MARY KOPSKY (NPI# 1336740828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336740828 |
| Entity Type | Individual |
| Full Name | MARY KOPSKY |
| Practice Address |
615 S New Ballas Rd Suite Yg 230 St. Louis MO 63141 |
| Mailing Address |
7263 Balson Ave 1w St. Louis MO 63130 |
| Practice Telephone | 3142515550 |
| Mailing Telephone | 3144569858 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2019024727 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
615 S NEW BALLAS RD SUITE YG 230 |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629074653 | Stephen R Smith | Anesthesiology | 615 S New Ballas Rd, Sjmmc Dept of Anes, St. Louis, MO 63141 | 2005-06-23 |
| 1447256474 | Christopher J Young | Anesthesiology | 615 S New Ballas Rd, Sjmmc Dept of Anes, St. Louis, MO 63141 | 2005-06-23 |
| 1437155421 | Dennis M Ritter | Anesthesiology | 615 S New Ballas Rd, Sjmmc Dept of Anes, St. Louis, MO 63141 | 2005-06-23 |
| 1184620569 | Thomas E Saak | Anesthesiology | 615 S New Ballas Rd, Sjmmc Dept of Anes, St. Louis, MO 63141 | 2005-06-22 |
| 1902802275 | Rudy M Simeon | Anesthesiology | 615 S New Ballas Rd, Sjmmc Dept of Anes, St. Louis, MO 63141 | 2005-06-22 |
| 1669478947 | Anastasia J White | Anesthesiology | 615 S New Ballas Rd, Sjmmc Dept of Anes, St. Louis, MO 63141 | 2005-06-22 |
| 1760488142 | John D Elliott | Anesthesiology | 615 S New Ballas Rd, Sjmmc Dept of Anes, St. Louis, MO 63141 | 2005-06-22 |
| 1861498149 | Thomas S Stamos | Anesthesiology | 615 S New Ballas Rd, Sjmmc Dept of Anes, St. Louis, MO 63141 | 2005-06-22 |
| 1952307332 | Sam L Page | Anesthesiology | 615 S New Ballas Rd, Sjmmc Dept of Anes, St. Louis, MO 63141 | 2005-06-22 |
| 1902801673 | John P Frank | Anesthesiology | 615 S New Ballas Rd, Sjmmc Dept of Anes, St. Louis, MO 63141 | 2005-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215402011 | Ayse Bahar Budan Caliskan | Pediatrics | Washington University, St. Louis Children's Hospital, One Children's Place, 4n1, St. Louis, MO 63110-1002 | 2018-10-08 |
| 1861987521 | Miranda Lyn Edmunds | Pediatrics | One Children's Place 3s34, St. Louis, MO 63110 | 2018-06-26 |
| 1013402924 | Caroline Kellagher Noel | Pediatrics | St. Louis Children's Hospital, 3s34, One Children's Place, St. Louis, MO 63110 | 2018-06-25 |
| 1063770949 | Margaret Mary Keane | Pediatrics | 1465 South Grand Boulevard, Room 1204, Ssm Cardinal Glennon Children's Medical Center, St. Louis, MO 63104 | 2012-04-27 |
| 1457620916 | Gerald Wool | Pediatrics | 731 Oakbrook Lane, St. Louis, MO 63132-4936 | 2011-12-29 |
| 1255637799 | Kyu S Her | Pediatrics | 624 Haverford Road, St. Louis, MO 63124 | 2011-02-01 |
| 1245469311 | Henry Leroy Knock | Pediatrics | 405 Lennore Ave., St. Louis, MO 63122 | 2009-07-09 |
| 1841432796 | Fahd Aqeeb Ahmad | Pediatrics | #1 Children's Place, St. Louis Children's Hospital, St. Louis, MO 63110 | 2009-03-24 |
| 1043413842 | Kristen M Mennemeier | Pediatrics | 3009 N. Ballas Rd., Suite 257c, St. Louis, MO 63131-2308 | 2007-06-08 |
| 1821218637 | Lisa Marie Schrock | Pediatrics | 1465 South Grand Blvd. Ssm Glennon Care -, Cardinal Glennon Children's Medical Center, St. Louis, MO 63104-1095 | 2007-04-26 |
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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.