MISSOURI BAPTIST MEDICAL CENTER (NPI# 1467461434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467461434 |
| Entity Type | Organization |
| Organization Name | MISSOURI BAPTIST MEDICAL CENTER |
| Practice Address |
3015 N Ballas Rd Saint Louis MO 63131-2329 |
| Practice Telephone | 3149965000 |
| Practice Fax Number | 3149963610 |
| Mailing Telephone | 3149965000 |
| Mailing Fax Number | 3149963610 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2016-06-30 |
| Authorized Official Name | MS. AMY DESART (VICE PRESIDENT FINANCE AND CFO) |
| Authorized Official Telephone | 3149965119 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | Hospitals | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HEALTH LINK | 103189 | 01 | |
| AETNA PPO | 6350715 | 01 | |
| AETNA HMO | 0536913 | 01 | |
| MERCY HEALTH PLANS | 260108 | 01 | |
| UNITED HEALTH CARE | 5000192 | 01 | |
| BLUE CROSS | 109 | 01 | |
| MO | 540419306 | 05 | |
| MO | 010419307 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154722841 | Missouri Baptist Medical Center | Pharmacy | 3844 S Lindbergh Blvd Ste 150, Saint Louis, MO 63127-1368 | 2014-09-12 |
| 1720696628 | Missouri Baptist Medical Center | Clinical Medical Laboratory | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-07-16 |
| 1720429624 | Missouri Baptist Medical Center | General Acute Care Hospital | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2013-07-09 |
| 1992959381 | Missouri Baptist Medical Center | General Acute Care Hospital | 3009 N Ballas Rd, Saint Louis, MO 63131-2322 | 2008-11-11 |
| 1558370528 | Missouri Baptist Medical Center | General Practice | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2006-08-07 |
| 1487663506 | Missouri Baptist Medical Center | General Acute Care Hospital | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2006-08-07 |
| 1326056193 | Missouri Baptist Medical Center | Rehabilitation Unit | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2006-08-04 |
| 1528017266 | Missouri Baptist Medical Center | Pharmacy | 3023 N Ballas Rd, Suite 100d, Saint Louis, MO 63131-2330 | 2006-05-09 |
| Street Address |
3015 N BALLAS RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63131-2329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861497604 | Allen D Baudendistel | Anesthesiology | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2005-06-17 |
| 1790392991 | Jessica E. Steffens | Advanced Practice Midwife | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-09-30 |
| 1780298711 | Courtney Mcghee | Pharmacist | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-09-08 |
| 1568074466 | Stephanie Chen | Pharmacist | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-08-20 |
| 1720696628 | Missouri Baptist Medical Center | Clinical Medical Laboratory | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-07-16 |
| 1952928665 | Rebecca Goodwillie | Nurse Practitioner | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-06-29 |
| 1487275160 | Emily Beth Anderson | Registered Nurse | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-05-04 |
| 1144841461 | Demitra Marie Nichoalds | Registered Nurse | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-04-27 |
| 1992334676 | Brian Christopher Ritter | Registered Nurse | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-04-05 |
| 1851927180 | Laura Beth Mulcahy | Midwife | 3015 N Ballas Rd, Saint Louis, MO 63131-2329 | 2020-03-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| 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 | 63131 |
Please comment or provide details below to improve the information on MISSOURI BAPTIST MEDICAL CENTER.
| 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.