DR. JAQUELYN FITCH FLECKENSTEIN (NPI# 1386600864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386600864 |
| Entity Type | Individual |
| Full Name | DR. JAQUELYN FITCH FLECKENSTEIN |
| Credential | MD |
| Practice Address |
10 Barnes West Dr Pob 2 Saint Louis MO 63141-6287 |
| Mailing Address |
660 S Euclid Ave C B 8124 Saint Louis MO 63110-1010 |
| Practice Telephone | 3144747206 |
| Practice Fax Number | 3147472460 |
| Mailing Telephone | 3144747206 |
| Mailing Fax Number | 3147472460 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2018-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
2012005908 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1386600864 | 05 | |
| IL | ENROLLED | 05 |
| Street Address |
10 BARNES WEST DR POB 2 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-6287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134465743 | Tracee Shanae Raife | Nurse Practitioner | 10 Barnes West Dr, Suite 100, Saint Louis, MO 63141-6350 | 2012-12-31 |
| 1689973810 | Elizabeth Laura Lin | Internal Medicine | 10 Barnes West Dr, Pob 2 Ste 200, Saint Louis, MO 63141-6287 | 2011-03-28 |
| 1518272673 | Washington University | Pharmacy | 10 Barnes West Dr, Building 2, Suite 100, Saint Louis, MO 63141-6350 | 2010-08-13 |
| 1528292174 | Tiffany Biason Dy | Internal Medicine | 10 Barnes West Dr, Pob 2 Ste 200, Saint Louis, MO 63141-6287 | 2009-05-12 |
| 1669633889 | Jennifer Marie Monroy | Internal Medicine | 10 Barnes West Dr, Pob 2 Ste 200, Saint Louis, MO 63141-6287 | 2008-06-19 |
| 1154581775 | Marina Litvin | Internal Medicine | 10 Barnes West Dr, Pob 2 Ste 200, Saint Louis, MO 63141-6287 | 2008-06-17 |
| 1023299393 | Carlos Alfonso Quilala Santos | Internal Medicine | 10 Barnes West Dr, Pob 2 Ste 200, Saint Louis, MO 63141-6350 | 2007-11-15 |
| 1609074558 | Jonas Marschall | Internal Medicine | 10 Barnes West Dr, Pob 2 Ste 200, Saint Louis, MO 63141-6350 | 2007-07-03 |
| 1801004817 | Eric J Ruettgers | Nurse Practitioner | 10 Barnes West Dr, Pob 2 Ste 200, Saint Louis, MO 63141-6287 | 2007-05-21 |
| 1588872758 | Reema Hameed Syed | Internal Medicine | 10 Barnes West Dr, Ste 200, Saint Louis, MO 63141-6287 | 2007-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1215359484 | Advanced Gastroenterology & Colon Cancer Screening Center LLC | Internal Medicine | 763 S New Ballas Rd # 265, Saint Louis, MO 63141-8704 | 2014-01-07 |
| 1689014276 | Antonio Ricardo Cheesman Rocca | Internal Medicine | 1225 S Grand Blvd Fl 3, Saint Louis, MO 63104-1016 | 2013-06-27 |
| 1720346729 | Kayci Renee Huff-hardy | Internal Medicine | 621 S New Ballas Rd Ste 437a, Saint Louis, MO 63141-8259 | 2012-04-26 |
| 1750676664 | Parul Gor | Internal Medicine | 615 S New Ballas Rd Ste 1200, Saint Louis, MO 63141 | 2011-06-20 |
| 1902034499 | Giao Vuong | Internal Medicine | 6400 Clayton Rd Ste 216, Saint Louis, MO 63117-1850 | 2009-06-23 |
| 1790908820 | Kishore Maganty | Internal Medicine | 522 N New Ballas Rd Ste 210, Saint Louis, MO 63141-6829 | 2007-04-10 |
| 1043309792 | Robert M Mcmahon | Internal Medicine | 1610 Des Peres Rd Ste 150, Saint Louis, MO 63131-1863 | 2006-10-12 |
| 1154418119 | Hugo A Villarreal | Internal Medicine | 13276 Manchester Rd, Saint Louis, MO 63131-1706 | 2006-10-09 |
| 1952494932 | Muhammad A. Nyazee | Internal Medicine | 11155 Dunn Rd Ste 212e, Saint Louis, MO 63136-6166 | 2006-10-02 |
| 1487745360 | David J Costigan | Internal Medicine | 10007 Kennerly Rd, Saint Louis, MO 63128-2179 | 2006-09-27 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
Please comment or provide details below to improve the information on DR. JAQUELYN FITCH FLECKENSTEIN.
| 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.