| Physician Specialists Of St Lukes Llc | |
|
232 S Woods Mill Rd Chesterfield MO 63017-3406 | |
| (314) 434-1500 | |
| Not Available |
| Full Name | Physician Specialists Of St Lukes Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 232 S Woods Mill Rd, Chesterfield, Missouri |
| Authorized Official Name and Position | Scott Johnson (EXEC. VP CFO) |
| Authorized Official Contact | 3142056301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Specialists Of St Lukes Llc 232 S Woods Mill Rd Chesterfield MO 63017-3417 Ph: (314) 576-2490 | Physician Specialists Of St Lukes Llc 232 S Woods Mill Rd Chesterfield MO 63017-3406 Ph: (314) 434-1500 |
| NPI Number | 1235168410 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 12/04/2020 |
| Medicare PECOS PAC ID | 1557366960 |
|---|---|
| Medicare Enrollment ID | O20060918000462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235168410 | NPI | - | NPPES |
| 506278308 | Medicaid | MO | |
| DF0124 | Other | MO | RR MEDICARE |
| Provider Name | Michael Scott Plisco |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861432049 PECOS PAC ID: 7911895503 Enrollment ID: I20040305000729 |
| Provider Name | Andrew C Dickler |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306892468 PECOS PAC ID: 7012990419 Enrollment ID: I20040608000719 |
| Provider Name | Sanjay A Patwardhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073583803 PECOS PAC ID: 1153307582 Enrollment ID: I20040626000339 |
| Provider Name | Beth B Ward |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1114945839 PECOS PAC ID: 6507831245 Enrollment ID: I20040827000060 |
| Provider Name | Sherri J. Dobner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508973629 PECOS PAC ID: 2466427976 Enrollment ID: I20040828000174 |
| Provider Name | Joseph H Gatewood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063407963 PECOS PAC ID: 7618874348 Enrollment ID: I20040901000466 |
| Provider Name | Tammy L Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245250331 PECOS PAC ID: 5496723934 Enrollment ID: I20040922000356 |
| Provider Name | Mehreen B Khann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942292420 PECOS PAC ID: 2567422793 Enrollment ID: I20041013000101 |
| Provider Name | Farid Ghassan Sadaka |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144337411 PECOS PAC ID: 1759342819 Enrollment ID: I20041021000826 |
| Provider Name | Rajeshwar Peddi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043283989 PECOS PAC ID: 8729042544 Enrollment ID: I20041112000042 |
| Provider Name | Reza T Jalal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578528618 PECOS PAC ID: 7911965066 Enrollment ID: I20041221000855 |
| Provider Name | Nadeem Ahmed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376546804 PECOS PAC ID: 9032029848 Enrollment ID: I20050104000139 |
| Provider Name | Alan John Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396728457 PECOS PAC ID: 9739139767 Enrollment ID: I20050127000688 |
| Provider Name | Antonella Quattromani |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1437182128 PECOS PAC ID: 8729038484 Enrollment ID: I20050131000296 |
| Provider Name | Robert Corley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427004829 PECOS PAC ID: 0840242616 Enrollment ID: I20050221000350 |
| Provider Name | Naman A Ghazal Albar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639144785 PECOS PAC ID: 7113970559 Enrollment ID: I20050225000549 |
| Provider Name | Jamie T Haas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629014493 PECOS PAC ID: 7113999673 Enrollment ID: I20050415000632 |
| Provider Name | Mary Lynn Lebeau |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942320999 PECOS PAC ID: 2466490842 Enrollment ID: I20050418001007 |
| Provider Name | Deborah K Connon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871680520 PECOS PAC ID: 9830132695 Enrollment ID: I20050603000043 |
| Provider Name | Kenneth A Stein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164519757 PECOS PAC ID: 7214972678 Enrollment ID: I20050627000158 |
| Provider Name | Kamal Gursahani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396760849 PECOS PAC ID: 7719923838 Enrollment ID: I20050629000507 |
| Provider Name | John T Oldham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659376390 PECOS PAC ID: 7416987540 Enrollment ID: I20050817000979 |
| Provider Name | Choudary V Tarigopula |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558450718 PECOS PAC ID: 2466486998 Enrollment ID: I20050923000108 |
| Provider Name | Talat M Nawas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316976228 PECOS PAC ID: 3072547512 Enrollment ID: I20050923000128 |
| Provider Name | Neil A Ettinger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619086451 PECOS PAC ID: 7810921061 Enrollment ID: I20050927000171 |
