BRUCE A KRAEMER (NPI# 1356445571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356445571 |
Entity Type | Individual |
Full Name | BRUCE A KRAEMER |
Credential | MD |
Practice Address |
3635 Vista 3rd Floor St Louis MO 63110 |
Mailing Address |
3691 Rutger Ave Provider Enrollment St Louis MO 63110 |
Practice Telephone | 3145778793 |
Practice Fax Number | 3142685062 |
Mailing Telephone | 3149774440 |
Enumeration Date | 2006-09-08 |
Last Update Date | 2008-01-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
R2E24 | MO | Allopathic & Osteopathic Physicians |
Street Address |
3635 VISTA 3RD FLOOR |
City | ST LOUIS |
State | MO |
Zip Code | 63110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194829705 | Donald L Kaminski | Surgery | 3635 Vista, 3rd Floor, St Louis, MO 63110 | 2006-09-12 |
1598869109 | William F Sasser | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3635 Vista, 3rd Floor, St Louis, MO 63110 | 2006-09-12 |
1003910225 | Eddy C Hsueh | Surgery | 3635 Vista, 3rd Floor, St Louis, MO 63110 | 2006-09-08 |
1629172846 | Carl Freeman | Surgery | 3635 Vista, 3rd Fl, St Louis, MO 63110 | 2006-09-08 |
1457455677 | Richard D. Bucholz | Neurological Surgery | 3635 Vista, 3rd Fl, St Louis, MO 63110 | 2006-09-08 |
1073617296 | Ralph J Graff | Surgery | 3635 Vista, 3rd Fl, St Louis, MO 63110 | 2006-09-08 |
1932202363 | Keith S Naunheim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3635 Vista, 3rd Floor Department of Surgery, St Louis, MO 63110 | 2006-09-07 |
1972614626 | Saleem I Abdulrauf | Neurological Surgery | 3635 Vista, 3rd Fl, St Louis, MO 63110 | 2006-08-31 |
1639288236 | Robert M Maloney | Urology | 3635 Vista, 3rd Fl, St Louis, MO 63110 | 2006-08-29 |
1336258995 | Paolo R Salvalaggio | Surgery | 3635 Vista, 3rd Floor, St Louis, MO 63110 | 2006-08-29 |
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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 | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710950043 | St Louis University | Surgery | 3660 Vista Ave, St Louis, MO 63110 | 2006-02-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285126060 | Ameya Atul Chumble | Surgery | 1 Hospital Dr Rm M349, Columbia, MO 65212-1000 | 2018-06-06 |
1689103053 | Angela Hulsey | Surgery | 1 Hospital Dr # M349, Columbia, MO 65212-1000 | 2017-06-08 |
1265813950 | Brandon Lambiris | Surgery | 1 Hospital Dr # Dc064.00, Division of Plastic Surgery, Columbia, MO 65212-1000 | 2015-06-18 |
1972923126 | Rafi Fredman | Surgery | 1551 Wall St Ste 420, Saint Charles, MO 63303-3541 | 2014-04-25 |
1497096820 | Ali A Arbab | Surgery | 10316 Prairie View Road, Kansas City, MO 64153 | 2013-03-11 |
1871781765 | Andrew J Kochevar | Surgery | 1229 E Seminole St Ste 340, Springfield, MO 65804 | 2007-10-04 |
1154527190 | Jonathan Amspacher | Surgery | 5204 N Belt Hwy, Saint Joseph, MO 64506-1211 | 2007-06-26 |
1073676755 | Parkcrest Plastic Surgery, Inc. | Surgery | 845 N. New Ballas Court, Suite 300, Saint Louis, MO 63141-7083 | 2006-12-18 |
1992895312 | Jeffrey A Goldstein | Surgery | 2401 Gilham Avenue, Kansas City, MO 64108 | 2006-10-14 |
1164536710 | Brock Davis Ridenour | Surgery | 12460 Olive Blvd, Suite 202, Saint Louis, MO 63141-6409 | 2006-08-19 |
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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.