KND DEVELOPMENT 59, LLC (NPI# 1386973105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386973105 |
| Entity Type | Organization |
| Organization Name | KND DEVELOPMENT 59, LLC |
| Other Organization Name | 4504 KH ST LOUIS ST ANTHONYS |
| Practice Address |
10018 Kennerly Rd 3rd Floor, Hyland Building B, St. Saint Louis MO 63128-2106 |
| Mailing Address |
680 S 4th St Louisville KY 40202-2407 |
| Practice Telephone | 3145258100 |
| Practice Fax Number | 5025964150 |
| Mailing Telephone | 5025967358 |
| Mailing Fax Number | 8335019731 |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | LINDA L FISHER (SRVP & CFO) |
| Authorized Official Telephone | 5025967358 |
| Is Organization Subpart | Y |
| Parent Organization Name | KINDRED HEALTHCARE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE | MA3115 | 01 |
| Other Name | Type Code |
|---|---|
| 4504 KH ST LOUIS ST ANTHONYS | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366771768 | Knd Development 59, LLC | Hospitalist | 9440 Poppy Dr # 5s, Dallas, TX 75218-3652 | 2009-12-14 |
| 1306334719 | Knd Development 59, LLC | Hospitalist | 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 | 2018-05-01 |
| 1891146866 | Knd Development 59, LLC | Hospitalist | 1550 Silveira Pkwy, San Rafael, CA 94903-4879 | 2016-06-30 |
| 1699123554 | Knd Development 59, LLC | Hospitalist | 8060 Knue Rd, Indianapolis, IN 46250-1976 | 2016-06-01 |
| 1639527591 | Knd Development 59, LLC | Hospitalist | 6001 E Woodmen Rd, 6th Floor, Colorado Springs, CO 80923-2601 | 2016-06-01 |
| 1669820627 | Knd Development 59, LLC | Hospitalist | 2525 S Downing St, 3rd Flood South, Denver, CO 80210-5817 | 2016-06-01 |
| 1750656963 | Knd Development 59, LLC | Hospitalist | 1334 Terry Ave, Seattle, WA 98101-2747 | 2012-03-21 |
| 1942598503 | Knd Development 59, LLC | Hospitalist | 1740 Curie Dr, El Paso, TX 79902-2901 | 2011-07-18 |
| 1235427899 | Knd Development 59, LLC | Hospitalist | 5454 Hohman Ave, Hammond, IN 46320-1931 | 2011-07-18 |
| 1770871253 | Knd Development 59, LLC | Hospitalist | 1930 S Broad St, Philadelphia, PA 19145-2328 | 2011-07-18 |
| Street Address |
10018 KENNERLY RD 3RD FLOOR, HYLAND BUILDING B, ST. |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285655142 | Fred A Partsch | Social Worker | 10018 Kennerly Rd, Saint Louis, MO 63128-2106 | 2006-07-23 |
| 1528534757 | Nena Fajardo | Physical Therapist | 10018 Kennerly Rd, Saint Louis, MO 63128-2106 | 2018-10-15 |
| 1629558044 | Kathryn Sue Tucker | Social Worker | 10018 Kennerly Rd, Saint Louis, MO 63128-2106 | 2018-08-15 |
| 1649782566 | Marcus D Brown | Social Worker | 10018 Kennerly Rd, Saint Louis, MO 63128-2106 | 2017-11-01 |
| 1508397910 | Rada Gibson | Nurse Practitioner | 10018 Kennerly Rd, Saint Louis, MO 63128-2106 | 2017-03-27 |
| 1447706221 | Tericka M Ringler-chien | Social Worker | 10018 Kennerly Rd, Saint Louis, MO 63128-2106 | 2016-08-31 |
| 1003299413 | Ryan Bradley Sondergard | Psychiatry & Neurology | 10018 Kennerly Rd, Saint Louis, MO 63128 | 2015-07-02 |
| 1942687660 | Susan Meyer-neupert | Social Worker | 10018 Kennerly Rd, Saint Louis, MO 63128-2106 | 2015-05-01 |
| 1700263506 | Kathryn Shemwell | Psychiatry & Neurology | 10018 Kennerly Rd, Saint Louis, MO 63128-2106 | 2015-04-30 |
| 1730500364 | Elizabeth Ann Rose | Social Worker | 10018 Kennerly Rd, Saint Louis, MO 63128-2106 | 2013-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679987481 | Ziad Sayedahmad | Hospitalist | 3635 Vista Ave Fl 13, Saint Louis, MO 63110-2539 | 2014-06-19 |
| 1063708238 | Ramya Chinnasamy | Hospitalist | 621 S New Ballas Rd Ste 112a, Saint Louis, MO 63141-8252 | 2011-06-25 |
| 1194779579 | Inpatient Consultants of Missouri Inc | Hospitalist | 12125 Woodcrest Executive Dr, Suite 220, Saint Louis, MO 63141-5001 | 2006-05-20 |
| 1457892606 | Christopher David Neal | Hospitalist | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2017-03-20 |
| 1588013726 | Matthew R Decuffa | Hospitalist | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2016-06-08 |
| 1407216336 | St Anthonys Physician Organization Hospitalist Services, L.c. | Hospitalist | 10010 Kennerly Rd, 3 Southbridge, Saint Louis, MO 63128-2106 | 2016-03-04 |
| 1326420522 | Ivan Nimrod Mugisha | Hospitalist | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2015-06-24 |
| 1528440161 | Wenners Ballard IIi | Hospitalist | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2015-06-19 |
| 1720460355 | Nhila Jagadeesan | Hospitalist | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2015-06-19 |
| 1427439173 | Jordan J Atkins | Hospitalist | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2015-06-17 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
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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.