| Provider Name | Muhammad Naseeruddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194849224 PECOS PAC ID: 3274550629 Enrollment ID: I20051026000091 |
| Provider Name | Anahit Danielyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629007711 PECOS PAC ID: 8325065196 Enrollment ID: I20051031000973 |
| Provider Name | Michael J Klevens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063445500 PECOS PAC ID: 4082634209 Enrollment ID: I20051202000569 |
| Provider Name | Sarah Renfert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932171600 PECOS PAC ID: 9537181383 Enrollment ID: I20051221000603 |
| Provider Name | Jingjuan Min |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376597955 PECOS PAC ID: 6305850314 Enrollment ID: I20060130000326 |
| Provider Name | John E Frattini |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124093810 PECOS PAC ID: 7618982695 Enrollment ID: I20060213000292 |
| Provider Name | Nighat S Qadri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316910987 PECOS PAC ID: 7416966635 Enrollment ID: I20060418000057 |
| Provider Name | Hope Cranston D Amato |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821033069 PECOS PAC ID: 3577573344 Enrollment ID: I20060425000497 |
| Provider Name | Huilin Li |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003925041 PECOS PAC ID: 1951308832 Enrollment ID: I20061107000409 |
| Provider Name | Laura J Steines |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154432854 PECOS PAC ID: 2365442159 Enrollment ID: I20061229000064 |
| Provider Name | Angela L Cartwright |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548252000 PECOS PAC ID: 1557367109 Enrollment ID: I20070130000375 |
| Provider Name | Sondra K Mcclanahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487747879 PECOS PAC ID: 8325141930 Enrollment ID: I20070319000507 |
| Provider Name | Jeffrey S Glaser |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679556401 PECOS PAC ID: 2961506381 Enrollment ID: I20070419000334 |
| Provider Name | James Freeman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821035684 PECOS PAC ID: 5799676607 Enrollment ID: I20070615000154 |
| Provider Name | Mark Kowalski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538116835 PECOS PAC ID: 9931208410 Enrollment ID: I20070625000236 |
| Provider Name | Phu D Vu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295718294 PECOS PAC ID: 7315928462 Enrollment ID: I20080313000609 |
| Provider Name | Hasan Ali H Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144402751 PECOS PAC ID: 3274619978 Enrollment ID: I20080320000411 |
| Provider Name | Aaliya Najib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932399086 PECOS PAC ID: 5890887129 Enrollment ID: I20080410000384 |
| Provider Name | Robert B Hibbard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285787093 PECOS PAC ID: 6901984814 Enrollment ID: I20080417000351 |
| Provider Name | Guy W Felder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427159714 PECOS PAC ID: 5799863601 Enrollment ID: I20080417000366 |
| Provider Name | Sangita Aradhyula |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356551915 PECOS PAC ID: 8022182435 Enrollment ID: I20080804000135 |
| Provider Name | Anngela Dawn Adamson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982812095 PECOS PAC ID: 0042387318 Enrollment ID: I20080929000385 |
| Provider Name | Brian A Taylor |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144406042 PECOS PAC ID: 7113094368 Enrollment ID: I20080930000335 |
| Provider Name | Shalini Paruthi |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1144340936 PECOS PAC ID: 9830257302 Enrollment ID: I20081028000304 |
| Provider Name | Vijayakumari V Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205800851 PECOS PAC ID: 6002975380 Enrollment ID: I20081030000822 |
| Provider Name | Salma Q Kazmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962668681 PECOS PAC ID: 2769541754 Enrollment ID: I20081105000683 |
| Provider Name | Emily J Glover |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245275874 PECOS PAC ID: 7810056686 Enrollment ID: I20081107000550 |
| Provider Name | Angela C Randazzo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356535934 PECOS PAC ID: 1456448810 Enrollment ID: I20081110000654 |
| Provider Name | Ravi K Donepudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306041108 PECOS PAC ID: 8022179761 Enrollment ID: I20081212000395 |
| Provider Name | Eric D Jenkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821205881 PECOS PAC ID: 7911061650 Enrollment ID: I20090126000293 |
| Provider Name | Barry L Hendrickson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336364488 PECOS PAC ID: 5193881902 Enrollment ID: I20090303000504 |
| Provider Name | Michael E Fritsche |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053413542 PECOS PAC ID: 3173680311 Enrollment ID: I20090316000302 |
