DR. DEEPTEE JAIN (NPI# 1497198642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497198642 |
| Entity Type | Individual |
| Full Name | DR. DEEPTEE JAIN |
| Credential | MD |
| Practice Address |
4921 Parkview Pl Ste 6a/6b/12a Saint Louis MO 63110-1032 |
| Mailing Address |
660 S Euclid Ave Cb 8233 Saint Louis MO 63110-1010 |
| Practice Telephone | 3147472500 |
| Practice Fax Number | 3147472598 |
| Mailing Telephone | 3147472500 |
| Mailing Fax Number | 3147472599 |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2019-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 2019024472 | MO | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
2019024472 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
4921 PARKVIEW PL STE 6A/6B/12A |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576359 | Peter D Weiss | Internal Medicine | 4921 Parkview Pl, Ste 14b, Saint Louis, MO 63110-1032 | 2005-05-24 |
| 1881291284 | Brandy R Boyle | Nurse Practitioner | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-10-08 |
| 1225635527 | Faith Fields | Nurse Practitioner | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-10-08 |
| 1912528100 | Kaitlin J Portz | Psychologist | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-04-29 |
| 1437785979 | Jodi Granger | Internal Medicine | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-03-17 |
| 1174159701 | Grace Catherine Keane | Student in an Organized Health Care Education/Training Program | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-03-16 |
| 1740828581 | Michelle Anne Maurer | Nurse Practitioner | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2019-12-11 |
| 1205472487 | Sarah Bohme | Nurse Practitioner | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2019-11-21 |
| 1972145787 | Emily Sarah Cherry | Nurse Practitioner | 4921 Parkview Pl, Ste 11c, Saint Louis, MO 63110-1032 | 2019-10-14 |
| 1871144832 | Sara Ranae Kellahan | Nurse Practitioner | 4921 Parkview Pl, Ste 5c, Saint Louis, MO 63110-1032 | 2019-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396305348 | Advanced Spine Institute LLC | Orthopaedic Surgery | 3009 N Ballas Rd Ste 320a, Saint Louis, MO 63131-2324 | 2019-06-20 |
| 1689173692 | Spine Cin of St Louis LLC | Orthopaedic Surgery | 11628 Old Ballas Rd # 344, Saint Louis, MO 63141-7030 | 2018-02-05 |
| 1881193894 | Optimal Health of Mo, LLC | Orthopaedic Surgery | 11628 Old Ballas Rd # 345, Saint Louis, MO 63141-7030 | 2018-02-05 |
| 1952364796 | Donald A Degrange | Orthopaedic Surgery | 621 S New Ballas Rd Ste 142a, Saint Louis, MO 63141-8254 | 2006-04-11 |
| 1356853683 | Orthopedic and Spine Institute of St. Louis, LLC | Orthopaedic Surgery | 10435 Clayton Rd, Ste 120, Saint Louis, MO 63131 | 2017-10-26 |
| 1154708196 | Jeffrey Michael Hills | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2015-04-29 |
| 1962897504 | Brian Dial | Orthopaedic Surgery | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2015-03-31 |
| 1972914760 | Floreana Andina Naef Kebaish | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2014-05-14 |
| 1659669075 | Rasheed Abiola | Orthopaedic Surgery | 11125 Dunn Rd Ste 301, Saint Louis, MO 63136-6132 | 2011-07-19 |
| 1932490273 | Pooria Salari | Orthopaedic Surgery | 4921 Parkview Pl, Ste 6a/6b/12a, Saint Louis, MO 63110-1032 | 2011-04-20 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
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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.