAC ID: 8820093131 Enrollment ID: I20060920000182 |
Provider Name | Nicole M Delsoin Pierre |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639266463 PECOS PAC ID: 6901805092 Enrollment ID: I20061219000446 |
Provider Name | Sabina M Aderibigbe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952507873 PECOS PAC ID: 5597865162 Enrollment ID: I20070711000699 |
Provider Name | Teresita A Cometa |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013918481 PECOS PAC ID: 6507941960 Enrollment ID: I20080310000171 |
Provider Name | Summer Johnson |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1871786392 PECOS PAC ID: 9830261817 Enrollment ID: I20080708000548 |
Provider Name | Andrea J Andrud |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1972765584 PECOS PAC ID: 1759455140 Enrollment ID: I20080802000039 |
Provider Name | Raj M Sajid |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265529630 PECOS PAC ID: 0648356923 Enrollment ID: I20081210000149 |
Provider Name | Srilakshmi Vuyyuru |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1336326438 PECOS PAC ID: 6507920147 Enrollment ID: I20090127000467 |
Provider Name | Jetuan L Rowley-herron |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003893785 PECOS PAC ID: 7416919253 Enrollment ID: I20090803000541 |
Provider Name | Junaid M Syed |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1942381579 PECOS PAC ID: 1951496330 Enrollment ID: I20090818000534 |
Provider Name | Salwat Shami |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053579094 PECOS PAC ID: 7719027465 Enrollment ID: I20091210000697 |
Provider Name | Lubbna Johar |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578761706 PECOS PAC ID: 2365599461 Enrollment ID: I20100423000902 |
Provider Name | Michael G Koenig |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1720171093 PECOS PAC ID: 2466432307 Enrollment ID: I20100806000888 |
Provider Name | Terri C Coble |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497832224 PECOS PAC ID: 9133017411 Enrollment ID: I20100817001194 |
Provider Name | Jodie Rai |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1952393191 PECOS PAC ID: 7113041955 Enrollment ID: I20100831000073 |
Provider Name | Oscar Etuk |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1578518841 PECOS PAC ID: 7719945849 Enrollment ID: I20110913000672 |
Provider Name | Modupe A Aderibigbe |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1407092927 PECOS PAC ID: 6709937378 Enrollment ID: I20110926000851 |
Provider Name | Leslie E Mccrary-etuk |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174670418 PECOS PAC ID: 9931203957 Enrollment ID: I20110930000583 |
Provider Name | Manual I Marban |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1225251028 PECOS PAC ID: 1658546510 Enrollment ID: I20111205000933 |
Provider Name | Dwight M Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952675381 PECOS PAC ID: 5294997458 Enrollment ID: I20120503000699 |
Provider Name | Shawana Star Branch-rowles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689762742 PECOS PAC ID: 5698930543 Enrollment ID: I20120627000720 |
Provider Name | Ross Mattox |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1336339522 PECOS PAC ID: 8921190927 Enrollment ID: I20120801000859 |
Provider Name | Baldomero Nunez |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1558365254 PECOS PAC ID: 0446273916 Enrollment ID: I20121008000626 |
Provider Name | Racheal Lynn Whitaker |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1316960529 PECOS PAC ID: 4385649839 Enrollment ID: I20131209000102 |
Provider Name | Stephanie E Houston |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659716181 PECOS PAC ID: 7719114156 Enrollment ID: I20131211000295 |
Provider Name | Samara D Harrell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306285986 PECOS PAC ID: 7113143314 Enrollment ID: I20140724000723 |
Provider Name | Ahsan Y Khan |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1346245479 PECOS PAC ID: 4082640354 Enrollment ID: I20140804000300 |
Provider Name | Hari K Nallapaneni |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609076728 PECOS PAC ID: 5991945123 Enrollment ID: I20140815002106 |
Provider Name | Krishnasamy Savadamuthu |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1407835879 PECOS PAC ID: 8123083516 Enrollment ID: I20150106001216 |
Provider Name | Geannette L Walls |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1215125448 PECOS PAC ID: 5698090819 Enrollment ID: I20150211000496 |
Provider Name | Latoya T Woods |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629476668 PECOS PAC ID: 1355667700 Enrollment ID: I20150303001471 |
Provider Name | Sharda Singh |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1306158845 PECOS PAC ID: 9436460433 Enrollment ID: I20150617001821 |
Provider Name | Julia Gold |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669661948 PECOS PAC ID: 7810074515 Enrollment ID: I20150728005997 |
Provider Name | Shearita A Sandoval |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053705392 PECOS PAC ID: 4385958206 Enrollment ID: I20150805007211 |
Provider Name | Ana Nawaz |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1366826265 PECOS PAC ID: 2668638958 Enrollment ID: I20150916002593 |
Provider Name | Annya Moody |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346516556 PECOS PAC ID: 7012224181 Enrollment ID: I20150922002364 |
Provider Name | Susan L Baumer |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1285708230 PECOS PAC ID: 9638487465 Enrollment ID: I20150929000583 |
Provider Name | Elena G Ignatova |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1093099830 PECOS PAC ID: 5395047435 Enrollment ID: I20160107000394 |
Provider Name | Katherine E Milhouse |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407223647 PECOS PAC ID: 1456654078 Enrollment ID: I20160114001966 |
Provider Name | Carol D Horton Henley |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1477554848 PECOS PAC ID: 6709189095 Enrollment ID: I20160120001434 |
