ANTHONY E FATHMAN (NPI# 1194834887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194834887 |
| Entity Type | Individual |
| Full Name | ANTHONY E FATHMAN |
| Credential | MD |
| Practice Address |
224 S Woods Mill Rd Ste 510s Chesterfield MO 63017-3451 |
| Practice Telephone | 3144343433 |
| Practice Fax Number | 3144346813 |
| Mailing Telephone | 3144346130 |
| Mailing Fax Number | 3144341277 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2008-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 29632 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 200030807 | 05 |
| Street Address |
224 S WOODS MILL RD STE 510S |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-3451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669465852 | Andrew M Rouse | Orthopaedic Surgery | 224 S Woods Mill Rd, Chesterfield, MO 63017-3497 | 2005-08-24 |
| 1447609326 | St. Luke's Episcopal Presbyterian Hospital | General Acute Care Hospital | 224 S Woods Mill Rd, Suite 360 South, Chesterfield, MO 63017-3513 | 2016-06-10 |
| 1811344328 | C Care LLC | Psychiatry & Neurology | 224 S Woods Mill Rd, Suite 550 South Tower, Chesterfield, MO 63017-3513 | 2016-05-16 |
| 1689033235 | Oasl 2 LLC | Specialist | 224 S Woods Mill Rd, Suite 750 South, Chesterfield, MO 63017-3513 | 2016-02-10 |
| 1194159012 | Precision Plastic Surgery, PC St. Lukes Office | Specialist | 224 S Woods Mill Rd, Suite 450 South, Chesterfield, MO 63017-3451 | 2013-08-27 |
| 1528307758 | Roger Lee Mell | Orthopaedic Surgery | 224 S Woods Mill Rd, Suite 255 South, Chesterfield, MO 63017-3491 | 2013-02-07 |
| 1265778138 | Medical Associates of Chesterfield, LLC | Internal Medicine | 224 S Woods Mill Rd, Ste 370s, Chesterfield, MO 63017-3513 | 2012-12-21 |
| 1366706509 | Archway Dermatology, LLC | Dermatology | 224 S Woods Mill Rd, Suite 570s, Chesterfield, MO 63017-3451 | 2012-07-03 |
| 1578824256 | Ron Javdan Md LLC | Internal Medicine | 224 S Woods Mill Rd, Suite 580, Chesterfield, MO 63017-3451 | 2012-05-30 |
| 1780823559 | Vikas Sethi | Nurse Practitioner | 224 S Woods Mill Rd, Suite # 435-s, Chesterfield, MO 63017-3451 | 2009-02-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801915038 | Angela Leigh Alt | Urology | 224 S. Woods Mill Rd, Suite 510 South, Chesterfield, MO 63017-3451 | 2007-03-28 |
| 1912923228 | Cathy K Naughton | Urology | 226 S Woods Mill Rd Ste 52w, Chesterfield, MO 63017-3664 | 2006-07-14 |
| 1619505344 | Urology Specialists of St. Luke's, LLC | Urology | 226 S Woods Mill Rd Ste 52w, Chesterfield, MO 63017-3664 | 2020-03-30 |
| 1184275968 | Vasectomies of St Louis, LLC | Urology | 16216 Baxter Road, Suite 100, Chesterfield, MO 63017 | 2019-09-24 |
| 1578671418 | David E Bryan | Urology | 224 S Woods Mill Rd, Ste 510s, Chesterfield, MO 63017-3451 | 2006-08-29 |
| 1720197593 | Ronald K Deguerre | Urology | 224 S Woods Mill Rd, Ste 510s, Chesterfield, MO 63017-3451 | 2006-08-29 |
| 1477662179 | John F Mccarthy | Urology | 224 S Woods Mill Rd, Ste 510s, Chesterfield, MO 63017-3451 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699408 | Garth Sherman | Urology | 1 Hospital Dr # Mc301, Columbia, MO 65201-5276 | 2019-06-27 |
| 1902326622 | Alexander Anderson | Urology | 1 Hospital Drive University of Missouri Mc404, Columbia, MO 65212-0001 | 2017-06-23 |
| 1649633736 | Jack Campbell | Urology | 3101 Belinda Ct, Columbia, MO 65203-3848 | 2016-04-05 |
| 1962834390 | Midwest Urology Center, PC | Urology | 1905 W 32nd St Ste 302, Joplin, MO 64804-1512 | 2013-08-08 |
| 1932463940 | Brandi Dawn Miller | Urology | 1965 S Fremont Ave Ste 370, Springfield, MO 65804-2284 | 2012-06-25 |
| 1437412582 | Andrew T Blackburne | Urology | 11155 Dunn Rd Ste 309e, Saint Louis, MO 63136 | 2012-06-22 |
| 1699049395 | Harry L. Ellis | Urology | 5034 S Glenhaven Ave, Springfield, MO 65804-7804 | 2012-02-28 |
| 1083902852 | Gurdarshan S Sandhu | Urology | 607 South New Ballas Road, Suite 3100, Saint Louis, MO 63141 | 2011-07-14 |
| 1457672446 | Christopher D Jaeger | Urology | 112 Piper Hill Dr Ste 12, Saint Peters, MO 63376-1690 | 2010-06-14 |
| 1538486816 | Centerpoint Medical Specialists LLC | Urology | 725 Nw State Route 7, Suite C, Blue Springs, MO 64014-2426 | 2010-04-27 |
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| City | CHESTERFIELD |
| Zip Code | 63017 |
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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.