NORTHWEST INFECTIOUS DISEASE SERVICES LLC (NPI# 1306891551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306891551 |
| Entity Type | Organization |
| Organization Name | NORTHWEST INFECTIOUS DISEASE SERVICES LLC |
| Practice Address |
12774 Boenker Ln Bridgeton MO 63044 |
| Mailing Address |
Po Box 776874 Chicago IL 60677-6874 |
| Practice Telephone | 3142917997 |
| Practice Fax Number | 3147391471 |
| Mailing Telephone | 3142917997 |
| Mailing Fax Number | 3147391471 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2019-08-24 |
| Authorized Official Name | MR. PHILLIP G ZINSER (MANAGING PARTNER) |
| Authorized Official Telephone | 3142917997 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 507780401 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11125 Dunn Rd, Ste 412, St Louis, MO 631366148 | 3143557997 |
| Street Address |
12774 BOENKER LN |
| City | BRIDGETON |
| State | MO |
| Zip Code | 63044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760933956 | Jeanalyn Guthrie | Nurse Practitioner | 12774 Boenker Ln, Bridgeton, MO 63044-2436 | 2016-10-22 |
| 1356792196 | Duong Thuy Ho | Nurse Practitioner | 12774 Boenker Ln, Bridgeton, MO 63044-2436 | 2016-06-23 |
| 1417070327 | Molly Frances Caldwell-mcmillan | Internal Medicine | 12774 Boenker Ln, Bridgeton, MO 63044-2436 | 2007-04-06 |
| 1508812579 | Shahzad Hasan | Internal Medicine | 12774 Boenker Ln, Bridgeton, MO 63044-2436 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
| 1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
| 1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
| 1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
| 1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
| 1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
| 1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
| 1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
| 1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
| Find all providers in zip 63044 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831486364 | Julie Ann Shapiro-schere | Internal Medicine | 12776 Boenker Ln, Bridgeton, MO 63044-2436 | 2011-07-05 |
| 1750346904 | Phillip G Zinser | Internal Medicine | 12776 Boenker Ln, Bridgeton, MO 63044-2436 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598242778 | Metro Infectious Disease Consultants, LLC | Internal Medicine | 2340 E Meyer Blvd Ste 348, Kansas City, MO 64132-1129 | 2018-07-20 |
| 1396284303 | Southwest Missouri Infectious Disease LLC | Internal Medicine | 2872 S Forrest Heights Ave, Springfield, MO 65809-3417 | 2017-02-23 |
| 1194125195 | West County Infectious Disease, LLC | Internal Medicine | 16918 Westridge Oaks Dr, Grover, MO 63040-1127 | 2014-08-26 |
| 1306188784 | Rachel T Weihe | Internal Medicine | 200 Ne 54th Street, Suite 111, Kansas City, MO 64118 | 2013-03-22 |
| 1588912448 | Idim | Internal Medicine | 1909 Larimer Trl, Wildwood, MO 63011-4801 | 2012-08-27 |
| 1548524218 | Blessy John | Internal Medicine | 2115 S Fremont Ave Ste 3050, Springfield, MO 65804-2236 | 2012-06-27 |
| 1346532769 | Malcolm Koldin | Internal Medicine | 13 Autumn Shores Ct, Maryland Heights, MO 63043-4913 | 2011-05-03 |
| 1528246071 | Rajashree Gottimukkula | Internal Medicine | 3691 Rutger St Ste 100, Drummond Hall, Saint Louis, MO 63110-2515 | 2008-02-07 |
| 1497943393 | West County Adult Medicine, LLC | Internal Medicine | 224 S Woods Mill Rd Ste 510s, Chesterfield, MO 63017-3611 | 2007-10-05 |
| 1881885044 | Getahun Abate | Internal Medicine | 1100 S. Grand Blvd., Drc-8th Floor, Saint Louis, MO 63104-3325 | 2007-08-05 |
| Find all providers with the same taxonomy | ||||
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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.