| Mercy Clinic East Communities | |
|
615 S New Ballas Rd Administrative Building, 5th Floor Saint Louis MO 63141-8221 | |
| (314) 251-6000 | |
| Not Available |
| Full Name | Mercy Clinic East Communities |
|---|---|
| Speciality | Internal Medicine |
| Location | 615 S New Ballas Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | John W. Hubert (PRESIDENT) |
| Authorized Official Contact | 3142511700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Clinic East Communities 615 S New Ballas Rd Administrative Building, 5th Floor Saint Louis MO 63141-8221 Ph: (314) 251-6000 | Mercy Clinic East Communities 615 S New Ballas Rd Administrative Building, 5th Floor Saint Louis MO 63141-8221 Ph: (314) 251-6000 |
| NPI Number | 1073739041 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 05/08/2014 |
| Medicare PECOS PAC ID | 7214827922 |
|---|---|
| Medicare Enrollment ID | O20070521000058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073739041 | NPI | - | NPPES |
| Provider Name | Deborah Monzyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457350381 PECOS PAC ID: 6204721822 Enrollment ID: I20040220000813 |
| Provider Name | Barbara E King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992918114 PECOS PAC ID: 8820980063 Enrollment ID: I20040325000189 |
| Provider Name | Patrick Durbin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023079928 PECOS PAC ID: 6608861331 Enrollment ID: I20040421000122 |
| Provider Name | Louise L Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275610156 PECOS PAC ID: 6305827189 Enrollment ID: I20040527000364 |
| Provider Name | William Howard Fritz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407820913 PECOS PAC ID: 8921086406 Enrollment ID: I20040712000080 |
| Provider Name | Robert D Haskins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164469235 PECOS PAC ID: 2567432099 Enrollment ID: I20040730000423 |
| Provider Name | Nestor Michael Shust |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346283066 PECOS PAC ID: 3476525676 Enrollment ID: I20040809000885 |
| Provider Name | Darla Martin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356502025 PECOS PAC ID: 3375516719 Enrollment ID: I20040816000010 |
| Provider Name | Gary Dumontier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437192481 PECOS PAC ID: 3971497611 Enrollment ID: I20040823000565 |
| Provider Name | Kenneth B Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801822747 PECOS PAC ID: 7214821974 Enrollment ID: I20041013000338 |
| Provider Name | Gregory A Potts |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992770887 PECOS PAC ID: 5799747895 Enrollment ID: I20041101000817 |
| Provider Name | Kenneth K Hamai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073587713 PECOS PAC ID: 6800858598 Enrollment ID: I20041104000102 |
| Provider Name | Sarah Dyson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922020064 PECOS PAC ID: 7618925207 Enrollment ID: I20050111000195 |
| Provider Name | Lei Guan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235191321 PECOS PAC ID: 2961493176 Enrollment ID: I20050201000793 |
| Provider Name | Peter J Lamble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144266909 PECOS PAC ID: 4183610728 Enrollment ID: I20050519000016 |
| Provider Name | Elizabeth P Hammer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073540886 PECOS PAC ID: 6901849587 Enrollment ID: I20050606000028 |
| Provider Name | Kristin Weidle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578507570 PECOS PAC ID: 8820032261 Enrollment ID: I20050616000064 |
| Provider Name | Jamie Borgmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184750770 PECOS PAC ID: 4880626928 Enrollment ID: I20050909000016 |
| Provider Name | Alywin E. Kluttz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538165063 PECOS PAC ID: 2860395449 Enrollment ID: I20050926000256 |
| Provider Name | Cindy K Martin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588825855 PECOS PAC ID: 6507884905 Enrollment ID: I20051103001067 |
| Provider Name | Mary Tierney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457307324 PECOS PAC ID: 6608881685 Enrollment ID: I20060213000299 |
| Provider Name | James R Grimes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649262106 PECOS PAC ID: 3678583317 Enrollment ID: I20060426000293 |
| Provider Name | Sarah B Shores |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356424485 PECOS PAC ID: 8022904119 Enrollment ID: I20070201000121 |
