EMMETT M BENTLEY (NPI# 1487725966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487725966 |
| Entity Type | Individual |
| Full Name | EMMETT M BENTLEY |
| Credential | D.O. |
| Practice Address |
2345 Dougherty Ferry Rd Saint Louis MO 63122-3313 |
| Mailing Address |
800 Saint Paul Rd Wildwood MO 63021-6011 |
| Practice Telephone | 3149669590 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
DOR9613 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
2345 DOUGHERTY FERRY RD |
| 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 | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609247543 | Muhammad Atif Atlaf Salyana | Pathology | 3635 Vista Ave Fl 4, Saint Louis University Hospital- Pathology Residency, Saint Louis, MO 63110-2539 | 2015-10-19 |
| 1194193326 | Mid-america Pathology Consultants, LLC | Pathology | 12898 Thornhill Ct, Saint Louis, MO 63131-1883 | 2015-09-03 |
| 1407260938 | Selvaraj Muthusamy | Pathology | 1325 S Grand Blvd, Room 436, Saint Louis, MO 63104-1018 | 2014-06-12 |
| 1184050031 | Rosa Perez Toro | Pathology | 350 Country Glen Ln, Saint Louis, MO 63141-6637 | 2013-09-24 |
| 1629326137 | Andrew Stephen Koopmeiners | Pathology | 660 So. Euclid, Box 8118, Washington University Department of Pathology, Saint Louis, MO 63108 | 2012-08-15 |
| 1912052416 | Mark Alan Hiken | Pathology | 9129 Wrenwood Ln, Saint Louis, MO 63144-1603 | 2007-01-24 |
| 1790849842 | John Todd Meredith | Pathology | 2040 Concourse Dr, Saint Louis, MO 63146-4119 | 2006-12-21 |
| 1255424974 | Jamie Cassity | Pathology | One Barnes-jewish Hospital Plaza, Saint Louis, MO 63110-1092 | 2006-10-02 |
| 1750315958 | Timothy D Fagen | Pathology | 1402 S Grand Blvd Ste M260, St Louis University Gme, Saint Louis, MO 63104-1004 | 2006-07-11 |
| 1316994726 | Sandra Faye Gibson | Pathology | 915 N Grand Blvd Pathology and Lab 113-jc, Va Medical Center, Saint Louis, MO 63106-1621 | 2006-05-30 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63122 |
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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.