| Provider Name | Christopher B Carrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912140070 PECOS PAC ID: 5395896872 Enrollment ID: I20090623000412 |
| Provider Name | Steven W Thiel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487741856 PECOS PAC ID: 6204989007 Enrollment ID: I20090727000459 |
| Provider Name | Leah C Silver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063662443 PECOS PAC ID: 6002969417 Enrollment ID: I20090803000507 |
| Provider Name | Heidi A Coco |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962608265 PECOS PAC ID: 0749334985 Enrollment ID: I20090821000403 |
| Provider Name | Deepika Donepudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780840686 PECOS PAC ID: 5890840490 Enrollment ID: I20090903000368 |
| Provider Name | Tariq Hassan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710970587 PECOS PAC ID: 2567414691 Enrollment ID: I20100301000762 |
| Provider Name | Wahied Adieb Gendi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902093594 PECOS PAC ID: 9739224056 Enrollment ID: I20100310000847 |
| Provider Name | Kenneth W Bentley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902879794 PECOS PAC ID: 0244133023 Enrollment ID: I20100513000048 |
| Provider Name | Geetha S Maddukuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508022344 PECOS PAC ID: 7416088679 Enrollment ID: I20100701000736 |
| Provider Name | David Butler |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1598789489 PECOS PAC ID: 7113082447 Enrollment ID: I20100802000978 |
| Provider Name | Saad Alkaade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033433594 PECOS PAC ID: 9436283652 Enrollment ID: I20100810000548 |
| Provider Name | Bhavana Choudhary |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508022401 PECOS PAC ID: 0648304659 Enrollment ID: I20100812000691 |
| Provider Name | Shilpa Bodhanampati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982860888 PECOS PAC ID: 9537285036 Enrollment ID: I20100921001303 |
| Provider Name | Laura E Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700871142 PECOS PAC ID: 2466463120 Enrollment ID: I20110215000595 |
| Provider Name | Raghu Kanumuri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700869112 PECOS PAC ID: 0042101446 Enrollment ID: I20110330000891 |
| Provider Name | Igor I Krits |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609168160 PECOS PAC ID: 6002092145 Enrollment ID: I20110525000400 |
| Provider Name | Zerihun A Bunaye |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962668848 PECOS PAC ID: 5890963466 Enrollment ID: I20110726000588 |
| Provider Name | Julie Kathryn Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326323767 PECOS PAC ID: 7113180464 Enrollment ID: I20120523000612 |
| Provider Name | Armine Nadiryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346477486 PECOS PAC ID: 0840446282 Enrollment ID: I20120817000177 |
| Provider Name | Viktor Ballada |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1972543460 PECOS PAC ID: 1456371871 Enrollment ID: I20130412000603 |
| Provider Name | Waleska Larice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972827830 PECOS PAC ID: 3173767423 Enrollment ID: I20130926000505 |
| Provider Name | Jonathan Schonert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225358518 PECOS PAC ID: 8820249428 Enrollment ID: I20131007000380 |
| Provider Name | Sonal R Doshi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972844199 PECOS PAC ID: 2062649718 Enrollment ID: I20131230000962 |
| Provider Name | Yamini O Banerjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548481955 PECOS PAC ID: 3375602568 Enrollment ID: I20140708000466 |
| Provider Name | Jamie Anita Joy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740697077 PECOS PAC ID: 6406075068 Enrollment ID: I20140912000724 |
| Provider Name | Eric M Guenther |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164716742 PECOS PAC ID: 5294954384 Enrollment ID: I20140923001240 |
| Provider Name | Asim Ayaz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144509563 PECOS PAC ID: 7416279807 Enrollment ID: I20141215001710 |
| Provider Name | Anah Jowhar Ali |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942597992 PECOS PAC ID: 8123258910 Enrollment ID: I20150223001742 |
| Provider Name | Abby Cronin Peer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679964191 PECOS PAC ID: 6709106669 Enrollment ID: I20150518001489 |
| Provider Name | Kimberly H Harsy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437555653 PECOS PAC ID: 7113247651 Enrollment ID: I20150522001371 |
| Provider Name | Julianne E Donnelly |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1912135286 PECOS PAC ID: 1355579392 Enrollment ID: I20150717000459 |
