FOREST PARK CRITICAL CARE LLC (NPI# 1073748828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073748828 |
| Entity Type | Organization |
| Organization Name | FOREST PARK CRITICAL CARE LLC |
| Practice Address |
6150 Oakland Ave Saint Louis MO 63139-3215 |
| Mailing Address |
Po Box 240311 Ballwin MO 63024-0311 |
| Practice Telephone | 3142099331 |
| Practice Fax Number | 3144470155 |
| Mailing Telephone | 3142099331 |
| Mailing Fax Number | 3144470155 |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2009-07-31 |
| Authorized Official Name | DR. TSHISWAKA KAYEMBE (PRESIDENT) |
| Authorized Official Telephone | 3142099331 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
6150 OAKLAND AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63139-3215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629061403 | Herbert Norman Shapiro | Surgery | 6150 Oakland Ave, 2nd Floor, Wcc, Saint Louis, MO 63139-3215 | 2005-08-26 |
| 1295968873 | Forest Park Emergency Physicians LLC | Emergency Medicine | 6150 Oakland Ave, Saint Louis, MO 63139-3215 | 2009-08-28 |
| 1689818643 | Brenda Kay Eslinger | Emergency Medical Technician, Paramedic | 6150 Oakland Ave, Saint Louis, MO 63139-3215 | 2009-04-21 |
| 1992962674 | Consultants In General Surgery, Inc. | Surgery | 6150 Oakland Ave, 2nd Floor Wcc, Saint Louis, MO 63139-3215 | 2008-05-20 |
| 1295853802 | Nicanor D Devera | Emergency Medicine | 6150 Oakland Ave, Co Marilyn Kornberger, Saint Louis, MO 63139-3215 | 2007-03-26 |
| 1346392420 | Forest Park Hospital Corpporation #1 | Rehabilitation Unit | 6150 Oakland Ave, Saint Louis, MO 63139-3215 | 2007-01-17 |
| 1144372780 | Forest Park Hospital Corporation #1 | Psychiatric Unit | 6150 Oakland Ave, Saint Louis, MO 63139-3215 | 2007-01-16 |
| 1003920836 | Jose I Alvarez | Emergency Medicine | 6150 Oakland Ave, Saint Louis, MO 63139-3215 | 2006-08-18 |
| 1962432914 | Forest Park Anesthesia, Inc | Anesthesiology | 6150 Oakland Ave, Saint Louis, MO 63139-3215 | 2006-07-04 |
| 1720022429 | Jeffrey Carter | Anesthesiology | 6150 Oakland Ave, Saint Louis, MO 63139-3215 | 2006-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174160337 | Dawn Martina Clark | Social Worker | 1150 Graham Road, St. Louis, MO 63139 | 2019-12-06 |
| 1013479716 | Cerner Health Connections, Inc. | Pharmacy | 1403 Hampton Avenue, St. Louis, MO 63139 | 2019-04-02 |
| 1447699335 | Beth Renee Groenke | Dentist | 1403 Hampton Ave, St. Louis, MO 63139 | 2013-06-24 |
| 1295866648 | Occupational Health Centers of Kansas Pa | Clinic/Center | 6726 Manchester Road, St. Louis, MO 63139 | 2007-03-08 |
| 1912069733 | Daniel G Armbruster Dc PC | Acupuncturist | 2730 Watson Rd, St Louis, MO 63139 | 2006-12-15 |
| 1831250125 | Kathia Denise Betts | Counselor | 3309 S. Kingshighway Blvd., St.louis, MO 63139 | 2006-12-12 |
| 1841350220 | Denzel Dean Jines II | Dentist | 2340 Hampton Avenue, Suite 3, St. Louis, MO 63139 | 2006-12-08 |
| 1285718163 | Rakhshanda Hassan | Psychiatry & Neurology | St Louis Psychiatric Rehabilitation Center, 5300 Arsenal, St Louis, MO 63139 | 2006-10-25 |
| 1952490682 | City of St. Louis | Ambulance | 2634 Hampton Avenue, City of St Louis Emergency Medical Services, St Louis, MO 63139 | 2006-10-12 |
| 1104917434 | Select Physical Therapy Holdings Inc | Clinic/Center | 1900 South Hampton, St Louis, MO 63139 | 2006-09-28 |
| Find all providers in zip 63139 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275845208 | Jimmy L Moss | Internal Medicine | 12634 Olive Blvd Dept Of, Saint Louis, MO 63141-6337 | 2010-07-07 |
| 1871585356 | Salvador Lobianco | Internal Medicine | 11155 Dunn Rd, Ste: 315e, Saint Louis, MO 63136-6150 | 2005-08-19 |
| 1235121013 | Nadeem D Parkar | Internal Medicine | 3635 Vista At Grand, Radiology Dept - Sluh, Saint Louis, MO 63110-0250 | 2005-08-18 |
| 1376546804 | Nadeem Ahmed | Internal Medicine | 777 Craig Rd Ste 130, Saint Louis, MO 63141-7133 | 2005-05-30 |
| 1194255455 | Christopher David Coriasso | Internal Medicine | 625 S New Ballas Rd Ste 7020, Saint Louis, MO 63141-8218 | 2017-06-19 |
| 1669882205 | Justin Grady | Internal Medicine | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2014-05-05 |
| 1760815740 | Inpatient Consultants of Missouri Inc | Internal Medicine | 12125 Woodcrest Executive Dr Ste 220, Saint Louis, MO 63141-5010 | 2013-08-14 |
| 1083977367 | Peter Kang | Internal Medicine | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2012-06-21 |
| 1861758526 | Keith Timothy Ferguson | Internal Medicine | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2012-04-06 |
| 1013203454 | Karthik Iyer | Internal Medicine | 1100 S Grand Blvd, Drc 831, Saint Louis, MO 63104-1015 | 2011-06-23 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63139 |
Please comment or provide details below to improve the information on FOREST PARK CRITICAL CARE LLC.
| 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.