PETER FLETCHER (NPI# 1376921361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376921361 |
| Entity Type | Individual |
| Full Name | PETER FLETCHER |
| Credential | M.D. |
| Practice Address |
3015 N Ballas Rd Saint Louis MO 63131 |
| Mailing Address |
3015 N Ballas Rd Saint Louis MO 63131-2329 |
| Practice Telephone | 2146291236 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 2018007971 | MO | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | R74966 | AZ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1501 N Campbell Ave, Tucson, AZ 857240001 | 5206267233 |
| Street Address |
3015 N BALLAS RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861497604 | Allen D Baudendistel | Anesthesiology | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2005-06-17 |
| 1790392991 | Jessica E. Steffens | Advanced Practice Midwife | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-09-30 |
| 1780298711 | Courtney Mcghee | Pharmacist | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-09-08 |
| 1568074466 | Stephanie Chen | Pharmacist | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-08-20 |
| 1720696628 | Missouri Baptist Medical Center | Clinical Medical Laboratory | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-07-16 |
| 1952928665 | Rebecca Goodwillie | Nurse Practitioner | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-06-29 |
| 1487275160 | Emily Beth Anderson | Registered Nurse | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-05-04 |
| 1144841461 | Demitra Marie Nichoalds | Registered Nurse | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-04-27 |
| 1992334676 | Brian Christopher Ritter | Registered Nurse | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-04-05 |
| 1851927180 | Laura Beth Mulcahy | Midwife | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649628454 | Sphere Medical Group | Emergency Medicine | 916 Olive St Fl 4, Saint Louis, MO 63101-1459 | 2016-06-02 |
| 1922448000 | Scott Birdwell | Emergency Medicine | 1st Floor Em Administration, Saint Louis University Hospital 3635 Vista, Saint Louis, MO 63110 | 2013-07-03 |
| 1174963052 | John Blakeney Morrison | Emergency Medicine | 4946 Buckingham Ct, Apt 2w, Saint Louis, MO 63108-1430 | 2013-06-25 |
| 1598109001 | Total Access Urgent Care, PC | Emergency Medicine | 12616 Lamplighter Square Shpg Ctr, Saint Louis, MO 63128-2746 | 2013-04-26 |
| 1003179151 | Sean Oliver Cavanaugh | Emergency Medicine | 660 S Euclid Ave # 8072, Washington University Emergency Medicine, Saint Louis, MO 63110-1010 | 2012-06-22 |
| 1730476573 | Yonitte Kinsella | Emergency Medicine | 660 S. Euclid Ave., Campus Box 8072, Saint Louis, MO 63110 | 2011-06-30 |
| 1023304524 | Mary Samantha Jones | Emergency Medicine | 5733 Mcpherson Ave, Saint Louis, MO 63112-1620 | 2011-06-22 |
| 1851527469 | Kimberly Ann Hess | Emergency Medicine | 621 S New Ballas Rd Ste 1001, Tower B, Saint Louis, MO 63141-8264 | 2009-06-09 |
| 1710130919 | Lee Hunter Young | Emergency Medicine | 5168 Amberglow Dr, Saint Louis, MO 63129-3204 | 2008-10-31 |
| 1306019914 | Stephan Brenner | Emergency Medicine | 4628 Mcpherson Ave, Saint Louis, MO 63108-1937 | 2008-04-04 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63131 |
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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.