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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
114446 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 209713601 | 05 | |
| IL | ENROLLED | 05 |
| Street Address |
216 S KINGSHIGHWAY BLVD FL 5 5TH FL |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1026 |
| 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 |
| 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 Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| 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. |
| 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 |
| 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 |
| City | SAINT LOUIS |
| Zip Code | 63110 |
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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.