MARK D WITTRY (NPI# 1497721088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497721088 |
Entity Type | Individual |
Full Name | MARK D WITTRY |
Credential | MD |
Practice Address |
615 S New Ballas Rd Dept of Nuclear Medicine Saint Louis MO 63141-8221 |
Mailing Address |
11475 Olde Cabin Rd Suite 200 Saint Louis MO 63141-7128 |
Practice Telephone | 3142516465 |
Practice Fax Number | 3142514286 |
Mailing Telephone | 3149918200 |
Mailing Fax Number | 3149918206 |
Enumeration Date | 2006-02-24 |
Last Update Date | 2016-02-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
R5F02 | MO | Allopathic & Osteopathic Physicians |
N | 207U00000X | Nuclear Medicine | 036069181 | IL | Allopathic & Osteopathic Physicians |
Y | 207U00000X | Nuclear Medicine | R5F02 | MO | Allopathic & Osteopathic Physicians |
N | 207UN0902X |
Nuclear Medicine Specialization: Nuclear Imaging & Therapy |
R5F02 | MO | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
R5F02 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 202885919 | 05 |
Street Address |
615 S NEW BALLAS RD DEPT OF NUCLEAR MEDICINE |
City | SAINT LOUIS |
State | MO |
Zip Code | 63141-8221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780689182 | Robert W Allen | Anesthesiology | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2005-06-14 |
1033722061 | Ashley Maull | Nurse Practitioner | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-08-28 |
1508476367 | Ryan Nathan | Student in an Organized Health Care Education/Training Program | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-08-06 |
1992315857 | Corey Weicht | Nurse Practitioner | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-08-05 |
1063021905 | Alexandria Colleen Grodie | Nurse Practitioner | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-07-27 |
1396353892 | Fahad Bin Tahir | Internal Medicine | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-07-21 |
1588281307 | Alexander Cai | Dentist | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-06-26 |
1083231070 | Lauren Gonzalez | Anesthesiologist Assistant | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-06-25 |
1780200253 | Matthew Davis | Internal Medicine | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-06-22 |
1902422421 | Megan Reidy Landis | Family Medicine | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-06-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
Find all providers in zip 63141 |
Taxonomy Code | 207U00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Nuclear Medicine |
A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Nuclear Medicine, 2007. http://www.abnm.org/. A doctor of osteopathy was able to obtain a Certificate of Added Qualifications in the field of Nuclear Medicine. The Certificate is NO longer offered. - American Osteopathic Board of Nuclear Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Nuclear Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477890184 | Syed Sertaj Akhtar | Nuclear Medicine | 1045 Pinegate Dr, Saint Louis, MO 63122-2409 | 2013-01-15 |
1740306067 | Asif Moinuddin | Nuclear Medicine | 8985 S Swan Cir, Saint Louis, MO 63144-1717 | 2007-03-21 |
1902442650 | Amir Iravani Tabrizipour | Nuclear Medicine | 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 | 2019-11-18 |
1942850078 | Paul-robert Derenoncourt | Nuclear Medicine | 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 | 2019-09-20 |
1750728192 | Malak Itani | Nuclear Medicine | 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 | 2013-05-24 |
1962750265 | Rashmi Jain | Nuclear Medicine | 615 S New Ballas Rd, Dept of Nuclear Medicine/radiology, Saint Louis, MO 63141-8221 | 2012-08-17 |
1407118318 | Michael S. Moritz | Nuclear Medicine | 615 S New Ballas Rd, Saint Louis, MO 63141 | 2012-06-15 |
1104132331 | Garima Agrawal | Nuclear Medicine | 660 S Euclid Ave, Cmps Box 8131, Wash Univ-dept of Nuclear Medicine, Saint Louis, MO 63110-1010 | 2010-08-25 |
1154549459 | St Louis University | Nuclear Medicine | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2007-04-23 |
1063506392 | Farrokh Dehdashti | Nuclear Medicine | 510 S Kingshighway Blvd, Saint Louis, MO 63110-1016 | 2006-10-03 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63141 |
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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.