THOMAS P BOCCHINI


Address: 12266 De Paul Dr Ste 305, Bridgeton, MO 63044-2514
Phone: 3147700991

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
MD100340 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 203422514 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
12303 Depaul Dr, Depaul Health Center, Bridgeton, MO 63044 3143446350

Office Location

Street Address 12266 DE PAUL DR STE 305
City BRIDGETON
State MO
Zip Code 63044-2514

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City BRIDGETON
Zip Code 63044

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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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