| Provider Name | Ethan E Reynolds |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124339734 PECOS PAC ID: 6103139399 Enrollment ID: I20150717001008 |
| Provider Name | Jessica B Barks |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720252190 PECOS PAC ID: 0244418929 Enrollment ID: I20150908002677 |
| Provider Name | Wesley D Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225408966 PECOS PAC ID: 2365752896 Enrollment ID: I20151112000656 |
| Provider Name | Betsy L Krebs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619231636 PECOS PAC ID: 2163724063 Enrollment ID: I20160109000034 |
| Provider Name | Christine S Helmbrecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659743391 PECOS PAC ID: 4385948637 Enrollment ID: I20160205001543 |
| Provider Name | Mary E Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992764195 PECOS PAC ID: 8224336680 Enrollment ID: I20160419000248 |
| Provider Name | Imran Haider |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306132196 PECOS PAC ID: 4688813439 Enrollment ID: I20160524000737 |
| Provider Name | Barry K Stoll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750677928 PECOS PAC ID: 0840418760 Enrollment ID: I20160609001857 |
| Provider Name | Ronen S Dudaie |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861782237 PECOS PAC ID: 1759559792 Enrollment ID: I20160623000178 |
| Provider Name | Kristen E Fisher |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316268600 PECOS PAC ID: 2365681897 Enrollment ID: I20161006000349 |
| Provider Name | Mollie Marie James |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063449676 PECOS PAC ID: 6901854405 Enrollment ID: I20161207001391 |
| Provider Name | Jacqueline M Elias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588102099 PECOS PAC ID: 1951684067 Enrollment ID: I20170216000416 |
| Provider Name | Emily Marie Hatke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619315090 PECOS PAC ID: 2567759871 Enrollment ID: I20170406000428 |
| Provider Name | Daniel Schwartz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669886628 PECOS PAC ID: 4183926660 Enrollment ID: I20170501000961 |
| Provider Name | Andrew Hellenga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437563731 PECOS PAC ID: 9638471048 Enrollment ID: I20170609000400 |
| Provider Name | Rucha D Karajgikar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609164524 PECOS PAC ID: 4587881248 Enrollment ID: I20170714001544 |
| Provider Name | Jason M Edwards |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1568721454 PECOS PAC ID: 2860711454 Enrollment ID: I20170725000122 |
| Provider Name | Suresh Dhital |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902210420 PECOS PAC ID: 9931401767 Enrollment ID: I20170728002222 |
| Provider Name | Lauren Sturtevant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487061735 PECOS PAC ID: 4486950896 Enrollment ID: I20170822002451 |
| Provider Name | Allison R Shenker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235655465 PECOS PAC ID: 6103199252 Enrollment ID: I20170912000900 |
| Provider Name | Mehdi Shahidi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538398508 PECOS PAC ID: 2567619810 Enrollment ID: I20171013002232 |
| Provider Name | Kimberli L Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861991994 PECOS PAC ID: 7618237595 Enrollment ID: I20180214002670 |
| Provider Name | Kristy Lynn Holland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255363420 PECOS PAC ID: 3173561891 Enrollment ID: I20180301001386 |
| Provider Name | Lauren M Sappington |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467773192 PECOS PAC ID: 7214231497 Enrollment ID: I20180522001354 |
| Provider Name | Linda A Mumford |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1437155769 PECOS PAC ID: 2668474560 Enrollment ID: I20180524001526 |
| Provider Name | Ashfaq Ullah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013178235 PECOS PAC ID: 3870624679 Enrollment ID: I20180716001000 |
| Provider Name | Erin Dawson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407206717 PECOS PAC ID: 9133477508 Enrollment ID: I20180801000438 |
| Provider Name | Muneeb Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639432032 PECOS PAC ID: 2466759014 Enrollment ID: I20180829003208 |
| Provider Name | Charlie Srivilasa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346531464 PECOS PAC ID: 9537421581 Enrollment ID: I20180912003300 |
| Provider Name | Svetha Chunduri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033346838 PECOS PAC ID: 7810144961 Enrollment ID: I20181119000056 |
| Provider Name | Sara I Hawatmeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710368584 PECOS PAC ID: 5092017848 Enrollment ID: I20190606001908 |
| Provider Name | Brandon M Barth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558771329 PECOS PAC ID: 4183927270 Enrollment ID: I20190626001041 |
