MR. MICHAEL THOMAS CONKLIN (NPI# 1225221161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225221161 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL THOMAS CONKLIN |
| Credential | ANP-C |
| Practice Address |
5701 Delmar Blvd Saint Louis MO 63112 |
| Practice Telephone | 3143677848 |
| Practice Fax Number | 3143672985 |
| Mailing Telephone | 3143677848 |
| Mailing Fax Number | 3143672985 |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2011-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
078402 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013015650 | Michael D Conklin | Optometrist | 350 Hope Ave, Salt Lake City, UT 84115-5116 | 2006-09-20 |
| 1780895839 | Michael Francis Conklin | Internal Medicine | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2007-05-24 |
| 1639112329 | Michael J Conklin | Orthopaedic Surgery | 1600 7th Ave S, Lowder 316, Birmingham, AL 35233-1711 | 2006-06-13 |
| Street Address |
5701 DELMAR BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053312611 | Irma Jean Perkins | Nurse Practitioner | 5701 Delmar Blvd, Saint Louis, MO 63112 | 2005-08-04 |
| 1952927287 | Sasa Dzaferagic | Pharmacist | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 2020-06-23 |
| 1245673003 | Wendy Ducasse | Social Worker | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 2013-04-11 |
| 1942541578 | Betty Jean Kerr People's Health Center | Clinic/Center | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 2013-03-06 |
| 1356697726 | Mykale R Elbe | Registered Nurse | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 2012-08-03 |
| 1245598333 | Laura Ann Fleming Bergin | Obstetrics & Gynecology | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 2012-04-26 |
| 1962778589 | Rachana Pradhan | Social Worker | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 2012-03-28 |
| 1972802932 | Mariea Beth Snell | Nurse Practitioner | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 2011-03-16 |
| 1659682946 | Maya Elizabeth Moody | Pediatrics | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 2010-07-01 |
| 1033430798 | Hameem I Kawsar | Internal Medicine | 5701 Delmar Blvd, Bjk People's Health Centers, Saint Louis, MO 63112-2617 | 2010-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851932990 | Bobbie J. Harrington | Technician | 5626 Julian Avenue, St. Louis, MO 63112 | 2019-09-30 |
| 1861901480 | Christina Cummings | Counselor | 5387 Pershing Ave., Apt. A, St. Louis, MO 63112 | 2017-09-26 |
| 1326457177 | Clare Marie Salley | Speech-Language Pathologist | 5673 Waterman Blvd, Unit 31, St Louis, MO 63112 | 2014-08-06 |
| 1386999324 | Family Love Adult Health Care Center, LLC | Clinic/Center | 286 Debaliviere Avenue, St. Louis, MO 63112 | 2012-07-16 |
| 1003133893 | William Richard Humphrey II | Chiropractor | 5615 Pershing, Suite 22, St. Louis, MO 63112 | 2010-05-03 |
| 1558688408 | Courtney Lynne Luster | Counselor | 5647 Delmar Blvd Ste 226, Saint Louis, MO 63112 | 2010-04-30 |
| 1134446602 | Donald Trevor Cross | Psychologist | #7 Beverly Place, St. Louis, MO 63112 | 2010-04-23 |
| 1649507328 | Vikram Choudhary | Prosthetist | 6126 Washington Blvd, # 201, St. Louis, MO 63112 | 2009-11-17 |
| 1992930325 | Kelly Brook Hogan | Social Worker | 5355 Delmar, Saint Louis, MO 63112 | 2009-05-29 |
| 1942449194 | Annie Malone Children and Family Service Center | Respite Care | 5355 Page Avenue, St. Louis, MO 63112 | 2009-02-11 |
| Find all providers in zip 63112 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619285 | Jennifer Lee Speiser | Nurse Practitioner | 12545 Olive Blvd, Saint Louis, MO 63141-6311 | 2020-11-04 |
| 1265045264 | Andrea Jane Montgomery | Nurse Practitioner | 444 Honeysuckle Ln, Saint Louis, MO 63119-4521 | 2020-08-28 |
| 1396362224 | Erin M Kehoe | Nurse Practitioner | 12973 Olive Blvd, Saint Louis, MO 63141-6149 | 2020-06-26 |
| 1508482506 | Matthew Dale Tieskoetter | Nurse Practitioner | 333 S Kirkwood Rd Ste 203, Saint Louis, MO 63122-6161 | 2020-06-25 |
| 1861033615 | Benedicta Esi | Nurse Practitioner | 6024 Pennsylvania Ave, Saint Louis, MO 63111-2555 | 2019-10-02 |
| 1245896893 | Katina D Smith | Nurse Practitioner | 8820 Mcnulty Dr, Saint Louis, MO 63114-4146 | 2019-05-18 |
| 1912413584 | Lucija Kozul Sadl | Nurse Practitioner | 3525 Forest Dale Dr, Saint Louis, MO 63125-4212 | 2017-12-19 |
| 1275071326 | Kathryn Ries | Nurse Practitioner | 3535 South Broadway, Suite 118, Saint Louis, MO 63118-3907 | 2017-02-09 |
| 1144775966 | Hienok Hailu | Nurse Practitioner | 11725 Casa Grande Dr, Saint Louis, MO 63146-4223 | 2016-08-22 |
| 1992167522 | Lanyn Clark | Nurse Practitioner | 40 Ladue Ter, Saint Louis, MO 63124-2048 | 2016-03-23 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63112 |
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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.