DR. MARC K LEWEN (NPI# 1174565915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174565915 |
Entity Type | Individual |
Full Name | DR. MARC K LEWEN |
Credential | D.O. |
Practice Address |
10 Hospital Dr Ste 100 Saint Peters MO 63376-1659 |
Mailing Address |
670 Mason Ridge Center Dr Suite 300 Saint Louis MO 63141-8573 |
Practice Telephone | 6369167272 |
Practice Fax Number | 6369167274 |
Mailing Telephone | 6369167272 |
Mailing Fax Number | 6369167274 |
Enumeration Date | 2006-06-12 |
Last Update Date | 2016-07-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MOR8B61 | MO | Allopathic & Osteopathic Physicians |
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
R8B61 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 242368009 | 05 |
Street Address |
10 HOSPITAL DR STE 100 |
City | SAINT PETERS |
State | MO |
Zip Code | 63376-1659 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073121117 | Barnes Jewish St. Peters Hospital Inc | Clinical Medical Laboratory | 10 Hospital Dr, Saint Peters, MO 63376-1659 | 2020-07-15 |
1548889710 | Anastacia Dawn Gregory | Registered Nurse | 10 Hospital Dr, Saint Peters, MO 63376-1659 | 2020-04-08 |
1275195281 | Brian William Bennett | Nurse Anesthetist, Certified Registered | 10 Hospital Dr, Saint Peters, MO 63376-1659 | 2019-07-01 |
1922447002 | Patricia Sue Kipper | Anesthesiologist Assistant | 10 Hospital Dr, Saint Peters, MO 63376-1659 | 2013-06-21 |
1952745101 | Michael E Ferrante | Anesthesiologist Assistant | 10 Hospital Dr, Saint Peters, MO 63376-1659 | 2013-04-18 |
1689927857 | Jennifer Lynn Desy | Nurse Anesthetist, Certified Registered | 10 Hospital Dr, Saint Peters, MO 63376-1659 | 2012-10-24 |
1740575232 | Brent E Shields | Nurse Anesthetist, Certified Registered | 10 Hospital Dr, Saint Peters, MO 63376-1659 | 2011-06-13 |
1871886937 | Rebecca Christine Hoffman | Anesthesiologist Assistant | 10 Hospital Dr, Saint Peters, MO 63376-1659 | 2011-05-24 |
1417258138 | Erika Renee Anderson | Physician Assistant | 10 Hospital Dr, Saint Peters, MO 63376-1659 | 2010-11-11 |
1205145372 | Christine E. Wilmsen Craig | Internal Medicine | 10 Hospital Dr, Saint Peters, MO 63376-1659 | 2010-10-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
Find all providers in zip 63376 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275032286 | Cardiac Cin of Kansas City LLC | Internal Medicine | 111 W 10th St Ste 103, Kansas City, MO 64105-1700 | 2018-02-05 |
1437658440 | Cardiac Cin of St Louis LLC | Internal Medicine | 11628 Old Ballas Rd # 346, Saint Louis, MO 63141-7030 | 2018-02-05 |
1629366984 | Jorge Marcelo Ramirez Romero | Internal Medicine | 1402 S. Grand, Fdt 14th Floor, St. Louis, MO 63104 | 2011-07-20 |
1164737490 | Mohan Mallikarjuna Edupuganti | Internal Medicine | 901 Patients First Dr Ste 2500, Washington, MO 63090 | 2010-08-11 |
1285945295 | Byungsoo Ko | Internal Medicine | 100 Mercy Way Ste 320, Joplin, MO 64804-4524 | 2010-06-24 |
1033370358 | Shamail S. Tariq | Internal Medicine | 1071 Airport Rd, Festus, MO 63028-4103 | 2008-06-19 |
1104083351 | Cardiovascular Institute of Jacksonville P A | Internal Medicine | 1406 Ridgetree Trails Dr, Wildwood, MO 63021-5930 | 2008-05-16 |
1053401422 | Gus Theodos | Internal Medicine | 710 S Price Rd, Saint Louis, MO 63124-1867 | 2006-10-13 |
1225134117 | William R Reilly Inc | Internal Medicine | 450 N. New Ballas Rd, Ste 170w, St. Louis, MO 63141-6835 | 2006-09-16 |
1881799336 | Morton R. Rinder | Internal Medicine | 222 S Woods Mill Rd Ste 560, Chesterfield, MO 63017-3625 | 2006-09-13 |
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City | SAINT PETERS |
Zip Code | 63376 |
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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.