DR. MARK UDEY (NPI# 1346372109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346372109 |
| Entity Type | Individual |
| Full Name | DR. MARK UDEY |
| Credential | MD |
| Practice Address |
4921 Parkview Pl Ste 5a Ste 5a Saint Louis MO 63110-1032 |
| Mailing Address |
660 S Euclid Ave C B 8123 Saint Louis MO 63110-1010 |
| Practice Telephone | 3143622643 |
| Practice Fax Number | 3147478693 |
| Mailing Telephone | 3143622643 |
| Mailing Fax Number | 3147478693 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2018-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | R2F14 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
4921 PARKVIEW PL STE 5A STE 5A |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013542877 | Washington University | Clinic/Center | 4921 Parkview Pl Ste 5a, Saint Louis, MO 63110-1032 | 2020-03-11 |
| 1386083194 | Antonina Frolova | Obstetrics & Gynecology | 4921 Parkview Pl Ste 5a, Saint Louis, MO 63110-1032 | 2013-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605906 | Deluxe Dermatology LLC | Dermatology | 1034 S Brentwood Blvd Ste 1000, Saint Louis, MO 63117-1210 | 2020-10-03 |
| 1417597923 | Anna Marie Aiazzi | Dermatology | 10012 Kennerly Rd Ste 401, Saint Louis, MO 63128-2197 | 2020-01-13 |
| 1821482373 | David Cotter | Dermatology | 9450 Minerva Ave, Saint Louis, MO 63114-3910 | 2015-03-23 |
| 1710320767 | Mallory Shiver Abate | Dermatology | 1755 S Grand Blvd Dept of Dermatology, Saint Louis, MO 63104-1540 | 2013-04-09 |
| 1689935728 | Rebecca Joy Chibnall | Dermatology | 5225 Mid America Plz Ste 2300, Ste 2300, Saint Louis, MO 63129-0002 | 2012-06-05 |
| 1285928697 | Urvi Patel | Dermatology | 522 N New Ballas Rd Ste 316, Ste 316, Saint Louis, MO 63141-6840 | 2011-06-02 |
| 1235428582 | Hala Fatima Adil | Dermatology | 2315 Dougherty Ferry Rd Ste 200b, Slucare Dermatology, Saint Louis, MO 63122-3383 | 2011-04-06 |
| 1376852087 | Michael Slade Stratton | Dermatology | 2325 Dougherty Ferry Rd Ste 201, Saint Louis, MO 63122-3356 | 2010-09-29 |
| 1255643813 | Sarah Alison Finger Basak | Dermatology | 12855 N 40 Dr Ste 180, Saint Louis, MO 63141-8657 | 2010-07-11 |
| 1285835454 | Nita Kohli | Dermatology | 4901 Forest Park Ave Ste 502, Ste 502, Saint Louis, MO 63108-1402 | 2007-05-29 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
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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.