THOMAS P BOCCHINI (NPI# 1194765578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194765578 |
Entity Type | Individual |
Full Name | THOMAS P BOCCHINI |
Credential | MD |
Practice Address |
12266 De Paul Dr Ste 305 Bridgeton MO 63044-2514 |
Mailing Address |
Po Box 955534 Saint Louis MO 63195-5534 |
Practice Telephone | 3147700991 |
Enumeration Date | 2006-06-07 |
Last Update Date | 2020-10-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD100340 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 203422514 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
12303 Depaul Dr, Depaul Health Center, Bridgeton, MO 63044 | 3143446350 |
Street Address |
12266 DE PAUL DR STE 305 |
City | BRIDGETON |
State | MO |
Zip Code | 63044-2514 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932150638 | Richard H. Roettger | Surgery | 12266 De Paul Dr Ste 305, Bridgeton, MO 63044 | 2006-05-15 |
1558881052 | Amber Marie Owens | Nurse Practitioner | 12266 De Paul Dr Ste 305, Bridgeton, MO 63044-2514 | 2017-06-26 |
1164804035 | Kyle Christensen | Surgery | 12266 De Paul Dr Ste 305, Bridgeton, MO 63044-2514 | 2015-06-26 |
1619231636 | Betsy L Krebs | Surgery | 12266 De Paul Dr Ste 305, Bridgeton, MO 63044-2514 | 2012-06-25 |
1588603435 | Hope Rasque | Surgery | 12266 De Paul Dr Ste 305, Bridgeton, MO 63044-2514 | 2006-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
Find all providers in zip 63044 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164480836 | Missouri Imaging, Inc | Radiology | 12121 Saint Charles Rock Rd, Bridgeton, MO 63044-2602 | 2006-05-03 |
1174933022 | Clelland James-henry Chatman | Radiology | 12303 De Paul Dr, Bridgeton, MO 63044 | 2014-04-30 |
1679877575 | Bridgeton Imaging, L.L.C. | Radiology | 12121 Saint Charles Rock Rd, Bridgeton, MO 63044-2602 | 2011-01-06 |
1316954373 | Andre Strzembosz | Radiology | 12303 De Paul Dr, Depaul Health Center, Bridgeton, MO 63044-2512 | 2006-08-02 |
1891718987 | Karen J Baranski | Radiology | 12303 Depaul Dr, Depaul Health Center, Bridgeton, MO 63044 | 2006-07-26 |
1578597290 | Ronald L Palmer | Radiology | 12303 Depaul Dr, Depaul Health Center, Bridgeton, MO 63044 | 2006-07-10 |
1457383713 | Edwin C Ernst IIi | Radiology | 12303 Depaul Dr, Depaul Health Center, Bridgeton, MO 63044 | 2006-07-07 |
1750313094 | Matthew W Stadnyk | Radiology | 12303 Depaul Dr, Depaul Health Center, Bridgeton, MO 63044 | 2006-07-07 |
1457383796 | Megan M Gau | Radiology | 12303 Depaul Dr, Depaul Health Center, Bridgeton, MO 63044 | 2006-07-07 |
1629000971 | The Ernst Radiology Clinic, Inc | Radiology | 12303 Depaul Dr, Depaul Health Center, Bridgeton, MO 63044 | 2006-07-07 |
Find all providers in BRIDGETON |
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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.