DR. TIMOTHY J EBERLEIN


Address: 216 S Kingshighway Blvd Fl 5, 5th Fl, Saint Louis, MO 63110-1026
Phone: 3143628020

DR. TIMOTHY J EBERLEIN (NPI# 1225054455) 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) 1225054455
Entity Type Individual
Full Name DR. TIMOTHY J EBERLEIN
Credential MD
Practice Address 216 S Kingshighway Blvd Fl 5
5th Fl
Saint Louis
MO 63110-1026
Mailing Address 660 S Euclid Ave
C B 8109
Saint Louis
MO 63110-1010
Practice Telephone 3143628020
Practice Fax Number 3144541898
Mailing Telephone 3143628020
Mailing Fax Number 3144541898
Enumeration Date 2006-07-14
Last Update Date 2018-01-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086X0206X Surgery
Specialization: Surgical Oncology
114446 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 209713601 05
IL ENROLLED 05

Office Location

Street Address 216 S KINGSHIGHWAY BLVD FL 5
5TH FL
City SAINT LOUIS
State MO
Zip Code 63110-1026

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356652002 Diego Casali Anesthesiology 216 S Kingshighway Blvd Fl 5, 5th Fl, Saint Louis, MO 63110-1026 2010-06-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659971992 Carrie Ellen Smith Nurse Practitioner Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 2020-10-27
1881210466 Michelle Amanda Freilich Internal Medicine Barnes-jewish Plaza, St. Louis, MO 63110 2020-06-19
1245856046 Jeevin Shahi Radiology 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 2020-06-18
1497371314 Wilson Eduardo Rodriguez Student in an Organized Health Care Education/Training Program 1008 S. Spring, St Louis, MO 63110 2020-06-17
1578184065 Kathryn Kay Lindsay Registered Nurse Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 2020-05-06
1881232700 Ashley Diane Pace Nurse Practitioner 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 2019-12-11
1619520418 Krithika Damodar Shenoy Pathology 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 2019-07-20
1467912550 Ian Ferguson Dermatology 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 2019-03-23
1760978688 Ihab Hassanieh Student in an Organized Health Care Education/Training Program 33660 Vista Ave, St. Louis, MO 63110 2018-07-03
1336634500 Martin K Mwangi Pediatrics 1 Childrens Place, 3s34, St. Louis, M, MO 63110 2018-06-28
Find all providers in zip 63110

Taxonomy Information

Taxonomy Code 2086X0206X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Surgical Oncology

Taxonomy Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720006364 William E Gillanders Surgery 4921 Parkview Pl Ste 7c, Ste 7c, Saint Louis, MO 63110-1032 2006-07-18
1922318989 Fatema Ibrahim Almushawah Surgery 660 S Euclid Ave, Washington University /surgery Oncology, Saint Louis, MO 63110-1010 2010-10-08
1497955728 Barbara Zarebczan Dull Surgery 4921 Parkview Pl, Saint Louis, MO 63110-1032 2007-07-24
1164440897 Rebecca L Aft Surgery 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 2006-07-18
1376560839 Bruce L Hall Surgery 4921 Parkview Pl Ste 5b, Ste 5b, Saint Louis, MO 63110-1032 2006-07-17
1750307054 Julie A Margenthaler Surgery 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 2006-07-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063699502 Saint Luke's Hospital Physician Billing Services, LLC Surgery 4323 Wornall, Peet Center Level 1, Kansas City, MO 64111 2008-01-28
1841274446 Jovita Un Oruwari Surgery 3440 De Paul Ln Ste 104, Bridgeton, MO 63044-3546 2005-12-06
1144555723 Jussuf T Kaifi Surgery One Hospital Dr, Columbia, MO 65212 2009-10-15
1033303276 Richard Smith Surgery 1 Hospital Drive, Columbia, MO 65201-0001 2007-08-30
1427084227 Aislinn Sue Vaughan Surgery 1475 Kisker Rd, Suite 185, Saint Charles, MO 63304-8781 2006-06-23
1285618876 Marlys E Schuh Surgery 15945 Clayton Rd, Suite 120, Ballwin, MO 63011-2490 2005-12-06

Competitor

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City SAINT LOUIS
Zip Code 63110

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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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