| Washington University, Department Of Radiation Oncology | |
|
660 S Euclid Ave Saint Louis MO 63110-1010 | |
| (314) 362-8542 | |
| (314) 362-9557 |
| Full Name | Washington University, Department Of Radiation Oncology |
|---|---|
| Speciality | Clinic/Center |
| Location | 660 S Euclid Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Cathy L Eghigian (DIRECTOR, CREDENTIALING OPERATIONS) |
| 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, Department Of Radiation Oncology 7425 Forsyth Blvd Campus Box 8221 Saint Louis MO 63105-2171 Ph: (314) 935-0770 | Washington University, Department Of Radiation Oncology 660 S Euclid Ave Saint Louis MO 63110-1010 Ph: (314) 362-8542 |
| NPI Number | 1316987886 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 10/30/2020 |
| Medicare PECOS PAC ID | 9830008770 |
|---|---|
| Medicare Enrollment ID | O20040927000068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316987886 | NPI | - | NPPES |
| 24-01100 | Other | MO | UHC GROUP NUMBER |
| 92215223 | Other | IL | BLUE SHIELD |
| 673341 | Other | MO | AETNA HMO GROUP |
| 104DP9 | Other | MO | BLUE SHIELD |
| 558278800 | Medicaid | MO | |
| 3837 | Other | MO | GHP MASTER VENDOR |
| 610916400 | Other | MO | DEPARTMENT OF LABOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Michael G Beat |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053341636 PECOS PAC ID: 2466481908 Enrollment ID: I20050805000076 |
| Provider Name | Jennifer C Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073516746 PECOS PAC ID: 4880678929 Enrollment ID: I20051021000046 |
| Provider Name | Lannis E Hall |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1558472514 PECOS PAC ID: 2365459690 Enrollment ID: I20060314000017 |
| Provider Name | Denise M Dickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346351202 PECOS PAC ID: 9830108414 Enrollment ID: I20060410000317 |
| Provider Name | Julie K Schwarz |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1871634261 PECOS PAC ID: 1759436744 Enrollment ID: I20090826000825 |
| Provider Name | Hiram A Gay |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1720045297 PECOS PAC ID: 5395771216 Enrollment ID: I20090827000189 |
| Provider Name | Clifford G Robinson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1699967281 PECOS PAC ID: 8022163054 Enrollment ID: I20090827000205 |
| Provider Name | Jeff Michael Michalski |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1902824410 PECOS PAC ID: 5496835019 Enrollment ID: I20100227000092 |
| Provider Name | Imran Zoberi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1710903034 PECOS PAC ID: 3577608744 Enrollment ID: I20100227000098 |
| Provider Name | Perry W. Grigsby |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1467478685 PECOS PAC ID: 7911042056 Enrollment ID: I20100301000803 |
| Provider Name | Dennis E Hallahan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1699867010 PECOS PAC ID: 0749247658 Enrollment ID: I20100512001063 |
| Provider Name | Wade Larry Thorstad |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1356367668 PECOS PAC ID: 1355371295 Enrollment ID: I20100714001034 |
| Provider Name | Mackenzie Daly |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1215022611 PECOS PAC ID: 7315061835 Enrollment ID: I20100903000653 |
| Provider Name | Laura L Ochoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699896019 PECOS PAC ID: 9638363385 Enrollment ID: I20101027000523 |
| Provider Name | Amit K. Bhatt |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1144410317 PECOS PAC ID: 6901086768 Enrollment ID: I20110803000111 |
| Provider Name | Jiayi Huang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1922205004 PECOS PAC ID: 6709034226 Enrollment ID: I20120907000042 |
| Provider Name | Stephanie M Perkins |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255359543 PECOS PAC ID: 8729270566 Enrollment ID: I20121003000283 |
| Provider Name | Maria A Thomas |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1104089465 PECOS PAC ID: 8921241597 Enrollment ID: I20130829000312 |
| Provider Name | Brook Diane Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831450667 PECOS PAC ID: 6305079732 Enrollment ID: I20140508002103 |
| Provider Name | Anthony John Apicelli |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1457589681 PECOS PAC ID: 7113156993 Enrollment ID: I20140820000232 |
| Provider Name | Stephanie Markovina |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336464536 PECOS PAC ID: 9739318940 Enrollment ID: I20150810000965 |
| Provider Name | Gregory R Vlacich |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073839148 PECOS PAC ID: 4486878048 Enrollment ID: I20160318000771 |
| Provider Name | Adrienne R Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467803452 PECOS PAC ID: 9234427022 Enrollment ID: I20161011001707 |
| Provider Name | Christopher D Abraham |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1083900294 PECOS PAC ID: 8921237785 Enrollment ID: I20161121001347 |
| Provider Name | Scott Thomas Kloeppel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366989592 PECOS PAC ID: 3072881945 Enrollment ID: I20170616002310 |
| Provider Name | Hyun Kim |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1467718379 PECOS PAC ID: 4880826544 Enrollment ID: I20170825001367 |
| Provider Name | Brian C Baumann |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841559945 PECOS PAC ID: 2668745985 Enrollment ID: I20170908001667 |
| Provider Name | Jessica Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477051191 PECOS PAC ID: 9335494897 Enrollment ID: I20180625001776 |
| Provider Name | Shahed Nicolas Badiyan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285967141 PECOS PAC ID: 8921237769 Enrollment ID: I20180731000186 |
| Provider Name | Aadel Ahmed Chaudhuri |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487097572 PECOS PAC ID: 5890048706 Enrollment ID: I20181023001843 |
| Provider Name | Carl Deselm |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1366705840 PECOS PAC ID: 5890048656 Enrollment ID: I20181024000526 |
| Provider Name | Lauren Henke |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093129553 PECOS PAC ID: 5597984062 Enrollment ID: I20190814000687 |
| Provider Name | Amir Iravani Tabrizipour |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1902442650 PECOS PAC ID: 3476986332 Enrollment ID: I20191206000729 |
| Provider Name | Alexander Lin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1962898759 PECOS PAC ID: 7618390121 Enrollment ID: I20200630002791 |
| Provider Name | Pamela Parker Samson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1215223003 PECOS PAC ID: 1759706765 Enrollment ID: I20200807002765 |
| Provider Name | Carmen Renee Bergom |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1932363553 PECOS PAC ID: 5890937270 Enrollment ID: I20201022001035 |
| Provider Name | Suzanne Marie Curtin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992304174 PECOS PAC ID: 8527479377 Enrollment ID: I20201130000968 |
| Provider Name | Joanna Chensi Yang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972947901 PECOS PAC ID: 8628320967 Enrollment ID: I20210203002509 |
| Provider Name | Randall James Brenneman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1366899841 PECOS PAC ID: 2365737939 Enrollment ID: I20210628001354 |
| Provider Name | Michael James Moravan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407145493 PECOS PAC ID: 7214219138 Enrollment ID: I20220202001138 |
| Provider Name | Jodi E Granger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437785979 PECOS PAC ID: 5496141954 Enrollment ID: I20220408001993 |
| Provider Name | Jessika Contreras |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1497167381 PECOS PAC ID: 9234453945 Enrollment ID: I20230113002287 |
| Provider Name | Calvin Darnell Lewis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841731130 PECOS PAC ID: 7517235401 Enrollment ID: I20230612002770 |
| Provider Name | Nikhil Rammohan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1417303421 PECOS PAC ID: 4789919267 Enrollment ID: I20230810001204 |
| Provider Name | Allen Mo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1104317551 PECOS PAC ID: 1951666361 Enrollment ID: I20230812000025 |
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 |