| Provider Name | Margaret M Fonseca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992362776 PECOS PAC ID: 3274867114 Enrollment ID: I20190626001144 |
| Provider Name | Christian Corbin Frye |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508386459 PECOS PAC ID: 7618249426 Enrollment ID: I20190626001147 |
| Provider Name | Vedica Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104277458 PECOS PAC ID: 2365735552 Enrollment ID: I20190709003078 |
| Provider Name | Krunal Raval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578903365 PECOS PAC ID: 5698071462 Enrollment ID: I20190715003054 |
| Provider Name | Lindsey M Nissenbaum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902256696 PECOS PAC ID: 5092001990 Enrollment ID: I20190907000151 |
| Provider Name | Christina M Yeast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851952345 PECOS PAC ID: 3577892108 Enrollment ID: I20190907000158 |
| Provider Name | Jack El Sawda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942756705 PECOS PAC ID: 9436488533 Enrollment ID: I20190916002178 |
| Provider Name | Margaret Shea Harrison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982124269 PECOS PAC ID: 6103198908 Enrollment ID: I20191211001157 |
| Provider Name | Sabiha Tabassum Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386669760 PECOS PAC ID: 0648280297 Enrollment ID: I20200416000862 |
| Provider Name | Jimmy L Moss |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275845208 PECOS PAC ID: 0143457721 Enrollment ID: I20200505001648 |
| Provider Name | Amanda N Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649777848 PECOS PAC ID: 1951732072 Enrollment ID: I20200505002423 |
| Provider Name | Matthew J Kiblinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508386558 PECOS PAC ID: 8628342193 Enrollment ID: I20200629000172 |
| Provider Name | Cara Noelle Watson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982124657 PECOS PAC ID: 1951670751 Enrollment ID: I20200716000138 |
| Provider Name | Manirul H Tamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932638129 PECOS PAC ID: 9436577368 Enrollment ID: I20200909002652 |
| Provider Name | Melinda D Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720345085 PECOS PAC ID: 5597073114 Enrollment ID: I20200924002362 |
| Provider Name | Adrienne N Barrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881236248 PECOS PAC ID: 8325450570 Enrollment ID: I20201214000639 |
| Provider Name | Justin L Sweetin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437760675 PECOS PAC ID: 8820401573 Enrollment ID: I20210119002121 |
| Provider Name | Sara M Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548869191 PECOS PAC ID: 8426464900 Enrollment ID: I20210308002019 |
| Provider Name | Nicole M Wikoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215569512 PECOS PAC ID: 7719396977 Enrollment ID: I20210429002390 |
| Provider Name | Emily J Bahram Ahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265832075 PECOS PAC ID: 4981825841 Enrollment ID: I20210506001697 |
| Provider Name | Puja M Natesan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306264932 PECOS PAC ID: 0941522957 Enrollment ID: I20210608003397 |
| Provider Name | Audra M Kramer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447889282 PECOS PAC ID: 7113327982 Enrollment ID: I20210616000127 |
| Provider Name | Prajakta A Khare |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124427786 PECOS PAC ID: 1658771423 Enrollment ID: I20210616000152 |
| Provider Name | Heather Verble |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134758535 PECOS PAC ID: 1557761327 Enrollment ID: I20210616000196 |
| Provider Name | Tinashe Maduke |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144670894 PECOS PAC ID: 1557638954 Enrollment ID: I20210702001577 |
| Provider Name | Afshin Amini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871086090 PECOS PAC ID: 6901209220 Enrollment ID: I20210724000038 |
| Provider Name | Jonathan Buck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861847790 PECOS PAC ID: 0446538003 Enrollment ID: I20210914001466 |
| Provider Name | Argun Dennis Can |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821432766 PECOS PAC ID: 0749428605 Enrollment ID: I20210928003722 |
| Provider Name | Amirseena Tolebeyan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063905479 PECOS PAC ID: 6305244005 Enrollment ID: I20211011002210 |
| Provider Name | Lauren F Devuono |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528724093 PECOS PAC ID: 7012307838 Enrollment ID: I20211209000365 |
| Provider Name | Vandankumar Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043743255 PECOS PAC ID: 8628468626 Enrollment ID: I20211230000261 |
