| Premier Medical Physicians LLC | |
|
2325 Dougherty Ferry Rd Ste 104 Saint Louis MO 63122-3356 | |
| (314) 821-6889 | |
| (314) 821-1887 |
| Full Name | Premier Medical Physicians LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 2325 Dougherty Ferry Rd Ste 104, Saint Louis, Missouri |
| Authorized Official Name and Position | Darren R. Haskell (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 3142056444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Medical Physicians LLC 232 S Woods Mill Rd Chesterfield MO 63017-3406 Ph: (314) 821-6889 | Premier Medical Physicians LLC 2325 Dougherty Ferry Rd Ste 104 Saint Louis MO 63122-3356 Ph: (314) 821-6889 |
| NPI Number | 1417459207 |
|---|---|
| Provider Enumeration Date | 03/07/2018 |
| Last Update Date | 07/10/2026 |
| Certification Date | 07/10/2026 |
| Medicare PECOS PAC ID | 6507129699 |
|---|---|
| Medicare Enrollment ID | O20180425000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417459207 | NPI | - | NPPES |
| Provider Name | Ketan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659398279 PECOS PAC ID: 4587646104 Enrollment ID: I20040607000187 |
| Provider Name | Barbara a Ellzey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235116492 PECOS PAC ID: 0941218358 Enrollment ID: I20060327000696 |
| Provider Name | Brenda L Buckley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134104466 PECOS PAC ID: 2365541208 Enrollment ID: I20070619000205 |
| Provider Name | Jodi C Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679730576 PECOS PAC ID: 1153496179 Enrollment ID: I20080826000303 |
| Provider Name | Marietta R Caiarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891993481 PECOS PAC ID: 8426105602 Enrollment ID: I20090403000198 |
| Provider Name | Robert J Paino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376590497 PECOS PAC ID: 3476601212 Enrollment ID: I20090504000666 |
| Provider Name | Dawn M Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457637811 PECOS PAC ID: 5597930453 Enrollment ID: I20111205000904 |
| Provider Name | Danielle Renee CHI |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821359118 PECOS PAC ID: 8123274594 Enrollment ID: I20140115000996 |
| Provider Name | Kelly a Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487078879 PECOS PAC ID: 5193956944 Enrollment ID: I20140320001647 |
| Provider Name | Amy M Holder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679900740 PECOS PAC ID: 4789815341 Enrollment ID: I20140324001482 |
| Provider Name | Natalie R Eads |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356731004 PECOS PAC ID: 0345566410 Enrollment ID: I20150309000342 |
| Provider Name | Graham Tyler Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134416720 PECOS PAC ID: 5496039117 Enrollment ID: I20190102000597 |
| Provider Name | Jacqueline Michelle Block |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871064972 PECOS PAC ID: 1951649656 Enrollment ID: I20190205000413 |
| Provider Name | Annamarie Elizabeth Goldstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093235970 PECOS PAC ID: 0547539926 Enrollment ID: I20200722003335 |
| Provider Name | Christa Jane Durbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922735554 PECOS PAC ID: 1355718446 Enrollment ID: I20221102001333 |
| Provider Name | Ashley Danielle Nator |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740997527 PECOS PAC ID: 5395113617 Enrollment ID: I20221117001679 |
| Provider Name | Lori Ann Orso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952084873 PECOS PAC ID: 4284079203 Enrollment ID: I20240229003148 |
| Provider Name | Dallas Andrade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679247480 PECOS PAC ID: 8426456252 Enrollment ID: I20250328001766 |
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