ERNEST AHLBORN


Address: 100 Medical Plz, Lake St Louis, MO 63367-1366
Phone: 6366255300

ERNEST AHLBORN (NPI# 1184670796) 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) 1184670796
Entity Type Individual
Full Name ERNEST AHLBORN
Credential M.D.
Practice Address 100 Medical Plz
Lake St Louis
MO 63367-1366
Mailing Address 3655 Vista Ave
Division of Emergency Medicine
Saint Louis
MO 63110-2539
Practice Telephone 6366255300
Practice Fax Number 6366255376
Mailing Telephone 3145778784
Mailing Fax Number 3142685697
Enumeration Date 2006-05-25
Last Update Date 2011-02-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 112996 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 209675123 05

Office Location

Street Address 100 MEDICAL PLZ
City LAKE ST LOUIS
State MO
Zip Code 63367-1366

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043818222 Melissa Colleen Hynes Speech-Language Pathologist 100 Medical Plz, Lake St Louis, MO 63367-1366 2020-10-11
1073110367 Abigail Elizabeth Malloy Dietitian, Registered 100 Medical Plz, Lake St Louis, MO 63367-1366 2020-10-08
1639718984 Cheryl Akers Family Medicine 100 Medical Plz, Lake St Louis, MO 63367-1366 2020-01-03
1982259305 Cep America LLC Emergency Medicine 100 Medical Plz, Lake St Louis, MO 63367-1366 2019-08-02
1164084711 Laboratory Corporation of America Clinical Medical Laboratory 100 Medical Plz, Lake St Louis, MO 63367-1366 2019-07-03
1174007868 Takeysha Laray Lowe Nurse Practitioner 100 Medical Plz, Lake St Louis, MO 63367-1366 2018-09-19
1275027336 Brianne Nicole Rigg Dietitian, Registered 100 Medical Plz, Lake St Louis, MO 63367-1366 2018-06-21
1316455959 Audrey Anne Bolden Nurse Practitioner 100 Medical Plz, Lake St Louis, MO 63367-1366 2018-01-17
1013424530 Victoria Lynn Hines Nurse Practitioner 100 Medical Plz, Lake St Louis, MO 63367-1366 2018-01-05
1942724786 Sara Jane Daniels Speech-Language Pathologist 100 Medical Plz, Lake St Louis, MO 63367-1366 2017-08-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295376697 Stacy Brown Counselor 1216 Flagstone Terrace, Lake St. Louis, MO 63367 2019-10-07
1083172449 Katie D Schmidt Nurse Practitioner 300 Medical Plz Ste 150, Lake St Louis, MO 63367 2019-03-05
1932639739 Eren Taylor-scaggs Social Worker 112 Lake St. Louis Blvd, Lake St. Louis, MO 63367 2017-06-14
1184169203 Be The Change Counseling Services Community/Behavioral Health 206 Centre On The Lake, Lake St. Louis, MO 63367 2016-12-28
1568812535 Brittanie Weinhaus Family Medicine 6261 Ronald Regan Dr Ste #b19, Lake St. Louis, MO 63367 2016-06-20
1821445099 Matt Beamer Skilled Nursing Facility 2885 Technology Drive, Lake St. Louis, MO 63367 2016-05-18
1710349642 Jennifer Gandolfo Early Intervention Provider Agency 710 Abbottsford Ct., Lake St. Louis, MO 63367 2016-03-21
1760862361 Joaquin Francisco Sumaya Chiropractor 11104 Veterans Memorial Pkwy., Lake Saint Louis, MO 63367 2015-06-09
1619214566 Daniel Scott Terry Counselor 1000 Edgewater Pt Ste 401, Lake St Louis, MO 63367 2013-01-12
1437415551 Cherie Jean Coletta Nurse Practitioner 100 Medical Plaza Dr, Emergency Department, Lake Saint Louis, MO 63367 2012-04-03
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982259305 Cep America LLC Emergency Medicine 100 Medical Plz, Lake St Louis, MO 63367-1366 2019-08-02
1962575183 Stanton Ross Schiller Emergency Medicine 100 Medical Plaza, Lake St Louis, MO 63367 2006-11-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053972349 Alanna Diamond Emergency Medicine One Hospital Drive Emergency Medicine M652 Dc029.10, Columbia, MO 65212-0001 2019-06-26
1013573146 Michael Habhab Emergency Medicine 1 Hospital Dr Emergency Medicine M562 Dc029.10, Columbia, MO 65212-0001 2019-05-14
1043730716 Ian James Becker Emergency Medicine 1 Hospital Dr # Dc029.10, Columbia, MO 65212-1000 2017-06-23
1649628454 Sphere Medical Group Emergency Medicine 916 Olive St Fl 4, Saint Louis, MO 63101-1459 2016-06-02
1487002523 Christopher Adam Waranch Emergency Medicine University of Missouri Columbia, Department of Emergency Medicine, Columbia, MO 65212-0001 2016-05-31
1306220488 Andrea Marie-gioia Spangler Emergency Medicine 1235 E Cherokee St Dept Of, Springfield, MO 65804-2203 2015-07-17
1205219045 Maria Christina Creel-bulos Emergency Medicine 660 South Euclid Avenue Cb 8072, St Louis, MO 63110 2015-06-29
1669853230 Megan Litzau Emergency Medicine 615 S New Ballas Road, St Louis, MO 63141 2015-06-09
1366829426 Bigeye Emergency Physicians LLC Emergency Medicine 10 South Hospital Deive, Fulton, MO 65251 2015-04-28
1972999225 Timothy O Olatunde Emergency Medicine 4410 Wornall Road, Kansas City, MO 64111 2015-04-14
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Competitor

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City LAKE ST LOUIS
Zip Code 63367

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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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