WASHINGTON UNIVERSITY CLINICAL ASSOCIATES - MARYLAND MEDICAL (NPI# 1376869255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376869255 |
| Entity Type | Organization |
| Organization Name | WASHINGTON UNIVERSITY CLINICAL ASSOCIATES - MARYLAND MEDICAL |
| Other Organization Name | WUCA-MARYLAND MEDICAL |
| Practice Address |
1110 Highlands Plaza Dr E Suite 375 Saint Louis MO 63110-1350 |
| Practice Telephone | 3143673113 |
| Practice Fax Number | 3144549382 |
| Mailing Telephone | 3143673113 |
| Mailing Fax Number | 3144549382 |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-05-14 |
| Authorized Official Name | MS. CATHY EGHIGIAN (DIRECTOR, CREDENTIALING OPERATIONS) |
| Authorized Official Telephone | 3149350770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| WUCA-Maryland Medical | Doing Business As Name - Organization |
| Street Address |
1110 HIGHLANDS PLAZA DR E SUITE 375 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447209671 | Jacqueline Sue Turner | Obstetrics & Gynecology | 1110 Highlands Plaza Dr E, Suite 280, Saint Louis, MO 63110-1350 | 2006-05-06 |
| 1366817744 | Mid-america Transplant Services | Clinic/Center | 1110 Highlands Plaza Dr E, Saint Louis, MO 63110-1350 | 2015-12-10 |
| 1245625789 | Yogitha Srilu Potini | Internal Medicine | 1110 Highlands Plaza Dr E, Ste 375, Saint Louis, MO 63110-1392 | 2015-04-01 |
| 1407295512 | Chelsea Elizabeth Pearson | Internal Medicine | 1110 Highlands Plaza Dr E, Ste 375, Saint Louis, MO 63110-1392 | 2013-06-21 |
| 1659632883 | Lily Wong | Internal Medicine | 1110 Highlands Plaza Dr E, Ste 375, Saint Louis, MO 63110-1350 | 2012-06-05 |
| 1275891590 | Mid-america Transplant Services | Clinical Medical Laboratory | 1110 Highlands Plaza Dr E, 100, Saint Louis, MO 63110-1350 | 2012-04-24 |
| 1861626574 | Matthew J Bonzelet | Internal Medicine | 1110 Highlands Plaza Dr E, Saint Louis, MO 63110-1350 | 2009-05-08 |
| 1568612216 | Labs, Inc | Clinical Medical Laboratory | 1110 Highlands Plaza Dr E, Suite 100, Saint Louis, MO 63110-1340 | 2008-09-30 |
| 1053561423 | Washington University Clinical Associates | Clinic/Center | 1110 Highlands Plaza Dr E, Suite 375, Saint Louis, MO 63110-1340 | 2008-09-23 |
| 1891981833 | Hope Family Medicine LLC | Legal Medicine | 1110 Highlands Plaza Dr E, Saint Louis, MO 63110-1392 | 2007-09-24 |
| Find all providers in the same location | ||||
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275014953 | Arch Pediatrics LLC | Clinic/Center | 3844 S Lindbergh Blvd Ste 216, Saint Louis, MO 63127-1369 | 2018-08-22 |
| 1174015515 | Washington University Physicians In Illinois, Inc | Clinic/Center | 4511 Forest Park Ave, Saint Louis, MO 63108-2138 | 2018-06-01 |
| 1073022000 | Fairview Heights Medical Group Sc | Clinic/Center | 670 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8573 | 2017-09-21 |
| 1174830640 | Washington University School of Medicine | Clinic/Center | 4921 Parkview Pl Lowr Level, Center for Advanced Medicine, Saint Louis, MO 63110-1032 | 2010-09-07 |
| 1013542877 | Washington University | Clinic/Center | 4921 Parkview Pl Ste 5a, Saint Louis, MO 63110-1032 | 2020-03-11 |
| 1760946156 | Washington University Physicians In Illinois, Inc | Clinic/Center | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2019-01-30 |
| 1003387689 | Victus Physician Services, LLC | Clinic/Center | 12345 West Bend Drive, Suite 201, Saint Louis, MO 63128 | 2018-12-08 |
| 1356822993 | Washington University Physicians In Illinois, Inc | Clinic/Center | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2018-08-22 |
| 1972091825 | Wuca Southwest Pediatrics LLC | Clinic/Center | 6526 Lansdowne Ave, Saint Louis, MO 63109-2654 | 2018-04-26 |
| 1669995403 | Washington University | Clinic/Center | 11125 Dunn Rd Ste 100, Saint Louis, MO 63136-6132 | 2017-07-24 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
Please comment or provide details below to improve the information on WASHINGTON UNIVERSITY CLINICAL ASSOCIATES - MARYLAND MEDICAL.
| 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.