TOTAL ACCESS URGENT CARE, PC (NPI# 1477061166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477061166 |
| Entity Type | Organization |
| Organization Name | TOTAL ACCESS URGENT CARE, PC |
| Practice Address |
2980 Dougherty Ferry Rd Saint Louis MO 63122 |
| Mailing Address |
13861 Manchester Rd Ballwin MO 63011-4503 |
| Practice Telephone | 6365298411 |
| Practice Fax Number | 6365298412 |
| Mailing Telephone | 6365560114 |
| Mailing Fax Number | 3142703694 |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |
| Authorized Official Name | DR. MATTHEW M BRUCKEL (PRESIDENT) |
| Authorized Official Telephone | 3149612255 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | TOTAL ACCESS URGENT CARE, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | 000015584 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968432 | Total Access Urgent Care, PC | Clinic/Center | 1001 Southern Ridge Ln, Lake Saint Louis, MO 63367-4000 | 2020-07-06 |
| 1043855802 | Total Access Urgent Care, PC | Clinic/Center | 915 N Kirkwood Rd, Kirkwood, MO 63122-2665 | 2019-11-15 |
| 1194368019 | Total Access Urgent Care, PC | Clinic/Center | 408 Brothers Dr, Festus, MO 63028-2139 | 2019-10-23 |
| 1073171260 | Total Access Urgent Care, PC | Clinic/Center | 9538 Gravois Rd, Affton, MO 63123-4558 | 2019-06-03 |
| 1760945059 | Total Access Urgent Care, PC | Clinic/Center | 600 Mid Rivers Mall Dr, Saint Peters, MO 63376-2460 | 2019-04-12 |
| 1770042954 | Total Access Urgent Care, PC | Clinic/Center | 6940 S Lindbergh Blvd, Saint Louis, MO 63125-4219 | 2019-03-18 |
| 1821553918 | Total Access Urgent Care, PC | Clinic/Center | 2501 Clarkson Rd, Chesterfield, MO 63017-7398 | 2019-02-04 |
| 1245714849 | Total Access Urgent Care, PC | Clinic/Center | 1005 S Big Bend Blvd, Saint Louis, MO 63117-1605 | 2018-09-19 |
| 1447730742 | Total Access Urgent Care, PC | Clinic/Center | 4400 Telegraph Road, 4400 Telegraph Road, St. Louis, MO 63129 | 2018-08-16 |
| 1861972374 | Total Access Urgent Care, PC | Clinic/Center | 2138 1st Capitol Dr, Saint Charles, MO 63301-5804 | 2018-08-15 |
| Street Address |
2980 DOUGHERTY FERRY RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63122 |
| 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 |
| 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 |
| 1396016200 | Sensible Dental - Kirkwood | Dentist | 1202 S. Kirkwood Road, Kirkwood, MO 63122 | 2012-01-24 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639782121 | Veterans Advantage Urgent Care,inc | Clinic/Center | 1901 Washington Ave, Saint Louis, MO 63103-1623 | 2020-08-25 |
| 1770042954 | Total Access Urgent Care, PC | Clinic/Center | 6940 S Lindbergh Blvd, Saint Louis, MO 63125-4219 | 2019-03-18 |
| 1245714849 | Total Access Urgent Care, PC | Clinic/Center | 1005 S Big Bend Blvd, Saint Louis, MO 63117-1605 | 2018-09-19 |
| 1356823397 | Total Access Urgent Care P.C. | Clinic/Center | 2060 Hampton Ave, Saint Louis, MO 63139-2903 | 2018-09-06 |
| 1013440593 | Total Access Urgent Care, PC | Clinic/Center | 3114 S Grand Blvd, Saint Louis, MO 63118-1012 | 2017-04-11 |
| 1386081867 | American Current Care Pa | Clinic/Center | 6542 Manchester Ave, Saint Louis, MO 63139-3520 | 2013-05-24 |
| 1477897072 | Metro Urgent Care LLC | Clinic/Center | 123 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307 | 2012-11-20 |
| 1740319284 | Integra Physicians Urgent Care Centers, LLC | Clinic/Center | 12161 Manchester Rd, Saint Louis, MO 63131-4310 | 2007-03-02 |
| 1164059556 | Virtualnicu | Clinic/Center | 10 Warridge Dr, Saint Louis, MO 63124-1166 | 2020-03-25 |
| 1073903712 | American Current Care of Kansas Pa | Clinic/Center | 3100 Market St, Saint Louis, MO 63103-2528 | 2015-02-03 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63122 |
Please comment or provide details below to improve the information on TOTAL ACCESS URGENT CARE, PC.
| 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.