| Provider Name | Craig W Boyd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821171927 PECOS PAC ID: 0547262784 Enrollment ID: I20070201000138 |
| Provider Name | Victoria L Yenzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043422488 PECOS PAC ID: 7719084953 Enrollment ID: I20070522000567 |
| Provider Name | Karen M Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518170596 PECOS PAC ID: 3173620325 Enrollment ID: I20070522000675 |
| Provider Name | Lori A Repp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982817953 PECOS PAC ID: 2668579749 Enrollment ID: I20070524000373 |
| Provider Name | Barbara L Blaue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417169855 PECOS PAC ID: 7810094992 Enrollment ID: I20070524000395 |
| Provider Name | Melissa E Manhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679786990 PECOS PAC ID: 8426152851 Enrollment ID: I20070524000483 |
| Provider Name | Jennifer Scheer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487621256 PECOS PAC ID: 9739286634 Enrollment ID: I20070529000267 |
| Provider Name | Edward J Kunst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467428672 PECOS PAC ID: 7517963994 Enrollment ID: I20070531000231 |
| Provider Name | Andrea L Mose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275741266 PECOS PAC ID: 9537268412 Enrollment ID: I20070618000176 |
| Provider Name | Stephanie Diane Bauerle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699834739 PECOS PAC ID: 8325147242 Enrollment ID: I20070619000097 |
| Provider Name | Nicole A Meitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982805354 PECOS PAC ID: 2769581842 Enrollment ID: I20070702000210 |
| Provider Name | Patricia Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275643553 PECOS PAC ID: 9335230481 Enrollment ID: I20070803000535 |
| Provider Name | Felipe A Eljaiek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003927773 PECOS PAC ID: 3173616778 Enrollment ID: I20070912000095 |
| Provider Name | Jose R Remo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598876450 PECOS PAC ID: 3072607779 Enrollment ID: I20070925000328 |
| Provider Name | David Bruce Glover |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538103569 PECOS PAC ID: 4082709738 Enrollment ID: I20070926001061 |
| Provider Name | Gretchen E Farmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720283450 PECOS PAC ID: 4981799475 Enrollment ID: I20070928000052 |
| Provider Name | Patricia D Hinkle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023217031 PECOS PAC ID: 0345335600 Enrollment ID: I20071001000789 |
| Provider Name | Branna J Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770662538 PECOS PAC ID: 4587750062 Enrollment ID: I20071015000022 |
| Provider Name | Tammy Watz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780795658 PECOS PAC ID: 4385730837 Enrollment ID: I20071016000054 |
| Provider Name | Terri L Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740386846 PECOS PAC ID: 9830286798 Enrollment ID: I20071025000057 |
| Provider Name | Patricia A Flamion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780873950 PECOS PAC ID: 1951491513 Enrollment ID: I20071219000567 |
| Provider Name | Vivian M Dudley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013018654 PECOS PAC ID: 8628158391 Enrollment ID: I20080108000085 |
| Provider Name | Kyle Fritz Ostrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376746743 PECOS PAC ID: 7214007020 Enrollment ID: I20080605000648 |
| Provider Name | Michael J Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477589422 PECOS PAC ID: 8628141504 Enrollment ID: I20080725000293 |
| Provider Name | Evelyn W Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790894830 PECOS PAC ID: 0244305902 Enrollment ID: I20080815000179 |
| Provider Name | Gary M Wasserman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740382746 PECOS PAC ID: 5597830927 Enrollment ID: I20080820000386 |
| Provider Name | Patrick R Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093715096 PECOS PAC ID: 4385711886 Enrollment ID: I20080925000331 |
| Provider Name | Kirk E Brockman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235139221 PECOS PAC ID: 9830266337 Enrollment ID: I20080925000339 |
| Provider Name | Anne K Voss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801848395 PECOS PAC ID: 3678632841 Enrollment ID: I20081103000146 |
| Provider Name | Christy R Bleckman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366568891 PECOS PAC ID: 9537220900 Enrollment ID: I20081203000505 |
