| Ifm Community Medicine | |
|
9417 S Broadway Saint Louis MO 63125-2009 | |
| (314) 833-4030 | |
| (314) 833-4031 |
| Full Name | Ifm Community Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 9417 S Broadway, Saint Louis, Missouri |
| Authorized Official Name and Position | David C Campbell (CEO) |
| Authorized Official Contact | 3148334030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ifm Community Medicine 5501 Delmar Blvd Ste B560 Saint Louis MO 63112-3084 Ph: (314) 833-4030 | Ifm Community Medicine 9417 S Broadway Saint Louis MO 63125-2009 Ph: (314) 833-4030 |
| NPI Number | 1972567923 |
|---|---|
| Provider Enumeration Date | 04/14/2006 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Medicare PECOS PAC ID | 6608833587 |
|---|---|
| Medicare Enrollment ID | O20041213000298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972567923 | NPI | - | NPPES |
| 506012806 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R1H15 (Missouri) | Primary |
| Provider Name | Gary Dumontier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437192481 PECOS PAC ID: 3971497611 Enrollment ID: I20040823000565 |
| Provider Name | Mary V Hastings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932365665 PECOS PAC ID: 2567528300 Enrollment ID: I20090304000099 |
| Provider Name | Samantha LW Marquard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881836849 PECOS PAC ID: 5092865618 Enrollment ID: I20090602000473 |
| Provider Name | David C Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801872254 PECOS PAC ID: 7618042425 Enrollment ID: I20100816000920 |
| Provider Name | Denise L Buck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083760599 PECOS PAC ID: 2365610425 Enrollment ID: I20110718000269 |
| Provider Name | Lynelle Lois Hinden |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1255464939 PECOS PAC ID: 6709051774 Enrollment ID: I20111203000067 |
| Provider Name | Brook C Raye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710252176 PECOS PAC ID: 3870756992 Enrollment ID: I20120529000344 |
| Provider Name | Stacy L Lobello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902211063 PECOS PAC ID: 9234357914 Enrollment ID: I20140821000080 |
| Provider Name | Kimberly Garavaglia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538698733 PECOS PAC ID: 0648541532 Enrollment ID: I20170811000173 |
| Provider Name | Heather Noelle Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164799540 PECOS PAC ID: 9537405261 Enrollment ID: I20190116002629 |
| Provider Name | Lynelle Lois Hinden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255464939 PECOS PAC ID: 6709051774 Enrollment ID: I20190516000146 |
| Provider Name | Teresa Dumaine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356500300 PECOS PAC ID: 3779913900 Enrollment ID: I20200430001327 |
| Provider Name | Rosemary Kathleen Werner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013584952 PECOS PAC ID: 7517368871 Enrollment ID: I20210624002263 |
| Provider Name | Melissa Paige Harkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477293967 PECOS PAC ID: 9739567488 Enrollment ID: I20220608001253 |
| Provider Name | Lauren Elizabeth Woll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265210066 PECOS PAC ID: 0446605901 Enrollment ID: I20231018003051 |
| Provider Name | Dena Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417648825 PECOS PAC ID: 7618334830 Enrollment ID: I20240208000927 |
| Provider Name | Stephanie Tate-patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053963470 PECOS PAC ID: 3870986896 Enrollment ID: I20240807000099 |
| Provider Name | Jessica Marie Knobbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780409805 PECOS PAC ID: 9739616384 Enrollment ID: I20241220002904 |
| Provider Name | Michelle Searcy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538952700 PECOS PAC ID: 5991205171 Enrollment ID: I20250822000373 |
| Provider Name | Paige Bernau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447122197 PECOS PAC ID: 0547750168 Enrollment ID: I20251103002963 |
| Provider Name | Seth Joseph Bland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932067121 PECOS PAC ID: 5890275473 Enrollment ID: I20260213000281 |
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 |
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 |