JACKIE R GOOSTREE (NPI# 1275774077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275774077 |
| Entity Type | Individual |
| Full Name | JACKIE R GOOSTREE |
| Practice Address |
5401 Veterans Memorial Pkwy Ste 100 Saint Peters MO 63376-1681 |
| Mailing Address |
20 Parkview Dr Saint Peters MO 63376-2919 |
| Practice Telephone | 6364410906 |
| Practice Fax Number | 6369289288 |
| Mailing Telephone | 6364410906 |
| Mailing Fax Number | 6369289288 |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
5401 VETERANS MEMORIAL PKWY STE 100 |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63376-1681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649411430 | Patricia T Schwada | Registered Nurse | 5401 Veterans Memorial Pkwy Ste 100, Saint Peters, MO 63376-1681 | 2009-03-09 |
| 1184865974 | Lora J Foulk | Specialist/Technologist, Other | 5401 Veterans Memorial Pkwy Ste 100, Saint Peters, MO 63376-1681 | 2009-03-09 |
| 1033350822 | Julie L Subbert | Registered Nurse | 5401 Veterans Memorial Pkwy Ste 100, Saint Peters, MO 63376-1681 | 2009-03-09 |
| 1689815474 | Dana S Yocum | Registered Nurse | 5401 Veterans Memorial Pkwy Ste 100, Saint Peters, MO 63376-1681 | 2009-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
| 1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
| 1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
| 1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
| Find all providers in zip 63376 | ||||
| Taxonomy Code | 246ZS0410X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Technologist |
| Surgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the safe and effective conduct of invasive surgical procedures, ensuring that the operating room environment is safe, that equipment functions properly, and that the operative procedure is conducted under conditions that maximize patient safety. Surgical technologists possess expertise in the theory and application of sterile and aseptic technique and combine the knowledge of human anatomy, surgical procedures, and implementation tools and technologies to facilitate a physician's performance of invasive therapeutic and diagnostic procedures. |
| Notes: Source: Association of Surgical Technologists, "Job Description: Surgical Technologist," 2014. [7/1/2014: code modified, title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184865974 | Lora J Foulk | Specialist/Technologist, Other | 5401 Veterans Memorial Pkwy Ste 100, Saint Peters, MO 63376-1681 | 2009-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740479815 | Paula Webb | Specialist/Technologist, Other | 22105 Lamar Rd, Weston, MO 64098-9179 | 2007-10-15 |
| 1760692875 | Robert Anthony Everette | Specialist/Technologist, Other | 7619 E 76th St, Kansas City, MO 64138-1121 | 2007-05-23 |
| 1821143769 | Francis Leroy Labeaf Jr. | Specialist/Technologist, Other | 13402 Bennington Ave, Grandview, MO 64030-3254 | 2007-01-23 |
| 1568765410 | Barbara A Kovarik | Specialist/Technologist, Other | 14825 N Outer 40 Rd, Chesterfield, MO 63017-2152 | 2010-12-15 |
| 1487956280 | Alexander Mongeot Folsom | Specialist/Technologist, Other | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2010-11-30 |
| 1306089933 | Jessica Andersen | Specialist/Technologist, Other | 520 S Elm Ave, Webster Groves, MO 63119-3845 | 2009-04-13 |
| 1750522439 | Tamara Santarelli | Specialist/Technologist, Other | 520 S Elm Ave, Webster Groves, MO 63119-3845 | 2009-03-10 |
| 1871782649 | Donald Shane Bailey | Specialist/Technologist, Other | 304 S Mount Auburn Rd, Cape Girardeau, MO 63703-4920 | 2007-10-17 |
| 1720270572 | Julie A Walker | Specialist/Technologist, Other | 1 S Keene St, P.o. Box O, Columbia, MO 65201-7199 | 2007-08-15 |
| 1457561573 | Midwest Certified First Assistants | Specialist/Technologist, Other | 7619 E 76th St, Kansas City, MO 64138-1121 | 2007-05-24 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETERS |
| Zip Code | 63376 |
Please comment or provide details below to improve the information on JACKIE R GOOSTREE.
| 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.