ST. LOUIS RENAL CARE LLC GRAND (NPI# 1417150178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417150178 |
| Entity Type | Organization |
| Organization Name | ST. LOUIS RENAL CARE LLC GRAND |
| Other Organization Name | FRESENIUS MEDICAL CARE GRAND |
| Practice Address |
3691 Rutger St Suite 222 Saint Louis MO 63110-2515 |
| Practice Telephone | 3142685063 |
| Practice Fax Number | 3142685115 |
| Mailing Telephone | 3142685063 |
| Mailing Fax Number | 3142685115 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS GERDI WINKLER (AREA MANAGER) |
| Authorized Official Telephone | 3148727025 |
| Authorized Official Credential | RN CNN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fresenius Medical Care Grand | Doing Business As Name - Organization |
| Street Address |
3691 RUTGER ST SUITE 222 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649214370 | Chen Su Chiung | Internal Medicine | 3691 Rutger St, Saint Louis, MO 63110-2515 | 2006-06-15 |
| 1407323132 | Susan Jane Elliott | Nurse Practitioner | 3691 Rutger St, Saint Louis, MO 63110-2515 | 2018-10-31 |
| 1205270626 | Catalina Belean | Psychiatry & Neurology | 3691 Rutger St, Saint Louis, MO 63110-2515 | 2013-04-29 |
| 1144558800 | Sarah R Walsh | Occupational Therapist | 3691 Rutger St, Saint Louis, MO 63110-2515 | 2009-11-18 |
| 1235466533 | Sherry Lynne Muir | Occupational Therapist | 3691 Rutger St, Saint Louis, MO 63110-2515 | 2009-11-06 |
| 1598983223 | Carol G. Duane | Registered Nurse | 3691 Rutger St, Suite 100, Saint Louis, MO 63110-2515 | 2007-04-20 |
| 1235251968 | Mary E Hohenberg | Physician Assistant | 3691 Rutger St, Saint Louis, MO 63110-2515 | 2007-04-04 |
| 1720122740 | Elizabeth A Babusis | Internal Medicine | 3691 Rutger St, Saint Louis, MO 63110-2515 | 2007-02-16 |
| 1508905183 | Bishnu P Devkota | Internal Medicine | 3691 Rutger St, Saint Louis, MO 63110-2515 | 2007-02-06 |
| 1881700219 | Robert B Belshe | Internal Medicine | 3691 Rutger St, Suite 100, Saint Louis, MO 63110-2515 | 2006-08-21 |
| 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 | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871049411 | Total Renal Care Inc | Clinic/Center | 8980 Natural Bridge Rd, Saint Louis, MO 63121-3917 | 2016-09-01 |
| 1295139459 | Meadows Dialysis LLC | Clinic/Center | 1554 Sierra Vista Plz, Saint Louis, MO 63138-2040 | 2014-10-17 |
| 1245580570 | Rainer Dialysis LLC | Clinic/Center | 3740 S Jefferson Ave, Saint Louis, MO 63118-3905 | 2012-09-13 |
| 1881980498 | Tugman Dialysis LLC | Clinic/Center | 10241 Lewis and Clark Blvd, Saint Louis, MO 63136-5505 | 2011-06-22 |
| 1497074520 | Gateway St Louis Dialysis LLC | Clinic/Center | 4100 Union Blvd, Saint Louis, MO 63115-1225 | 2010-05-28 |
| 1316173966 | Total Renal Care Inc | Clinic/Center | 3660 Gustine Ave, Saint Louis, MO 63116-3617 | 2009-06-09 |
| 1770719700 | Total Renal Care Inc | Clinic/Center | 9030 Saint Charles Rock Rd, Saint Louis, MO 63114 | 2009-06-04 |
| 1982764387 | Saint Louis Renal Care, LLC | Clinic/Center | 5901 Delmar Blvd, Saint Louis, MO 63112-2028 | 2006-12-08 |
| 1598867772 | Saint Louis Renal Care, LLC | Clinic/Center | Drummond Hall, 3691 Rutger, Suite 222, Saint Louis, MO 63110 | 2006-09-01 |
| 1457463325 | Metro Dialysis Center - Normandy, Inc. | Clinic/Center | 101 N Oaks Plz, Saint Louis, MO 63121-2925 | 2006-08-31 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
Please comment or provide details below to improve the information on ST. LOUIS RENAL CARE LLC GRAND.
| 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.