MISRAK GEBISSA (NPI# 1184175085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184175085 |
| Entity Type | Individual |
| Full Name | MISRAK GEBISSA |
| Practice Address |
9 Sackston Woods Ln Creve Coeur MO 63141-8228 |
| Mailing Address |
10315 Tuxford Dr Apt 10 Saint Louis MO 63146-5825 |
| Practice Telephone | 8777487030 |
| Mailing Telephone | 3147493615 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
AG0416096 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9 SACKSTON WOODS LN |
| City | CREVE COEUR |
| State | MO |
| Zip Code | 63141-8228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023467008 | Mid-town Medical Practice, LLC | Internal Medicine | 9 Sackston Woods Ln, Creve Coeur, MO 63141-8228 | 2016-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 364SG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316064199 | Nancy K Stubbs | Clinical Nurse Specialist | 1100 N Industrial Dr, Houston, MO 65483-9407 | 2007-03-25 |
| 1427479641 | Marsha L. Mcguire | Clinical Nurse Specialist | 3635 Vista Ave, Department of Nursing, Saint Louis, MO 63110-2539 | 2013-12-16 |
| 1750557633 | Karen Cavender Hackmann | Clinical Nurse Specialist | 1 Hospital Dr, Mc11 (dco92.10), Columbia, MO 65212-0001 | 2008-05-01 |
| 1013959022 | Linda Graham Crosser | Clinical Nurse Specialist | 4440 Broadway St, Kansas City, MO 64111-3315 | 2006-06-12 |
| City | CREVE COEUR |
| Zip Code | 63141 |
Please comment or provide details below to improve the information on MISRAK GEBISSA.
| 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.