| Ssm Health Care St. Louis | |
|
6420 Clayton Rd Saint Louis MO 63117-1811 | |
| (314) 768-8000 | |
| Not Available |
| Full Name | Ssm Health Care St. Louis |
|---|---|
| Speciality | Emergency Medicine |
| Location | 6420 Clayton Rd, Saint Louis, Missouri |
| Authorized Official Name and Position | Sharon R. Dudley (EVP/COO) |
| Authorized Official Contact | 3147688032 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ssm Health Care St. Louis 1145 Corporate Lake Dr Saint Louis MO 63132-2907 Ph: (314) 989-6189 | Ssm Health Care St. Louis 6420 Clayton Rd Saint Louis MO 63117-1811 Ph: (314) 768-8000 |
| NPI Number | 1366400855 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 10/09/2020 |
| Medicare PECOS PAC ID | 7810800737 |
|---|---|
| Medicare Enrollment ID | O20171004000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366400855 | NPI | - | NPPES |
| 540326204 | Medicaid | MO | |
| 3285 | Other | MO | GHP GROUP NUMBER |
| Provider Name | Kia S Lannaman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164786166 PECOS PAC ID: 6608172150 Enrollment ID: I20171004000059 |
| Provider Name | Chetana M Reddy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093738916 PECOS PAC ID: 1759415367 Enrollment ID: I20171108001462 |
| Provider Name | Kristy N Wienstroer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124530340 PECOS PAC ID: 3577820604 Enrollment ID: I20171212003145 |
| Provider Name | Jennifer M Goldkamp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225291636 PECOS PAC ID: 9234395377 Enrollment ID: I20181002000724 |
| Provider Name | Melissa Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326507195 PECOS PAC ID: 7618219817 Enrollment ID: I20190508000141 |
| Provider Name | Alan Buchbinder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922048123 PECOS PAC ID: 7517981194 Enrollment ID: I20190829000646 |
| Provider Name | James A Thorp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679511539 PECOS PAC ID: 8921104431 Enrollment ID: I20191204000151 |
| Provider Name | Tracy M Tomlinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700091709 PECOS PAC ID: 8325146335 Enrollment ID: I20200110000588 |
| Provider Name | Amanda Marie Sauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689976391 PECOS PAC ID: 8921282989 Enrollment ID: I20210218002405 |
| Provider Name | Gary Andrew Dildy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083765226 PECOS PAC ID: 1759304157 Enrollment ID: I20230816002983 |
| Provider Name | Annelee Boyle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235421777 PECOS PAC ID: 1759551534 Enrollment ID: I20240320002837 |
| Provider Name | Barbara Head |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295795854 PECOS PAC ID: 4981739075 Enrollment ID: I20240329000618 |
| Provider Name | Corenthian Booker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740402007 PECOS PAC ID: 5597917609 Enrollment ID: I20240402003107 |
| Provider Name | Jacqueline Grant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124189600 PECOS PAC ID: 9436122157 Enrollment ID: I20240429000316 |
| Provider Name | Justine Keller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487183679 PECOS PAC ID: 9931470713 Enrollment ID: I20241029001542 |
| Provider Name | Michael Wendel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518499557 PECOS PAC ID: 8729357264 Enrollment ID: I20241202000626 |
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