DR. SHIRLEY S JOO (NPI# 1144262825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144262825 |
Entity Type | Individual |
Full Name | DR. SHIRLEY S JOO |
Credential | MD |
Practice Address |
11188 Tesson Ferry Rd 101 Saint Louis MO 63123-6962 |
Mailing Address |
11188 Tesson Ferry Rd Ste 101 Saint Louis MO 63123-6962 |
Practice Telephone | 6367176716 |
Mailing Telephone | 3143020736 |
Enumeration Date | 2006-06-10 |
Last Update Date | 2018-12-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
2001009169 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 205801004 | 05 |
Street Address |
11188 TESSON FERRY RD 101 |
City | SAINT LOUIS |
State | MO |
Zip Code | 63123-6962 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841651890 | Neurology & Sleep Medicine Associates | Psychiatry & Neurology | 11188 Tesson Ferry Rd, Suite 202, Saint Louis, MO 63123-6962 | 2016-03-17 |
1093055402 | Matthew Robert Jones | Nurse Practitioner | 11188 Tesson Ferry Rd, Suite 100, Saint Louis, MO 63123-6962 | 2013-02-21 |
1053691709 | S&j of South County LLC | Allergy & Immunology | 11188 Tesson Ferry Rd, Suite 101, Saint Louis, MO 63123-6962 | 2011-08-26 |
1407874183 | Carrie S Gaines | Optometrist | 11188 Tesson Ferry Rd, Ste 100, Saint Louis, MO 63123-6962 | 2006-07-18 |
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 |
1083858336 | John David Bouhasin | Pediatrics | 7629 Bracken Circle, St. Louis, MO 63123 | 2009-04-29 |
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 |
Find all providers in zip 63123 |
Taxonomy Code | 207RA0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Allergy & Immunology |
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982128708 | Ofer Zimmerman | Internal Medicine | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2017-08-02 |
1023457132 | Aaron Martin Ver Heul | Internal Medicine | 4921 Parkview Pl, Ste 8b, Saint Louis, MO 63110-1032 | 2013-06-21 |
1396184545 | Christopher Jung Rigell | Internal Medicine | 4921 Parkview Pl, Ste 8b, Saint Louis, MO 63110-1032 | 2013-06-20 |
1528292174 | Tiffany Biason Dy | Internal Medicine | 10 Barnes West Dr, Pob 2 Ste 200, Saint Louis, MO 63141-6287 | 2009-05-12 |
1669633889 | Jennifer Marie Monroy | Internal Medicine | 10 Barnes West Dr, Pob 2 Ste 200, Saint Louis, MO 63141-6287 | 2008-06-19 |
1467661801 | Maya Jerath | Internal Medicine | 4921 Parkview Pl Ste 8b, Ste 8b, Saint Louis, MO 63110-1032 | 2007-05-22 |
1114149739 | St Louis University | Internal Medicine | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2007-05-03 |
1215073580 | Andrew Leon Kau | Internal Medicine | 4921 Parkview Pl Ste 8c, Ste 8c, Saint Louis, MO 63110-1032 | 2007-01-30 |
1780694877 | Raymond G Slavin | Internal Medicine | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2006-08-09 |
1518971092 | Mark S Dykewicz | Internal Medicine | 3691 Rutger St, Suite 100, Saint Louis, MO 63110-2515 | 2006-07-28 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63123 |
Please comment or provide details below to improve the information on DR. SHIRLEY S JOO.
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.