MR. BLESSING KUDAKWASHE TUPIRI


Address: 12266 De Paul Dr Ste 205, Bridgeton, MO 63044-2514
Phone: 3146478269

MR. BLESSING KUDAKWASHE TUPIRI (NPI# 1013548767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013548767
Entity Type Individual
Full Name MR. BLESSING KUDAKWASHE TUPIRI
Credential PA
Practice Address 12266 De Paul Dr Ste 205
Bridgeton
MO 63044-2514
Mailing Address Po Box 955534
Saint Louis
MO 63195-2551
Practice Telephone 3146478269
Enumeration Date 2020-01-31
Last Update Date 2020-10-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 2020004136 MO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 12266 DE PAUL DR STE 205
City BRIDGETON
State MO
Zip Code 63044-2514

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154327039 Stanley I Biel Internal Medicine 12266 De Paul Dr Ste 205, Bridgeton, MO 63044-2514 2005-06-24
1821360454 Agnes Chan Lewis Nurse Practitioner 12266 De Paul Dr Ste 205, Bridgeton, MO 63044-2514 2012-01-27
1790978252 Peter Christian Mikolajczak Internal Medicine 12266 De Paul Dr Ste 205, Bridgeton, MO 63044-2514 2007-08-19
1962495952 Elie C Azrak Internal Medicine 12266 De Paul Dr Ste 205, Bridgeton, MO 63044-2514 2005-08-25
1760483101 Peter Fonseca Thoracic Surgery (Cardiothoracic Vascular Surgery) 12266 De Paul Dr Ste 205, Bridgeton, MO 63044-2514 2005-08-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073150017 Zoe Marie Wadsworth Nurse Practitioner 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 2019-12-10
1609412451 Beyond Better, Best Home Health Care Services, Limited Liability Corpo In Home Supportive Care 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 2019-11-26
1275189078 Delicate Angels Home Health LLC Home Health 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 2019-08-16
1588210082 Nicholas Huber Physical Therapist 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 2019-08-12
1124688858 Michelle Bassett Registered Nurse 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 2019-06-14
1336703883 Elena A Barrow Nurse Practitioner 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 2019-04-30
1487123105 Laura N Steiner Registered Nurse Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 2018-11-26
1205310950 Danielle Mathis Nurse Practitioner 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 2018-09-19
1588163570 Thoughts Out Loud Counseling, LLC Social Worker 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 2018-02-06
1912411430 Breanna Victoria Hayes Counselor 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 2017-11-20
Find all providers in zip 63044

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396796041 Paul J Diesfeld Physician Assistant 12349 De Paul Dr Ste 100, Bridgeton, MO 63044-2512 2006-05-15
1538160015 Stacey L Smick Physician Assistant 70 Cornwell Dr, Bridgeton, NJ 08302-3602 2005-08-09
1255965422 Kayla Michele Richter Physician Assistant 12303 De Paul Dr, Bridgeton, MO 63044-2512 2020-02-26
1942714464 Kelly A Hoffman Physician Assistant 133 Polk Ln, Bridgeton, NJ 08302-5905 2017-11-20
1679968135 Elizabeth Bokermann Physician Assistant 12266 Depaul Dr, Suite 220, Bridgeton, MO 63044 2015-04-01
1437590437 Courtney C Grodie Physician Assistant 12349 De Paul Dr, Bridgeton, MO 63044-2512 2013-07-08
1053660076 Bridgeton Emergency Group LLC Physician Assistant 12303 De Paul Dr, Bridgeton, MO 63044-2512 2012-09-05
1154639318 Jennifer Cafi Physician Assistant 12303 De Paul Dr, Bridgeton, MO 63044-2512 2010-09-21
1275706913 Amber Renee Johnson Physician Assistant 12255 De Paul Dr, Suite 460, Bridgeton, MO 63044-2510 2008-04-02
1356393961 Lynn M Robbins Physician Assistant 12349 De Paul Dr Ste 100, Bridgeton, MO 63044-2512 2006-05-16
Find all providers in BRIDGETON

Competitor

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City BRIDGETON
Zip Code 63044

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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