Provider Name | Ashley A Robinson |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1386952729 PECOS PAC ID: 5294038972 Enrollment ID: I20160129002235 |
Provider Name | Morton S Friedman |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1639343551 PECOS PAC ID: 1951606433 Enrollment ID: I20160222000506 |
Provider Name | Reesa D Mercado |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1184084659 PECOS PAC ID: 7911205364 Enrollment ID: I20160418002253 |
Provider Name | Kia D Washington |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922468305 PECOS PAC ID: 7315245719 Enrollment ID: I20160419001239 |
Provider Name | Pravesh Prabhu Deotale |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1710275110 PECOS PAC ID: 2163660283 Enrollment ID: I20160708000233 |
Provider Name | Veronica Gregory |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1245647254 PECOS PAC ID: 8224322383 Enrollment ID: I20160811002542 |
Provider Name | Nastassia Bommel |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1427497411 PECOS PAC ID: 6800181314 Enrollment ID: I20160823002267 |
Provider Name | Keely L Finney |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588009344 PECOS PAC ID: 8921220666 Enrollment ID: I20160824003028 |
Provider Name | Scott Mccloud |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235674573 PECOS PAC ID: 8729369467 Enrollment ID: I20170111002100 |
Provider Name | David Mann |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1073050787 PECOS PAC ID: 9739462177 Enrollment ID: I20170210000188 |
Provider Name | Peter S Groce |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245637271 PECOS PAC ID: 4789953035 Enrollment ID: I20170630000528 |
Provider Name | Alicia Barnes |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1720364086 PECOS PAC ID: 2961784665 Enrollment ID: I20170921001064 |
Provider Name | Sonia Kumar |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1619959434 PECOS PAC ID: 2062778004 Enrollment ID: I20171108001341 |
Provider Name | Kelsey L Lewis |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1932617354 PECOS PAC ID: 1850652579 Enrollment ID: I20180221000111 |
Provider Name | Safa A Qazi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669987327 PECOS PAC ID: 3577824978 Enrollment ID: I20180227002825 |
Provider Name | Amanda W Gonzalez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578566063 PECOS PAC ID: 2567656390 Enrollment ID: I20180419001189 |
Provider Name | Candias Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063915015 PECOS PAC ID: 4688927940 Enrollment ID: I20181102001694 |
Provider Name | Jazzcelyn Schertz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811172836 PECOS PAC ID: 1557445939 Enrollment ID: I20190220002330 |
Provider Name | Jennifer Ann Bergmann-krause |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528418993 PECOS PAC ID: 9931489614 Enrollment ID: I20190425000262 |
Provider Name | Julia Anne Pulliam |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1245516350 PECOS PAC ID: 4880840693 Enrollment ID: I20190625001710 |
Provider Name | Mia R Sing |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629560297 PECOS PAC ID: 2062748080 Enrollment ID: I20190730000923 |
Provider Name | La Tanya Lawrence |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104121102 PECOS PAC ID: 2163743071 Enrollment ID: I20190816002633 |
Provider Name | Delores H Grady |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1043224553 PECOS PAC ID: 8527390475 Enrollment ID: I20191028000506 |
Provider Name | Andrew J Bova |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1356839971 PECOS PAC ID: 4789004367 Enrollment ID: I20201020003824 |
Provider Name | Carolyn Fulgham |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871965343 PECOS PAC ID: 8123433059 Enrollment ID: I20210226000768 |
Provider Name | Courtney Watza |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1891228557 PECOS PAC ID: 2466720354 Enrollment ID: I20220321000130 |
Provider Name | Munachi Beatrice Nwosu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871124263 PECOS PAC ID: 7214324235 Enrollment ID: I20220421001549 |
Provider Name | Meghan Angeline Brauch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730831280 PECOS PAC ID: 4183011901 Enrollment ID: I20220426002500 |
Provider Name | Joselyn Rose Zerrusen |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1073240677 PECOS PAC ID: 9335521319 Enrollment ID: I20220808002485 |
Provider Name | Amber Linn Aldridge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689389421 PECOS PAC ID: 7517338577 Enrollment ID: I20230130002437 |
Provider Name | Jasmine Chadha |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1598115784 PECOS PAC ID: 7911272000 Enrollment ID: I20230227000228 |
Provider Name | Macy Layton Randolph |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1871215822 PECOS PAC ID: 7113390444 Enrollment ID: I20230307000942 |
Provider Name | Brooklynn Marlaryce Devitt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407554694 PECOS PAC ID: 6608241419 Enrollment ID: I20230410001628 |
Provider Name | Jessica Dawn Weseman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871270009 PECOS PAC ID: 6709249956 Enrollment ID: I20230906000377 |
Provider Name | Dolph D Haege |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1639167570 PECOS PAC ID: 1355380452 Enrollment ID: I20231206003585 |
Provider Name | Sonia Marie Chase |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1295205516 PECOS PAC ID: 7719342203 Enrollment ID: I20240116002924 |
Provider Name | Elisha Chantilly Linnen-glass |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1023666278 PECOS PAC ID: 4880047091 Enrollment ID: I20240124001446 |
Provider Name | Diana Lynn Burton-mitchell |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306607247 PECOS PAC ID: 9032554282 Enrollment ID: I20240229004069 |
St. Louis Center For Preventive And Longevity Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled 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 | |
Salvation Army 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 |