DR. PETER A HUMPHREY (NPI# 1225056922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225056922 |
| Entity Type | Individual |
| Full Name | DR. PETER A HUMPHREY |
| Credential | MD |
| Practice Address |
216 S Kingshighway Blvd Saint Louis MO 63110-1026 |
| Mailing Address |
300 George St Fl 6 New Haven CT 06511-6624 |
| Practice Telephone | 3143625641 |
| Practice Fax Number | 3143620369 |
| Mailing Telephone | 2037856610 |
| Mailing Fax Number | 2037856414 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2018-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
100219 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 023010176 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366982894 | Peter Humphrey | Technician | 509 Lamont St Nw, Washington, DC 20010-2516 | 2017-03-02 |
| 1801088430 | Peter Kiplin Humphrey | Physical Therapy Assistant | 15 Hospital Dr, York, ME 03909-1011 | 2007-08-17 |
| 1972642916 | Peter Edward Humphrey Jr. | Radiology | 2116 Craig Rd, Eau Claire, WI 54701 | 2007-02-06 |
| Street Address |
216 S KINGSHIGHWAY BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598769986 | Donald Craig Allred | Pathology | 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 | 2005-06-13 |
| 1457832404 | Sudhir Bhimaniya | Radiology | 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 | 2018-08-28 |
| 1164926846 | Anup K. Bhattacharya | Student in an Organized Health Care Education/Training Program | 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 | 2018-03-19 |
| 1902349947 | Rebecca Jo Petersen | Nurse Practitioner | 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 | 2016-11-23 |
| 1467811893 | Kathleen Dienst Stockmann | Dietitian, Registered | 216 S Kingshighway Blvd, Mailstop 90-32-612, Saint Louis, MO 63110-1026 | 2016-02-12 |
| 1770941775 | Gina Jorel | Dietitian, Registered | 216 S Kingshighway Blvd, Mailstop: 90-32-612, Saint Louis, MO 63110-1026 | 2016-02-04 |
| 1508224676 | Kayli Hemphill | Dietitian, Registered | 216 S Kingshighway Blvd, Mailstop 90-32-612, Saint Louis, MO 63110-1026 | 2016-02-04 |
| 1912389404 | Ann-marcia Comfort Tukpah | General Practice | 216 S Kingshighway Blvd, 6th Fl, Saint Louis, MO 63110-1026 | 2015-06-22 |
| 1750787289 | Andrea Mcdonald | Nurse Practitioner | 216 S Kingshighway Blvd, Cancer Care Clinic, Saint Louis, MO 63110-1026 | 2014-11-11 |
| 1578977963 | Jacqueline Wenjia Chen | General Practice | 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 | 2014-06-13 |
| Find all providers in the same location | ||||
| 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 | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780182915 | Richard L Payne | Pathology | 7 Dunleith Dr, Saint Louis, MO 63124-1895 | 2018-01-23 |
| 1205056421 | Grant R Kolar | Pathology | 660 S. Euclid, Box 8118, Saint Louis, MO 63108 | 2007-04-27 |
| 1598769986 | Donald Craig Allred | Pathology | 216 S Kingshighway Blvd, Saint Louis, MO 63110-1026 | 2005-06-13 |
| 1417574831 | Kasey Kreutz | Pathology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-07-01 |
| 1770100679 | Amanda Oi-yun Wong | Pathology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-06-26 |
| 1386260123 | Alexander Norwood Wein | Pathology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-06-17 |
| 1134772155 | Shiva Jabbari | Pathology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-07-18 |
| 1033695648 | Carina Anja Dehner | Pathology | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2018-07-17 |
| 1104346063 | Matthew Louis Hedberg | Pathology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2017-06-22 |
| 1043662067 | Lulu Sun | Pathology | 425 S Euclid Ave, Saint Louis, MO 63110-1005 | 2016-07-02 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
Please comment or provide details below to improve the information on DR. PETER A HUMPHREY.
| 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.