DR. JEREMY SHAWN KATCHER (NPI# 1124235239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124235239 |
| Entity Type | Individual |
| Full Name | DR. JEREMY SHAWN KATCHER |
| Credential | MD |
| Practice Address |
12818 Tesson Ferry Rd Ste 205 Saint Louis MO 63128-2945 |
| Mailing Address |
Po Box 23340 Saint Louis MO 63156-3340 |
| Practice Telephone | 3144210663 |
| Practice Fax Number | 3147224688 |
| Mailing Telephone | 3148511000 |
| Mailing Fax Number | 3148514445 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 2010013490 | MO | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 2010013490 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1721 Heritage Hills Dr, Washington, MO 630904621 | 6362316660 | 6362316663 |
| 12818 Tesson Ferry Rd Ste 205, Saint Louis, MO 631282945 | 3144210663 | 3147224688 |
| Street Address |
12818 TESSON FERRY RD STE 205 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-2945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154370203 | Hamsa N Subramanian | Allergy & Immunology | 425 N New Ballas Rd Ste 203, Saint Louis, MO 63141-6814 | 2006-05-08 |
| 1912991753 | Michael Borts | Allergy & Immunology | 9701 Landmark Parkway Dr Ste 207, Suite 103, Saint Louis, MO 63127-1665 | 2005-09-08 |
| 1982026696 | Zhen Ren | Allergy & Immunology | 4921 Parkview Pl, Ste 8b, Saint Louis, MO 63110-1032 | 2014-01-15 |
| 1043574940 | Mercy Clinic East Communities | Allergy & Immunology | 615 S New Ballas Rd, Administration Building, 5th Floor, Saint Louis, MO 63141-8221 | 2012-06-26 |
| 1699948745 | Ashley A Emmert | Allergy & Immunology | 6651 Chippewa St, Suite 312, Saint Louis, MO 63109-2538 | 2008-04-09 |
| 1760686034 | Elyra D Figueroa | Allergy & Immunology | 10000 Watson Rd, Suite 2s, Saint Louis, MO 63126-1841 | 2007-06-12 |
| 1306062955 | Associated Specialists In Medicine, PC | Allergy & Immunology | 1040 N Mason Rd, Suite 115, Saint Louis, MO 63141-6399 | 2007-04-18 |
| 1447393301 | Jeffrey Paul Tillinghast | Allergy & Immunology | 1040 N Mason Rd, Suite 115, Saint Louis, MO 63141-6399 | 2007-02-14 |
| 1609887983 | Bradley A Becker | Allergy & Immunology | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2006-08-11 |
| 1639110935 | Davis, Wright, Berdy, & Suffian PC | Allergy & Immunology | 456 N New Ballas Rd, Suite 129, Saint Louis, MO 63141-6831 | 2006-06-09 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
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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.