| Provider Name | Briccio S Cadiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932182722 PECOS PAC ID: 2264598648 Enrollment ID: I20090310000449 |
| Provider Name | Jessica H Diekhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164662276 PECOS PAC ID: 0244387108 Enrollment ID: I20090409000513 |
| Provider Name | Renee J Zesch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457586919 PECOS PAC ID: 2264583178 Enrollment ID: I20090706000083 |
| Provider Name | Mathew A Strasser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164447884 PECOS PAC ID: 3072665934 Enrollment ID: I20090723000606 |
| Provider Name | Leah C Silver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063662443 PECOS PAC ID: 6002969417 Enrollment ID: I20090803000507 |
| Provider Name | Stephanie M Meyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215148341 PECOS PAC ID: 3779637590 Enrollment ID: I20090813000369 |
| Provider Name | Christina Antoinett Garretto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144430612 PECOS PAC ID: 1951447689 Enrollment ID: I20091009000016 |
| Provider Name | Keith M Ratcliff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841232386 PECOS PAC ID: 1557255221 Enrollment ID: I20091014000079 |
| Provider Name | Latasha L Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710118161 PECOS PAC ID: 3678610268 Enrollment ID: I20091030000504 |
| Provider Name | Michael E Rau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467496216 PECOS PAC ID: 8123023140 Enrollment ID: I20100224000118 |
| Provider Name | Shaukat A Thanawalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457393134 PECOS PAC ID: 5496750416 Enrollment ID: I20100224000139 |
| Provider Name | Anna B Hummel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447580030 PECOS PAC ID: 7719012640 Enrollment ID: I20100317000955 |
| Provider Name | David Brunworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265546634 PECOS PAC ID: 0345377792 Enrollment ID: I20100416000474 |
| Provider Name | Jerry L Karr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174505481 PECOS PAC ID: 9234120346 Enrollment ID: I20100505000880 |
| Provider Name | James D Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467496430 PECOS PAC ID: 3678467347 Enrollment ID: I20100507000795 |
| Provider Name | Matthew J Tiefenbrunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457393712 PECOS PAC ID: 4981598646 Enrollment ID: I20100508000009 |
| Provider Name | Kim D Colter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336112846 PECOS PAC ID: 3375437049 Enrollment ID: I20100508000020 |
| Provider Name | Kelly J Bain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982645818 PECOS PAC ID: 1456245125 Enrollment ID: I20100511000725 |
| Provider Name | Christiane K Korba |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164464426 PECOS PAC ID: 3577568591 Enrollment ID: I20100511000888 |
| Provider Name | Cindy M Leahy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609856301 PECOS PAC ID: 4385773951 Enrollment ID: I20100520000679 |
| Provider Name | Julie M Epple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043242183 PECOS PAC ID: 3173652054 Enrollment ID: I20100602000881 |
| Provider Name | Timothy P Long |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558384214 PECOS PAC ID: 6204720931 Enrollment ID: I20100615000706 |
| Provider Name | Bryce A Ayers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689610446 PECOS PAC ID: 2567356298 Enrollment ID: I20100618000640 |
| Provider Name | Robert W Halsted |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447286380 PECOS PAC ID: 5294629929 Enrollment ID: I20100618000723 |
| Provider Name | Brenda G Voss |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407017775 PECOS PAC ID: 3274665641 Enrollment ID: I20100720001003 |
| Provider Name | Nawras Makhsida |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154523959 PECOS PAC ID: 8426182197 Enrollment ID: I20100817000581 |
| Provider Name | Amanda M Burkheart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912134834 PECOS PAC ID: 5395879944 Enrollment ID: I20100818000092 |
| Provider Name | Lisa A Corwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740479757 PECOS PAC ID: 4587780572 Enrollment ID: I20100928000195 |
| Provider Name | Tammy L Prewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831283894 PECOS PAC ID: 9931391620 Enrollment ID: I20101013000845 |
| Provider Name | Jessica L Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659674463 PECOS PAC ID: 4587853049 Enrollment ID: I20110113001214 |
