DR. PETER KANG (NPI# 1083977367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083977367 |
| Entity Type | Individual |
| Full Name | DR. PETER KANG |
| Credential | MD |
| Practice Address |
1 Barnes Jewish Hospital Plz Saint Louis MO 63110-1003 |
| Mailing Address |
660 S Euclid Ave C B 8111 Saint Louis MO 63110-1010 |
| Practice Telephone | 3143622999 |
| Practice Fax Number | 3143626033 |
| Mailing Telephone | 3143622999 |
| Mailing Fax Number | 3143626033 |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2018-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
2016006395 | MO | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
2016006395 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1083977367 | 05 | |
| IL | ENROLLED | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740635887 | Peter Chulhi Kang | General Practice | 1425 Spring St Apt 802, Seattle, WA 98104-1635 | 2016-04-26 |
| 1144455296 | Peter Y. Kang | Psychiatry & Neurology | 7 Oak Hill Ter Ste 218, Scarborough, ME 04074 | 2009-05-19 |
| 1396892766 | Peter Jin Soo Kang | Acupuncturist | 1820 Lencar Way, San Jose, CA 95124-3621 | 2007-01-05 |
| 1871689711 | Peter Kang | Family Medicine | 87-08 Justice Avenue, Suite 2l, Elmhurst, NY 11373 | 2006-10-05 |
| 1568401560 | Peter M. Kang | Internal Medicine | 3 Blackfan Cir, Cls 910, Boston, MA 02115-5400 | 2006-06-05 |
| 1649479932 | Peter Lee Kang | Emergency Medicine | 6481 Carlisle Pike, Mechanicsburg, PA 17050-2377 | 2007-07-16 |
| 1629082391 | Peter Ken Kang | Anesthesiology | 1952a Pulaski Hwy, Edgewood, MD 21040-1617 | 2006-07-28 |
| 1992723191 | Peter Byung-hoon Kang | Pediatrics | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-07-17 |
| Street Address |
1 BARNES JEWISH HOSPITAL PLZ |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801898010 | Jessica R Doiron | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2005-06-01 |
| 1295335966 | Tracy Novak | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-10-30 |
| 1437759545 | Michelle Nicole Rutter | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-10-28 |
| 1861092108 | John Michael Luker | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-10-27 |
| 1396344289 | Jordana Culanculan | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-10-21 |
| 1871192799 | Harold Anthony Tatum Jr. | Student in an Organized Health Care Education/Training Program | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-10-21 |
| 1245839323 | Michelle Juengling | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-10-20 |
| 1962018382 | Adeel Haq | Radiology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-09-21 |
| 1568077568 | Joseph Daniel Balassi | Nurse Anesthetist, Certified Registered | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-09-15 |
| 1053924464 | Melissa Lee Prewitt | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| 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 |
| 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 |
| 1285954743 | Elizabethann Nadine Raitz-cowboy | Internal Medicine | 999 Executive Parkway Dr Ste 210, Saint Louis, MO 63141-6336 | 2010-06-08 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
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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.