DR. EDMOND S WEISBART (NPI# 1467455964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467455964 |
| Entity Type | Individual |
| Full Name | DR. EDMOND S WEISBART |
| Credential | MD |
| Practice Address |
4901 Forest Park Ave Wohl Clinic Ste 241 Saint Louis MO 63108-1402 |
| Mailing Address |
660 S Euclid Ave C B 8121 Saint Louis MO 63110-1010 |
| Practice Telephone | 3143625060 |
| Practice Fax Number | 3143626959 |
| Mailing Telephone | 3143625060 |
| Mailing Fax Number | 3143626959 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2018-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 2003028097 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036064108 | 05 | |
| MO | 208314708 | 05 |
| Street Address |
4901 FOREST PARK AVE WOHL CLINIC STE 241 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63108-1402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912523788 | Julie Nicole Milton | Student in an Organized Health Care Education/Training Program | 4901 Forest Park Ave, Saint Louis, MO 63108-1495 | 2020-06-17 |
| 1881153815 | Tiffany Rochelle Anzalone | Nurse Practitioner | 4901 Forest Park Ave, Ste 420, Saint Louis, MO 63108-1495 | 2019-03-19 |
| 1366962201 | Scott Andrew Skillington | Otolaryngology | 4901 Forest Park Ave, Saint Louis, MO 63108-1402 | 2017-06-21 |
| 1366962417 | Amaad Bashir Rana | Internal Medicine | 4901 Forest Park Ave, Ste 241, Saint Louis, MO 63108-1495 | 2017-06-20 |
| 1285087601 | Aisling Elizabeth Doyle | Internal Medicine | 4901 Forest Park Ave, Ste 241, Ms 90-75-555, Saint Louis, MO 63108-1495 | 2016-07-20 |
| 1255784930 | Brandt Thomas Lydon | Internal Medicine | 4901 Forest Park Ave, Ste 241, Ms 90-75-555, Saint Louis, MO 63108-1495 | 2016-07-19 |
| 1992155949 | Joseph Cataquiz Rimando | Internal Medicine | 4901 Forest Park Ave, Ste 241, Ms 90-75-555, Saint Louis, MO 63108-1495 | 2016-06-20 |
| 1104276336 | Shakthi Tapasya Bhaskar | General Practice | 4901 Forest Park Ave, Ste 241, Ms 90-75-555, Saint Louis, MO 63108-1495 | 2016-06-19 |
| 1508216805 | Adam Nicholas Lick | General Practice | 4901 Forest Park Ave, Ste 241, Ms 90-75-555, Saint Louis, MO 63108-1495 | 2016-06-16 |
| 1154771954 | Ting-lin Beatrix Yang | Dermatology | 4901 Forest Park Ave, Ste 502, Saint Louis, MO 63108-1495 | 2016-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
| 1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| Find all providers in zip 63108 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1780223933 | Glenn C. Jacobsen | Internal Medicine | 7 Carrswold Dr, Saint Louis, MO 63105-2914 | 2020-01-04 |
| 1396305868 | Kevin Colin O'fee | Internal Medicine | 1 Barnes Jewish Hospital Plz # 90-29928, Saint Louis, MO 63110-1003 | 2019-06-17 |
| 1144740200 | Michael Slade | Internal Medicine | 660 S Euclid Ave # 8056-29, Saint Louis, MO 63110-1010 | 2017-06-20 |
| 1386171312 | Niaz Memon | Internal Medicine | 625 S New Ballas Rd Ste 7020, Saint Louis, MO 63141-8218 | 2017-05-22 |
| 1043746027 | Paul David Olivo | Internal Medicine | 639 W Polo Dr, Saint Louis, MO 63105-2635 | 2017-05-11 |
| 1649706243 | Jared Frisby | Internal Medicine | 1100 S Grand Blvd Fl 8, Saint Louis, MO 63104-1015 | 2017-05-03 |
| 1518417708 | Md At Home LLC | Internal Medicine | 6 Portland Pl, Saint Louis, MO 63108-1204 | 2016-10-11 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1831540863 | John Kirby Krause Jr. | Internal Medicine | 1031 Highlands Plaza Dr W, Apt 510, Saint Louis, MO 63110-1303 | 2016-06-30 |
| 1104277458 | Vedica Sharma | Internal Medicine | 10010 Kennerly Rd Ste 140, Saint Louis, MO 63128-2106 | 2016-06-28 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63108 |
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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.