MR. JOHN DAVID BOUHASIN (NPI# 1083858336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083858336 |
| Entity Type | Individual |
| Full Name | MR. JOHN DAVID BOUHASIN |
| Credential | M.D. |
| Practice Address |
7629 Bracken Circle St. Louis MO 63123 |
| Practice Telephone | 3148427629 |
| Practice Fax Number | 3148427529 |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2009-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
26684 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
7629 BRACKEN CIRCLE |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770002610 | Peter Brown | Home Health Aide | 9530 Antigo Dr, St Louis, MO 63123 | 2017-09-12 |
| 1346629748 | Emily Murray | Community/Behavioral Health | 7556 Genesta Street, Saint Louis, MO 63123 | 2015-05-19 |
| 1730566183 | Family Home & Health Care Services | Home Health | 9124 Lemona Drive, Saint Louis, MO 63123 | 2015-05-05 |
| 1114319092 | Kathi Wallace | Counselor | 11166 Tesson Ferry Rd., Suite #203 Alpha Omega Christian Counseling, St. Louis, MO 63123 | 2015-03-02 |
| 1982981098 | Robert Arthur Bilzing | Pharmacist | 9949 Tesson Ferry Rd, St. Louis, MO 63123 | 2011-11-03 |
| 1760767198 | Valentina Jovic | Pharmacist | 5764 South Lindbergh Blvd, St. Louis, MO 63123 | 2011-10-17 |
| 1033423504 | Margaret L Shields Inc | Podiatrist | 11132 South Towne Square, Ste 105, St Louis, MO 63123 | 2010-07-27 |
| 1326288929 | Erica J Fahrner | Occupational Therapist | 6022 S. Lindbergh, Suite 100, Saint Louis, MO 63123 | 2009-02-23 |
| 1629248158 | Maria Ramona Eppler | Nurse Practitioner | 4217 Bayless Ave., St. Louis, MO 63123 | 2008-03-12 |
| 1528251337 | Affton Medical Clinic | Internal Medicine | 84 Grasso Plaza, St Louis, MO 63123 | 2007-08-24 |
| Find all providers in zip 63123 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043500416 | Lauren Rhae Draper | Pediatrics | 1465 S Grand Blvd, Department of Pediatrics Division of Heme/onc, St. Louis, MO 63104 | 2011-04-19 |
| 1396849907 | Gordon B Gale | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952737066 | Emily Jane Guyer | Pediatrics | 2015 Wolcott Dr, Columbia, MO 65202-1902 | 2013-09-20 |
| 1477908432 | Kayeleigh Higgerson | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2016-04-27 |
| 1720326150 | Ashish Risal | Pediatrics | 181 N Kentucky Ave Ste 100, West Plains, MO 65775-2092 | 2013-01-18 |
| 1518278480 | Amanda Jo Graul-conroy | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108 | 2010-06-25 |
| 1225352297 | Joel C Thompson | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2010-03-19 |
| 1043454713 | Jaszianne Ashtrelle Tolbert | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2009-04-26 |
| 1336386341 | Terrie G Flatt | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108 | 2009-01-13 |
| 1588825509 | Melanie A Villanueva | Pediatrics | 2401 Gillham Rd, Division of Hematology/oncology, Kansas City, MO 64108-4619 | 2008-06-23 |
| 1598924508 | Rael Caspari | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2008-06-04 |
| 1659545259 | Erin Marie Guest | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2008-04-15 |
| Find all providers with the same taxonomy | ||||
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| 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.