| Provider Name | Mary M Hammel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598067779 PECOS PAC ID: 2668653783 Enrollment ID: I20110223000316 |
| Provider Name | Charles E Keefe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770617318 PECOS PAC ID: 8729262142 Enrollment ID: I20110409000080 |
| Provider Name | Nicole L Larrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326338369 PECOS PAC ID: 9335325174 Enrollment ID: I20110512000511 |
| Provider Name | Maryellen Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407938954 PECOS PAC ID: 8325216997 Enrollment ID: I20110726000607 |
| Provider Name | Tina Louise Valentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356337224 PECOS PAC ID: 6608856935 Enrollment ID: I20110803000786 |
| Provider Name | Krystle A Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215216239 PECOS PAC ID: 6406026194 Enrollment ID: I20110907001527 |
| Provider Name | Christina L Byron |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528266400 PECOS PAC ID: 1355513714 Enrollment ID: I20111006000251 |
| Provider Name | Gretchen H Levey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518167261 PECOS PAC ID: 9133391592 Enrollment ID: I20111006000291 |
| Provider Name | Margaretta L Mendenhall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275730111 PECOS PAC ID: 2668644022 Enrollment ID: I20111006000313 |
| Provider Name | William F Snidle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457443905 PECOS PAC ID: 8628074762 Enrollment ID: I20111122000284 |
| Provider Name | Joi C Irving |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457508665 PECOS PAC ID: 9335314863 Enrollment ID: I20111213000159 |
| Provider Name | Sarah Marie Mccaffrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306049143 PECOS PAC ID: 8729189121 Enrollment ID: I20120125000147 |
| Provider Name | Christen M Elfrink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700163458 PECOS PAC ID: 6709043730 Enrollment ID: I20120202000881 |
| Provider Name | O'hara Lyn Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245516673 PECOS PAC ID: 3870750284 Enrollment ID: I20120213000347 |
| Provider Name | Dena B Kruse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245503978 PECOS PAC ID: 0749449825 Enrollment ID: I20120308000587 |
| Provider Name | Angela M Lloyd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518912047 PECOS PAC ID: 9032370069 Enrollment ID: I20120418000269 |
| Provider Name | Amy L Marquitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023379856 PECOS PAC ID: 2567611668 Enrollment ID: I20121004000833 |
| Provider Name | Deborah B Beste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215299482 PECOS PAC ID: 5092964106 Enrollment ID: I20121005000084 |
| Provider Name | Susan M Tellini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881946358 PECOS PAC ID: 1052561842 Enrollment ID: I20121102000099 |
| Provider Name | Melissa L Amann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275886012 PECOS PAC ID: 8527219153 Enrollment ID: I20121108000154 |
| Provider Name | Denise P Blackburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043568280 PECOS PAC ID: 5496906901 Enrollment ID: I20121109000400 |
| Provider Name | Ann M Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033460324 PECOS PAC ID: 5597910299 Enrollment ID: I20130304000093 |
| Provider Name | Ashley Merlati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487907127 PECOS PAC ID: 1850536327 Enrollment ID: I20130404000230 |
| Provider Name | Christie A Bayer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265405948 PECOS PAC ID: 7416195763 Enrollment ID: I20130529000292 |
| Provider Name | Patrick J Rose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811208341 PECOS PAC ID: 6709029259 Enrollment ID: I20130830000531 |
| Provider Name | Charles P Coyne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295048031 PECOS PAC ID: 5991948689 Enrollment ID: I20131001000503 |
| Provider Name | Leah R Glass |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093942997 PECOS PAC ID: 5294960472 Enrollment ID: I20131023001959 |
| Provider Name | Amanda A Oswalt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710175815 PECOS PAC ID: 0749418325 Enrollment ID: I20140103000666 |
| Provider Name | Amanda Poindexter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558791350 PECOS PAC ID: 7315176310 Enrollment ID: I20140218000465 |
