DR. JOHN MATTHEW FELDER III (NPI# 1336373828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336373828 |
| Entity Type | Individual |
| Full Name | DR. JOHN MATTHEW FELDER III |
| Credential | MD |
| Practice Address |
11155 Dunn Rd Ste 202n Saint Louis MO 63136-6150 |
| Mailing Address |
660 S Euclid Ave Cb 8238 Saint Louis MO 63110-1010 |
| Practice Telephone | 3146535806 |
| Practice Fax Number | 3146535828 |
| Mailing Telephone | 3146535806 |
| Mailing Fax Number | 3146535828 |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2019-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 2015021525 | MO | Allopathic & Osteopathic Physicians |
| N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
2015021525 | MO | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 2015021525 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ENROLLED | 05 | |
| MO | 1336373828 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578715322 | John Thomas Felder | Dentist | 1316 Delaware Ave., Mccomb, MS 39648-3014 | 2008-10-10 |
| Street Address |
11155 DUNN RD STE 202N |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63136-6150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871585356 | Salvador Lobianco | Internal Medicine | 11155 Dunn Rd, Ste: 315e, Saint Louis, MO 63136-6150 | 2005-08-19 |
| 1770047664 | Rachel Marie Biggs | Nurse Practitioner | 11155 Dunn Rd, Ste 209e, Saint Louis, MO 63136-6150 | 2019-01-25 |
| 1245720846 | Kathryn Marie Strope | Nurse Practitioner | 11155 Dunn Rd, Ste 209e, Saint Louis, MO 63136-6150 | 2018-05-18 |
| 1871006957 | Rebecca Diane Poindexter | Counselor | 11155 Dunn Rd, Saint Louis, MO 63136-6150 | 2017-11-10 |
| 1558719617 | Midwest Anesthesia Associates, P.C. | Pain Medicine | 11155 Dunn Rd, Suite 204n, Saint Louis, MO 63136-6150 | 2016-05-31 |
| 1316306194 | Kerri A Smith | Nurse Practitioner | 11155 Dunn Rd, Ste 109n, Saint Louis, MO 63136-6150 | 2016-02-22 |
| 1386064061 | Kathryn Rushing | Registered Nurse | 11155 Dunn Rd, Saint Louis, MO 63136-6150 | 2014-04-22 |
| 1780001446 | Susan Hofmann | Nurse Practitioner | 11155 Dunn Rd, Ste 109n, Saint Louis, MO 63136-6150 | 2014-03-19 |
| 1114348380 | St Louis Heart and Vascular P.C. | Clinic/Center | 11155 Dunn Rd, Suite 304e, Saint Louis, MO 63136-6150 | 2013-12-13 |
| 1972845998 | Amanda N Ventimiglia | Nurse Practitioner | 11155 Dunn Rd, Suite 304e, Saint Louis, MO 63136-6150 | 2013-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565993 | Dorothy Smith | Home Health | 2531 Nathan Drive, St Louis, MO 63136 | 2020-10-16 |
| 1538784459 | Rita D Wilson | Technician | 9597 Jacobi Ave Bldg 33 Apt 7, Saint Louis, MO 63136 | 2020-06-16 |
| 1922646728 | Eduhealth Personal Care Services | Technician | 5843 Eagle Valley Dr Saint Louis Mo 63136, Saint Louis, MO 63136 | 2019-12-12 |
| 1558912964 | Homers Haven Home Care LLC | Home Health | 5636 Pamplin Pl, St Louis, MO 63136 | 2019-09-26 |
| 1366096703 | Chloe Suzanne Datillo | Nurse Practitioner | 2865 Netherton Dr., St Louis, MO 63136 | 2019-07-24 |
| 1053976431 | U Auto Be Quik LLC | Non-emergency Medical Transport (VAN) | 10352 Castle Drive, St. Louis, MO 63136 | 2019-05-01 |
| 1164945895 | A Plus Home Health Services LLC | Home Health | 9517 Wilson Bridge Drive, Saint Louis, MO 63136 | 2017-07-25 |
| 1184150302 | Fairview Village Adult Day Care LLC | Clinic/Center | 8449 Jennings Station Rd, Fairview Village Adult Day Care, Saint Louis, MO 63136 | 2017-05-08 |
| 1023541182 | Lots of Love Home Health Services | In Home Supportive Care | 4144 Lindell Blvd. Suite 218, Saint Louis, MO 63136 | 2017-04-06 |
| 1912440876 | Carestl Health | Clinic/Center | 7047 Emma Ave, Jennings, MO 63136 | 2016-11-28 |
| Find all providers in zip 63136 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972954345 | Bryce Decidue Stash | Plastic Surgery | 1720 Chouteau Ave, Saint Louis, MO 63103-3112 | 2016-06-28 |
| 1972732089 | Michael Joseph Franco | Plastic Surgery | 4100 Forest Park Ave Apt 410, Saint Louis, MO 63108-2891 | 2009-07-09 |
| 1942211065 | Midwest Plastic & Hand Surgery Inc | Plastic Surgery | 621 South New Ballas Road, Suite 6003b, Saint Louis, MO 63141 | 2006-08-11 |
| 1790766186 | Kamlesh B Patel | Plastic Surgery | 4921 Parkview Pl Ste 6g, Ste 6g, Saint Louis, MO 63110-1032 | 2005-11-11 |
| 1942811435 | Stahs Pripotnev | Plastic Surgery | 4921 Parkview Pl Ste 6g, Saint Louis, MO 63110-1032 | 2020-08-10 |
| 1821614652 | Erin Peterson | Plastic Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-06-17 |
| 1871147876 | Blair Peters | Plastic Surgery | 4921 Parkview Pl Ste 6g, Saint Louis, MO 63110-1032 | 2019-07-29 |
| 1346801891 | Damini Tandon | Plastic Surgery | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2019-06-25 |
| 1639739717 | Alexandra Marie Keane | Plastic Surgery | 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 | 2019-06-19 |
| 1275027328 | Danielle Jere Brown | Plastic Surgery | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2018-06-20 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63136 |
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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.