JESSICA LYNN UNDERHILL (NPI# 1417362880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417362880 |
| Entity Type | Individual |
| Full Name | JESSICA LYNN UNDERHILL |
| Credential | DO |
| Practice Address |
2345 Dougherty Ferry Rd C/o Medical Education Office Saint Louis MO 63122-3313 |
| Practice Telephone | 3144191533 |
| Mailing Telephone | 3144191533 |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2015-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 0 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
2345 DOUGHERTY FERRY RD C/O MEDICAL EDUCATION OFFICE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63122-3313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093706608 | John Moran | Nurse Anesthetist, Certified Registered | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2005-11-02 |
| 1053938217 | Dina Helina | Family Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2020-07-02 |
| 1457978876 | Nicholas Faron | Family Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2020-07-01 |
| 1366069767 | Kayla Mae Thomason | Family Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2020-07-01 |
| 1669092722 | Cardinal Cardiovascular Center LLC | Internal Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2020-04-19 |
| 1144858523 | Shawn Khosla | Family Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2020-03-31 |
| 1255992905 | Tyler Lyman Marler | Family Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2019-06-24 |
| 1427619196 | Jacob Yankowitz | Family Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2019-06-24 |
| 1639730328 | Monica Anne Unterreiner | Family Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2019-06-24 |
| 1073174751 | Kimberly Schwarzkopf | Family Medicine | 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 | 2019-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790205854 | Zachary Avital Goodman | General Practice | 6642 Clayton Rd # 278, Saint Louis, MO 63117-1602 | 2017-06-20 |
| 1174926224 | Anita Dewan | General Practice | 9917 Grandview Forest Ct, Saint Louis, MO 63127-0046 | 2014-10-03 |
| 1356755201 | Jessica Ellie Ma | General Practice | 216 S Kingshighway Blvd Fl 6, 6th Floor, Saint Louis, MO 63110-1026 | 2014-06-19 |
| 1235550385 | Doctor's On The Way, Inc | General Practice | 712 N 2nd St, Ste 310, Saint Louis, MO 63102-2550 | 2013-12-16 |
| 1518398916 | John Allen Cooper | General Practice | 40 N Kingshighway Blvd Apt 13f, Saint Louis, MO 63108-1343 | 2013-12-10 |
| 1417382821 | Hyung T Kim | General Practice | 11 Crestwood Dr, Saint Louis, MO 63105-3032 | 2013-09-05 |
| 1356617443 | Kirsten Frances Dunn | General Practice | 1040 N Mason Rd Ste 103, Ste 103, Saint Louis, MO 63141-6361 | 2012-03-22 |
| 1902199623 | Care Plus Medical Group LLC | General Practice | 10650 Gateway Blvd, Saint Louis, MO 63132-1802 | 2011-05-27 |
| 1437474202 | Debra Lynne Moss | General Practice | 12929 Ballantine Ct, Saint Louis, MO 63146-3701 | 2010-04-05 |
| 1558538850 | Patrice Lynn Wakefield | General Practice | 514 Donne Ave, Saint Louis, MO 63130-3918 | 2008-05-15 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63122 |
Please comment or provide details below to improve the information on JESSICA LYNN UNDERHILL.
| 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.