| Provider Name | Kelly A Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487078879 PECOS PAC ID: 5193956944 Enrollment ID: I20140320001647 |
| Provider Name | Jennifer Oldham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790100089 PECOS PAC ID: 7517199748 Enrollment ID: I20140422001181 |
| Provider Name | Tina Montee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942616016 PECOS PAC ID: 2264659432 Enrollment ID: I20140812000847 |
| Provider Name | Stephanie Schatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255748349 PECOS PAC ID: 4385864024 Enrollment ID: I20141001001904 |
| Provider Name | Cynthia M Eaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689081754 PECOS PAC ID: 1759502743 Enrollment ID: I20141015002454 |
| Provider Name | Jessica Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508262155 PECOS PAC ID: 8729301072 Enrollment ID: I20141218000472 |
| Provider Name | Lisa A Dickinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053498451 PECOS PAC ID: 3375867559 Enrollment ID: I20150116000471 |
| Provider Name | Robert Schwenk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720486582 PECOS PAC ID: 6305162892 Enrollment ID: I20150227000425 |
| Provider Name | Amanda L K Flamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528453354 PECOS PAC ID: 6002134079 Enrollment ID: I20150423001727 |
| Provider Name | Kristy Bestgen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326487315 PECOS PAC ID: 4587975651 Enrollment ID: I20150616000754 |
| Provider Name | Jacob W Peyton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912293010 PECOS PAC ID: 4486874989 Enrollment ID: I20150721001620 |
| Provider Name | Carrie L. Rutledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992183511 PECOS PAC ID: 1153634720 Enrollment ID: I20150727000158 |
| Provider Name | Monica L Board |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437409992 PECOS PAC ID: 4688826498 Enrollment ID: I20150729007558 |
| Provider Name | Layne Lovell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366485906 PECOS PAC ID: 7810980521 Enrollment ID: I20150803001485 |
| Provider Name | Melinda Auer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326336314 PECOS PAC ID: 1456665249 Enrollment ID: I20150807013451 |
| Provider Name | Patricia Parks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760750616 PECOS PAC ID: 6002079951 Enrollment ID: I20150819006866 |
| Provider Name | Craig S Hollander |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1407876493 PECOS PAC ID: 0244546869 Enrollment ID: I20150827001841 |
| Provider Name | Sree Lakshmi Budati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659626711 PECOS PAC ID: 2668693227 Enrollment ID: I20150910000057 |
| Provider Name | Jennifer Walk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346619095 PECOS PAC ID: 4880903293 Enrollment ID: I20151027000390 |
| Provider Name | Deborah K Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053776179 PECOS PAC ID: 3678876000 Enrollment ID: I20160119002181 |
| Provider Name | Monica Y Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922030865 PECOS PAC ID: 3274822507 Enrollment ID: I20160510001060 |
| Provider Name | Stephanee Rossi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992168157 PECOS PAC ID: 8628368180 Enrollment ID: I20160613000921 |
| Provider Name | Michael R Doherty |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1518371020 PECOS PAC ID: 9133347222 Enrollment ID: I20160627001322 |
| Provider Name | Megan E Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154779106 PECOS PAC ID: 4981995644 Enrollment ID: I20160628000677 |
| Provider Name | Tanis Bast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295193274 PECOS PAC ID: 3274826904 Enrollment ID: I20160719000114 |
| Provider Name | Jessica Freiberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568814234 PECOS PAC ID: 2163715228 Enrollment ID: I20160727000359 |
| Provider Name | Everardo Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851379572 PECOS PAC ID: 2769544469 Enrollment ID: I20160808000129 |
| Provider Name | Patricia Lee Fredrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336541549 PECOS PAC ID: 2264727502 Enrollment ID: I20160825000242 |
| Provider Name | Catherine Hutz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912261322 PECOS PAC ID: 8527204320 Enrollment ID: I20160908000395 |
| Provider Name | Jody Np Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184173585 PECOS PAC ID: 2860770211 Enrollment ID: I20161107000132 |
