| Washington University | |
|
660 S Euclid Ave Saint Louis MO 63110-1010 | |
| (314) 747-2053 | |
| Not Available |
| Full Name | Washington University |
|---|---|
| Speciality | Clinic/Center |
| Location | 660 S Euclid Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Cathy L Eghigian (SENIOR DIRECTOR MANAGED CARE) |
| Authorized Official Contact | 3142730770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington University Po Box 7412011 Chicago IL 60674-2011 Ph: (314) 273-0770 | Washington University 660 S Euclid Ave Saint Louis MO 63110-1010 Ph: (314) 747-2053 |
| NPI Number | 1538100565 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 04/25/2025 |
| Medicare PECOS PAC ID | 9830008770 |
|---|---|
| Medicare Enrollment ID | O20040301000143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538100565 | NPI | - | NPPES |
| 107RP9001 | Other | MO | BLUE SHIELD |
| 552944704 | Other | MO | MEDICAID PHARMACY NUMBER |
| 552944704 | Medicaid | MO | |
| 92215221 | Other | IL | IL BLUE SHIELD |
| 3914 | Other | MO | GHP MASTER VENDOR |
| 610916400 | Other | MO | DEPARTMENT OF LABOR |
| 673341 | Other | MO | AETNA HMO GROUP |
| 0125610 | Other | MO | SPECIAL HEALTH CARE NEEDS |
| 06-01999 | Other | MO | UHC GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Gregory J Zipfel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255357489 PECOS PAC ID: 5395713523 Enrollment ID: I20040924000131 |
| Provider Name | Eric C Leuthardt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1265465132 PECOS PAC ID: 1658309125 Enrollment ID: I20061128000216 |
| Provider Name | Dyan Renee Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578739124 PECOS PAC ID: 6709958853 Enrollment ID: I20080707000127 |
| Provider Name | Ralph G Dacey |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003833567 PECOS PAC ID: 1557258100 Enrollment ID: I20090513000235 |
| Provider Name | Joshua L Dowling |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1710905443 PECOS PAC ID: 2466586896 Enrollment ID: I20100819001111 |
| Provider Name | Michelle R Reitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306172408 PECOS PAC ID: 3274727169 Enrollment ID: I20101104001025 |
| Provider Name | Albert H Kim |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235203670 PECOS PAC ID: 7113199886 Enrollment ID: I20111003000298 |
| Provider Name | Wilson Z Ray |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1669575619 PECOS PAC ID: 4486828159 Enrollment ID: I20111114000859 |
| Provider Name | Elaine C Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437449725 PECOS PAC ID: 3779743208 Enrollment ID: I20120321000168 |
| Provider Name | Ian G Dorward |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841417896 PECOS PAC ID: 3971739764 Enrollment ID: I20131127000879 |
| Provider Name | Elvisa Kurtovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780011023 PECOS PAC ID: 1951539998 Enrollment ID: I20140120000713 |
| Provider Name | Jon T Willie |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194934034 PECOS PAC ID: 7517145287 Enrollment ID: I20141216001550 |
| Provider Name | Jennifer Strahle |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1528221322 PECOS PAC ID: 4880904325 Enrollment ID: I20151112001175 |
| Provider Name | Kelsie M Mentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306214697 PECOS PAC ID: 1759687387 Enrollment ID: I20160308002544 |
| Provider Name | Joshua Osbun |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1316139793 PECOS PAC ID: 0749406791 Enrollment ID: I20160803000435 |
| Provider Name | Sean Mcevoy |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598086779 PECOS PAC ID: 5890099907 Enrollment ID: I20180518000117 |
| Provider Name | Keith M Patten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518443225 PECOS PAC ID: 8426301854 Enrollment ID: I20181031002413 |
| Provider Name | Julie Salmo Coenen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588122972 PECOS PAC ID: 8628311347 Enrollment ID: I20190521003189 |
| Provider Name | Brenton Henry Pennicooke |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093093064 PECOS PAC ID: 6204173214 Enrollment ID: I20200804001261 |
| Provider Name | Camilo A Molina |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1639440506 PECOS PAC ID: 0840430542 Enrollment ID: I20200813000596 |
| Provider Name | Ananth Kesav Vellimana |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1144583113 PECOS PAC ID: 2163651290 Enrollment ID: I20210517000915 |
| Provider Name | Amber Criswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174146906 PECOS PAC ID: 0042631772 Enrollment ID: I20210603000411 |
| Provider Name | Julie A Boschert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578197505 PECOS PAC ID: 5890184758 Enrollment ID: I20211115001321 |
| Provider Name | Mandi Tuhro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588335137 PECOS PAC ID: 2567852783 Enrollment ID: I20211202001282 |
| Provider Name | Jarod Roland |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568758779 PECOS PAC ID: 9537399761 Enrollment ID: I20220209001151 |
| Provider Name | John Iyanuolu Ogunlade |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154733723 PECOS PAC ID: 9133538937 Enrollment ID: I20220727001334 |
| Provider Name | Magalie Cadieux |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1669107587 PECOS PAC ID: 8224411756 Enrollment ID: I20220817000225 |
| Provider Name | Daniel Hafez |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1134534621 PECOS PAC ID: 6709006018 Enrollment ID: I20220914003307 |
| Provider Name | Jennifer Marie Jacobi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003383324 PECOS PAC ID: 5496167496 Enrollment ID: I20221109001297 |
| Provider Name | Jacob Kalman Greenberg |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902287220 PECOS PAC ID: 9638483506 Enrollment ID: I20230511002434 |
| Provider Name | Kumar Vasudevan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1932467594 PECOS PAC ID: 0547591323 Enrollment ID: I20230703000974 |
| Provider Name | Dimitrios Mathios |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568857373 PECOS PAC ID: 6406103415 Enrollment ID: I20230714000278 |
| Provider Name | Anna Lea Huguenard |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760833792 PECOS PAC ID: 4486014800 Enrollment ID: I20230718000263 |
| Provider Name | Bradley Joseph Budde |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952755951 PECOS PAC ID: 8921461195 Enrollment ID: I20230906001000 |
| Provider Name | Irma Hodzic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881452720 PECOS PAC ID: 0446699524 Enrollment ID: I20240423000788 |
| Provider Name | Darshan Nilesh Shastri |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437681830 PECOS PAC ID: 6002185774 Enrollment ID: I20240513002588 |
| Provider Name | Jonathan Roger Garst |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811423940 PECOS PAC ID: 1355615923 Enrollment ID: I20240604002403 |
| Provider Name | Bhuvic Patel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811378284 PECOS PAC ID: 2365756343 Enrollment ID: I20240620000807 |
| Provider Name | Eric Thompson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1679789119 PECOS PAC ID: 9133373368 Enrollment ID: I20240808003355 |
| Provider Name | Harjyot Toor |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1992153266 PECOS PAC ID: 2062873128 Enrollment ID: I20240920000556 |
St. Louis Center For Preventive And Longevity Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 777 S New Ballas Rd, Suite 200 E, Saint Louis, MO 63141 Phone: 314-994-1536 Fax: 314-692-0241 | |
Town And Country Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3009 N Ballas Rd, Suite 300a, Saint Louis, MO 63131 Phone: 314-872-8999 | |
Family Care Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Lynch St, Saint Louis, MO 63118 Phone: 314-531-5444 Fax: 314-531-0063 | |
Wusm Bjc Aco Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S Euclid Ave, Campus Box 8081, Saint Louis, MO 63110 Phone: 314-273-0770 | |
Victus Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12607 Olive Blvd, Saint Louis, MO 63141 Phone: 314-327-8070 | |
Affinia Healthcare 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 |