DR. STANLEY MATHEW (NPI# 1376644484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376644484 |
| Entity Type | Individual |
| Full Name | DR. STANLEY MATHEW |
| Credential | MD |
| Practice Address |
201 Bjc Saint Peters Dr Ste 200 Saint Peters MO 63376-3385 |
| Mailing Address |
670 Mason Ridge Center Dr Ste 300 Saint Louis MO 63141-8573 |
| Practice Telephone | 6369169515 |
| Practice Fax Number | 6369169848 |
| Mailing Telephone | 6369169615 |
| Mailing Fax Number | 6369169848 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2015-11-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
MD 105334 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 208912147 | 05 | |
| MO | 208912121 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003053653 | Stanley John Mathew | Physical Medicine & Rehabilitation | 1026 A Ave Ne, Suite 3026, Cedar Rapids, IA 52402-5036 | 2009-01-17 |
| Street Address |
201 BJC SAINT PETERS DR STE 200 |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63376-3385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356349609 | Kurt A Piening | Internal Medicine | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3091 | 2005-07-11 |
| 1972059897 | Forefront Dermatology, S.c. | Dermatology | 201 Bjc Saint Peters Dr, Suite 101, Saint Peters, MO 63376 | 2016-08-31 |
| 1497101133 | Jennifer Hunn | Clinical Nurse Specialist | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3385 | 2016-05-12 |
| 1144656893 | Melinda Mcfadden | Nurse Practitioner | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3091 | 2013-09-25 |
| 1952560260 | Dianna J. Ohlman | Nurse Practitioner | 201 Bjc Saint Peters Dr, Ste 200, Saint Peters, MO 63376-3385 | 2008-06-03 |
| 1821283193 | Jose Marino Parra | Emergency Medicine | 201 Bjc Saint Peters Dr, Ste. 200, Saint Peters, MO 63376-3385 | 2007-09-10 |
| 1033314976 | Kellie M Odonnell-stockton | Nurse Practitioner | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3091 | 2007-06-20 |
| 1336344274 | Kimberly G Weiss | Nurse Practitioner | 201 Bjc Saint Peters Dr, Suite 100, Saint Peters, MO 63376-3091 | 2007-06-20 |
| 1639212335 | Ranjani P Ramanathan | Internal Medicine | 201 Bjc Saint Peters Dr, Ste 206, Saint Peters, MO 63376-3385 | 2007-02-14 |
| 1467562983 | Bibi Irum Hasnain | Internal Medicine | 201 Bjc Saint Peters Dr, Ste 200, Saint Peters, MO 63376-3385 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
| 1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
| 1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
| 1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
| Find all providers in zip 63376 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1659869857 | Vvasudevan LLC | Internal Medicine | 5600 Mexico Rd Ste 21, Saint Peters, MO 63376-1660 | 2018-04-24 |
| 1629179445 | Endocrine Consultants LLC | Internal Medicine | 70 Jungermann Cir, Suite 200, Saint Peters, MO 63376-1622 | 2006-09-26 |
| 1467562983 | Bibi Irum Hasnain | Internal Medicine | 201 Bjc Saint Peters Dr, Ste 200, Saint Peters, MO 63376-3385 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811467053 | Missouri Obesity Center,llc | Internal Medicine | 1601 E Broadway Ste 160, Columbia, MO 65201-5821 | 2018-11-30 |
| 1427468164 | Naser Eddin Munir Naser Gharaibeh | Internal Medicine | 100 Mercy Way Ste 580, Joplin, MO 64804-4524 | 2014-05-03 |
| 1306144506 | James Neal Greene | Internal Medicine | 1259 Pine Dr, Mount Vernon, MO 65712-0145 | 2011-03-11 |
| 1285944850 | Richardson Endocrine Care LLC | Internal Medicine | 2865 Netherton Drive, St Louis, MO 63136-4674 | 2010-10-18 |
| 1992019921 | Jonathan David Bortz | Internal Medicine | 8117 Stanford Ave, Saint Louis, MO 63130-3617 | 2010-08-02 |
| 1750543518 | Gurkiran Dhindsa | Internal Medicine | 1023 Executive Parkway Dr Ste 2, Creve Coeur, MO 63141-6323 | 2008-07-01 |
| 1538289343 | Rojanasathit,m.d.p.c. | Internal Medicine | 11155 Dunn Rd Ste 201e, Saint Louis, MO 63136-6149 | 2007-03-29 |
| 1245372226 | Robert Charles Packman | Internal Medicine | 34 Oak Park Dr, Creve Coeur, MO 63141-8428 | 2007-02-13 |
| 1528131711 | Zdzislaus Joseph Wanski | Internal Medicine | 1150 State Hwy 248 Suite 102, Branson, MO 65616 | 2006-11-16 |
| 1396840583 | Lavonne A Berg | Internal Medicine | 1551 N. Oakland, Bolivar, MO 65613 | 2006-09-13 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETERS |
| Zip Code | 63376 |
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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.