| Provider Name | Kristen Elaine Cleavelin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487199733 PECOS PAC ID: 4880976273 Enrollment ID: I20170119001506 |
| Provider Name | Tristen L Donner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508317157 PECOS PAC ID: 1052694254 Enrollment ID: I20170214001448 |
| Provider Name | Sarah Dobsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477092062 PECOS PAC ID: 9739463571 Enrollment ID: I20170223000467 |
| Provider Name | Kallie Belfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285171462 PECOS PAC ID: 4486939246 Enrollment ID: I20170320000547 |
| Provider Name | Cheryl L Viau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710427547 PECOS PAC ID: 9931484052 Enrollment ID: I20170331001511 |
| Provider Name | Abby R Loyet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295270726 PECOS PAC ID: 7810274859 Enrollment ID: I20170501001336 |
| Provider Name | Kamealya Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215462999 PECOS PAC ID: 1052680576 Enrollment ID: I20170627000543 |
| Provider Name | Andrea M Schuster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063826493 PECOS PAC ID: 8921224593 Enrollment ID: I20170711000789 |
| Provider Name | Tonnya M Taggart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619332608 PECOS PAC ID: 5597061580 Enrollment ID: I20170808002618 |
| Provider Name | Kaylin J Wessel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649707829 PECOS PAC ID: 2466724661 Enrollment ID: I20170823002081 |
| Provider Name | John W Pipkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346797305 PECOS PAC ID: 2163795097 Enrollment ID: I20170829000901 |
| Provider Name | Devin R Willis |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1295175057 PECOS PAC ID: 7012143449 Enrollment ID: I20170913002736 |
| Provider Name | Sorawit Timothy Decha-umphai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902191141 PECOS PAC ID: 1759688559 Enrollment ID: I20171020002392 |
| Provider Name | Rebekah Suezann Helmig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851803159 PECOS PAC ID: 4486910080 Enrollment ID: I20171115001535 |
| Provider Name | Tamara Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184122327 PECOS PAC ID: 3375804917 Enrollment ID: I20180222003001 |
| Provider Name | Danielle Besand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932655479 PECOS PAC ID: 9931456944 Enrollment ID: I20180723001701 |
| Provider Name | Samera Majeed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578959193 PECOS PAC ID: 8820376270 Enrollment ID: I20180801000725 |
| Provider Name | Sara D Mcallister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518449065 PECOS PAC ID: 4486906047 Enrollment ID: I20181009002144 |
| Provider Name | Trisha Lynn Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073097515 PECOS PAC ID: 1355694456 Enrollment ID: I20181018002019 |
| Provider Name | Karen Markeisha Sobers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306133012 PECOS PAC ID: 4880908177 Enrollment ID: I20181106000860 |
| Provider Name | Jessica Lynn Gengler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629380522 PECOS PAC ID: 2365686383 Enrollment ID: I20190123001820 |
| Provider Name | Erica N Mullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194282103 PECOS PAC ID: 7315288305 Enrollment ID: I20190329002063 |
| Provider Name | Katherine Harkess |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295116143 PECOS PAC ID: 0547576449 Enrollment ID: I20190812002530 |
| Provider Name | Megan L Stutheit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972155232 PECOS PAC ID: 2062740012 Enrollment ID: I20190828003857 |
| Provider Name | Casey Lynn Buncher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891336178 PECOS PAC ID: 3678905312 Enrollment ID: I20191118001941 |
| Provider Name | Kelly Marie Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184265753 PECOS PAC ID: 9830523240 Enrollment ID: I20191217003244 |
| Provider Name | Jillian Poretti |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760857833 PECOS PAC ID: 8022442466 Enrollment ID: I20191218001195 |
| Provider Name | Hailee Brooke Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467095356 PECOS PAC ID: 7214361245 Enrollment ID: I20191230001362 |
| Provider Name | Katherine Mary Jasper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942841390 PECOS PAC ID: 8921436775 Enrollment ID: I20200310001958 |
