MIDWEST MEDICAL ASSOCIATES, INC (NPI# 1194776815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194776815 |
Entity Type | Organization |
Organization Name | MIDWEST MEDICAL ASSOCIATES, INC |
Other Organization Name | ADVANCED IMAGING CENTER |
Practice Address |
3825 S Lindbergh Blvd Saint Louis MO 63127-1356 |
Practice Telephone | 3178217227 |
Practice Fax Number | 3148212552 |
Mailing Telephone | 3178217227 |
Mailing Fax Number | 3148212552 |
Enumeration Date | 2006-05-15 |
Last Update Date | 2007-12-20 |
Authorized Official Name | TAMMY HAMMA (IMAGING SERVICES DIRECTOR) |
Authorized Official Telephone | 3148217227 |
Is Organization Subpart | Y |
Parent Organization Name | MIDWEST MEDICAL ASSOCIATES, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 502461700 | 05 | |
MO | RR MEDICARE | CH3968 | 01 |
Other Name | Type Code |
---|---|
Advanced Imaging Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922266212 | Midwest Medical Associates, Inc | Optometrist | 7331 Watson Rd, Saint Louis, MO 63119-4405 | 2008-05-23 |
1033186663 | Midwest Medical Associates, Inc | Internal Medicine | 3009 N Ballas Rd, Suite 300a, Saint Louis, MO 63131-2322 | 2006-03-02 |
Street Address |
3825 S LINDBERGH BLVD |
City | SAINT LOUIS |
State | MO |
Zip Code | 63127-1356 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730698374 | Advanced Surgical Center of Sunset Hills LLC | Clinic/Center | 4594 S Lindbergh Blvd, Saint Louis, MO 63127 | 2017-09-27 |
1811382179 | Robert Paul Hintze | Dentist | 3555 Sunset Office Dr Ste 210, Saint Louis, MO 63127 | 2015-04-03 |
1639560782 | Bwell Pharmacy LLC | Pharmacy | 12128 Gravois Road, St.louis, MO 63127 | 2015-02-11 |
1043612773 | Braham Dev Dewan | Internal Medicine | 9917 Grandview Forest Court, Saint Louis, MO 63127 | 2014-09-25 |
1639518673 | Jonathan Yoon | Otolaryngology | 9701 Landmark Parkway Dr Ste 201, Saint Louis, MO 63127 | 2013-06-24 |
1639515315 | Kathleen Mary Lowe | Internal Medicine | 3844 S Lindbergh Blvd Ste 120, Saint Louis, MO 63127 | 2013-05-21 |
1366782088 | Sunset Hills Family Chiropractic LLC | Clinic/Center | 4600 South Lindbergh Ave, Suite 3, St. Louis, MO 63127 | 2013-02-15 |
1063743300 | John Ralph Firth | Dentist | 3890 So. Lindbergh Blvd., Suite 115, Sunset Hills, MO 63127 | 2010-01-27 |
1174762850 | Antonio I Longrais | Dentist | 4600 S. Lindbeigh 63127, St. Louis, MO 63127 | 2009-02-19 |
1447439716 | George D Bankhead Dds Ms PC | Dentist | 3890 S Lindbergh Blvd, Suite 115, Sunset Hills, MO 63127 | 2007-11-02 |
Find all providers in zip 63127 |
Taxonomy Code | 261QM1200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Magnetic Resonance Imaging (MRI) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659325876 | Precision Imaging, LLC | Clinic/Center | 1028 Old Des Peres Rd, Saint Louis, MO 63131-1865 | 2006-05-20 |
1538339841 | Tesson Heights Orthopedic | Clinic/Center | 12152 Tesson Ferry Rd, Saint Louis, MO 63128-1726 | 2008-03-04 |
1790720936 | Open Mri of Missouri, L.L.C. | Clinic/Center | 1034 S Brentwood Blvd, Suite 111, Saint Louis, MO 63117-1223 | 2006-06-19 |
1134120454 | Des Peres Square Imaging Center LLC | Clinic/Center | 1050 Old Des Peres Rd, Suite 75, Saint Louis, MO 63131-1873 | 2005-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750583423 | Team Diagnostics LLC | Clinic/Center | 102 C. Progress Drive, Sullivan, MO 63080-2359 | 2007-06-04 |
1598841140 | Mri of Springfield, Inc | Clinic/Center | 1420 E Bradford Pkwy, Springfield, MO 65804-6563 | 2006-10-27 |
1437253754 | Cyber Diagnostic Medicine LLC | Clinic/Center | 11901 W Florissant Ave, Florissant, MO 63033-6778 | 2006-09-08 |
1679688360 | Rivercity Imaging | Clinic/Center | 623 S Silver Springs Rd Ste 720, Cape Girardeau, MO 63703-7500 | 2006-08-20 |
1073522801 | Big Bend Imaging, LLC | Clinic/Center | 1001 S Kirkwood Rd Ste 110, Kirkwood, MO 63122-7250 | 2006-08-08 |
1730124918 | Open Mri of Missouri II, L.L.C. | Clinic/Center | 5650 Mexico Rd, Suite 10, Saint Peters, MO 63376-1696 | 2006-06-19 |
1407845472 | Poplar Bluff Medical Partners, LLC | Clinic/Center | 221 Physicians Park, Poplar Bluff, MO 63901-3956 | 2005-10-20 |
1508869397 | Open Mri of Missouri II LLC | Clinic/Center | 3431 S Hwy 291, Independence, MO 64057-2341 | 2005-05-24 |
1548685753 | Spero Medical Imaging LLC | Clinic/Center | 17020 E Us Highway 40, Suite 4, Independence, MO 64055-5361 | 2014-02-25 |
1225466691 | Alpha Medical Imaging Inc | Clinic/Center | 5650 Mexico Rd, Suite 15, Saint Peters, MO 63376-1696 | 2013-10-23 |
Find all providers with the same taxonomy |
City | SAINT LOUIS |
Zip Code | 63127 |
Please comment or provide details below to improve the information on MIDWEST MEDICAL ASSOCIATES, INC.
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.