| Provider Name | Lin Liu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386173565 PECOS PAC ID: 5193141059 Enrollment ID: I20220105001128 |
| Provider Name | Quazim A Alayo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780178178 PECOS PAC ID: 4385036961 Enrollment ID: I20220111000557 |
| Provider Name | Rajesh Kumar Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083841902 PECOS PAC ID: 2860634771 Enrollment ID: I20220218000615 |
| Provider Name | Seth Jason Sklare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346621604 PECOS PAC ID: 4981911450 Enrollment ID: I20220330001952 |
| Provider Name | Clinton Ezekiel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487997185 PECOS PAC ID: 9335371350 Enrollment ID: I20220519000486 |
| Provider Name | Jeramey Wade Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811557622 PECOS PAC ID: 9739562216 Enrollment ID: I20220816001893 |
| Provider Name | Ahmad Irshad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134624323 PECOS PAC ID: 5799031779 Enrollment ID: I20221004000966 |
| Provider Name | Leslie Marie Terrell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952839573 PECOS PAC ID: 2961826128 Enrollment ID: I20221011002549 |
| Provider Name | Alexandra Christine Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396452470 PECOS PAC ID: 4789053026 Enrollment ID: I20221208002561 |
| Provider Name | Hong Ngo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184331167 PECOS PAC ID: 6305218611 Enrollment ID: I20230215001309 |
| Provider Name | Nicholas W Karlow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922669167 PECOS PAC ID: 0547596777 Enrollment ID: I20230311000039 |
| Provider Name | Kathryn Schilling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801425525 PECOS PAC ID: 9335560382 Enrollment ID: I20230801000881 |
| Provider Name | Ayesha Farrukh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164918165 PECOS PAC ID: 2365791969 Enrollment ID: I20230915001757 |
| Provider Name | Jena Swingle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477892503 PECOS PAC ID: 0143643668 Enrollment ID: I20230915002100 |
| Provider Name | Sushma Dangi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093339053 PECOS PAC ID: 7416306907 Enrollment ID: I20231208002496 |
| Provider Name | Swathi Challa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285038059 PECOS PAC ID: 6507101706 Enrollment ID: I20240323000497 |
| Provider Name | Kelley Stanko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508284613 PECOS PAC ID: 8527362425 Enrollment ID: I20240702002970 |
| Provider Name | Adekunle Oluwatosin Obisesan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164604138 PECOS PAC ID: 6406972850 Enrollment ID: I20240807002336 |
| Provider Name | Patricia Yang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235652132 PECOS PAC ID: 7618208968 Enrollment ID: I20240807004490 |
| Provider Name | Kevin Montes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033603014 PECOS PAC ID: 5799117651 Enrollment ID: I20240808000921 |
| Provider Name | Azam Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598324915 PECOS PAC ID: 2961738034 Enrollment ID: I20240822003066 |
| Provider Name | Aleksey Borodyanskiy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316180342 PECOS PAC ID: 2961653357 Enrollment ID: I20240823001448 |
| Provider Name | Brittany Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801583422 PECOS PAC ID: 0042742488 Enrollment ID: I20241010001573 |
| Provider Name | Tara Nicole Hertweck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487471165 PECOS PAC ID: 7911431655 Enrollment ID: I20241118000533 |
| Provider Name | Amanda Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245052117 PECOS PAC ID: 7810424405 Enrollment ID: I20241220000248 |
Physician Affiliates Of St. Luke's Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Saint Lukes Center Dr, Chesterfield, MO 63017 Phone: 314-576-2475 | |
Digestive Consultants Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 222 S Woods Mill Rd Ste 410, Chesterfield, MO 63017 Phone: 636-685-7795 Fax: 314-590-5959 | |
Wuca - Woodsmill Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 226 S Woods Mill Rd, Suite 36w, Chesterfield, MO 63017 Phone: 314-453-9666 | |
Palm Valley Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1095 Nooning Tree Dr, Chesterfield, MO 63017 Phone: 314-800-6980 | |
Diagnostic Internists, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 224 S Woods Mill Rd, 410 S, Chesterfield, MO 63017 Phone: 314-878-7220 Fax: 314-878-0047 | |
County Internal Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 224 S Woods Mill Rd, Suite 370 South, Chesterfield, MO 63017 Phone: 314-628-9994 | |
Chesterfield Medcenter Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1751 Clarkson Rd, Chesterfield, MO 63017 Phone: 636-537-0377 Fax: 636-537-2655 |