| Provider Name | Javier Amhed De La Cruz Martinez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124561592 PECOS PAC ID: 7214261585 Enrollment ID: I20200315000058 |
| Provider Name | Heather Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841824455 PECOS PAC ID: 0143659003 Enrollment ID: I20200330000316 |
| Provider Name | Amanda Carroll |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396079208 PECOS PAC ID: 4385872415 Enrollment ID: I20200520003219 |
| Provider Name | Cheng Xin Jiang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174043301 PECOS PAC ID: 1254607633 Enrollment ID: I20200716004024 |
| Provider Name | Taylor Veh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649620964 PECOS PAC ID: 3779876511 Enrollment ID: I20200731000714 |
| Provider Name | Kimberly A Mcclure |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942730320 PECOS PAC ID: 1850667775 Enrollment ID: I20200821000591 |
| Provider Name | Zachary Keller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962865170 PECOS PAC ID: 0840582706 Enrollment ID: I20200826002522 |
| Provider Name | Nancy Christine Bryan-schatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326634080 PECOS PAC ID: 4981019502 Enrollment ID: I20210212000580 |
| Provider Name | Joshua Brockway Wilson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932639689 PECOS PAC ID: 9032475009 Enrollment ID: I20210805002919 |
| Provider Name | Danielle S Grunloh-gumpenberger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285164053 PECOS PAC ID: 6800162967 Enrollment ID: I20210923003377 |
| Provider Name | Sarah Abigail Chalk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104590801 PECOS PAC ID: 7416354808 Enrollment ID: I20210928001773 |
| Provider Name | Miranda Mae Pickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093488322 PECOS PAC ID: 3870990096 Enrollment ID: I20210930000458 |
| Provider Name | Megan Kathren Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912509399 PECOS PAC ID: 0547659070 Enrollment ID: I20211122002384 |
| Provider Name | Andrea Anita Strothcamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710552757 PECOS PAC ID: 9436542347 Enrollment ID: I20220216001735 |
| Provider Name | Christina Marie Blankenship |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609537562 PECOS PAC ID: 5395139950 Enrollment ID: I20220224000234 |
| Provider Name | Julie Allison Ingle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275286759 PECOS PAC ID: 1153715727 Enrollment ID: I20220224000467 |
| Provider Name | Karli Katherine Philpot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982350609 PECOS PAC ID: 0345635322 Enrollment ID: I20220310001183 |
| Provider Name | Jessica Mae Goins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609524917 PECOS PAC ID: 7810384112 Enrollment ID: I20220504002088 |
| Provider Name | Delaina Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417682824 PECOS PAC ID: 2668856816 Enrollment ID: I20220907001704 |
| Provider Name | Christa Jane Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922735554 PECOS PAC ID: 1355718446 Enrollment ID: I20221102001333 |
| Provider Name | Celia Jauregui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487377347 PECOS PAC ID: 8224405287 Enrollment ID: I20221103001228 |
| Provider Name | Brenna Ann Panhorst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700500147 PECOS PAC ID: 2062880511 Enrollment ID: I20221115001547 |
| Provider Name | Jennifer Courtouise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265140263 PECOS PAC ID: 8224409610 Enrollment ID: I20230123001290 |
| Provider Name | Laura Pape Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477044642 PECOS PAC ID: 9830448372 Enrollment ID: I20230707001428 |
| Provider Name | Megan Reidy Landis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902422421 PECOS PAC ID: 5193148195 Enrollment ID: I20230912002387 |
| Provider Name | Amanda Leanna Hellebusch |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437794898 PECOS PAC ID: 5395190318 Enrollment ID: I20231011003171 |
| Provider Name | Philip John Hoffman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942648225 PECOS PAC ID: 9436422532 Enrollment ID: I20231018002061 |
| Provider Name | Rebecca Talley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043879489 PECOS PAC ID: 0840526927 Enrollment ID: I20231109003230 |
| Provider Name | Brooke Nicole Harness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124805080 PECOS PAC ID: 6103278981 Enrollment ID: I20240117002261 |
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 |