RALPH ROBERT HATLELID


Address: 318 E Swon Ave, Saint Louis, MO 63119-3112
Phone: 3143951876

RALPH ROBERT HATLELID (NPI# 1184056830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184056830
Entity Type Individual
Full Name RALPH ROBERT HATLELID
Credential M.D.
Practice Address 318 E Swon Ave
Saint Louis
MO 63119-3112
Practice Telephone 3143951876
Practice Fax Number 3143951876
Mailing Telephone 3143951876
Mailing Fax Number 3143951876
Enumeration Date 2013-08-05
Last Update Date 2013-08-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
R3B09 MO Allopathic & Osteopathic Physicians

Office Location

Street Address 318 E SWON AVE
City SAINT LOUIS
State MO
Zip Code 63119-3112

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1114525631 Kaylen A Howard Specialist/Technologist No, No, MO 63119 2020-10-16
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1922484039 Odessa Baker X Dietary Manager 525 N. Laclede Station Road, St. Louis, MO 63119 2015-07-31
1194114694 Laura Maher Social Worker 201 W. Lockwood Ave, Suite 201, St. Louis, MO 63119 2015-01-21
1427314046 Dick (richard) Ralph Brummett Family Medicine 711 S Laclede Sta Rd, # 2111, St Louis, MO 63119 2012-04-09
1972872935 Dolliene A. Raabe Social Worker 8050 Watson Road, Suite 201, St. Louis, MO 63119 2011-12-21
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033649819 Taewoo Lee Internal Medicine 3635 Vista Ave Saint Louis University Medical Center, Division of Nephrology, Saint Louis, MO 63110 2017-06-14
1780058727 St Louis Kidney Care LLC Internal Medicine 11155 Dunn Rd Ste 211n, Saint Louis, MO 63136-6166 2015-11-13
1497000194 Siddiq Anwar Internal Medicine 660 S Euclid Ave # 8129, Renal Fellowship Program, Saint Louis, MO 63110-1010 2012-07-18
1588764724 Douglass Takashi Domoto Internal Medicine 2606 Clark Ave, Saint Louis, MO 63103-2502 2006-09-25
1699708016 Bhajanlal S Dara Internal Medicine 10160 W Florissant Ave, Suite 200, Saint Louis, MO 63136-2104 2006-07-09
1962432807 Guner Buyukkus Gulmen Internal Medicine 100 N Euclid Ave, Suite 800, Saint Louis, MO 63108-1529 2006-07-04
1710920947 Rajalakshmi T Gopalakrishnan Internal Medicine 915, North Grand Boulevard, Saint Louis, MO 63106 2006-06-14
1457348286 Kira S Mailey Internal Medicine 18 Chapel Hill Est, Saint Louis, MO 63131-1315 2005-10-06
1376166066 Nhs South LLC Internal Medicine 10004 Kennerly Rd, Saint Louis, MO 63128-2141 2020-05-28
1760005706 Mehmet Tamer Internal Medicine 1402 S Grand Blvd, Saint Louis, MO 63104-1004 2020-05-26
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63119

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Dataset Information

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.

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