MR. BRADLEY KEITH PUGH (NPI# 1497913347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497913347 |
| Entity Type | Individual |
| Full Name | MR. BRADLEY KEITH PUGH |
| Credential | MS |
| Practice Address |
11627 Gravois Road Midwest Hearing Center Saint Louis MO 63126 |
| Practice Telephone | 3147291326 |
| Practice Fax Number | 3147291056 |
| Mailing Telephone | 3147291326 |
| Mailing Fax Number | 3147291056 |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 01415 | MO | Speech, Language and Hearing Service Providers |
| Street Address |
11627 GRAVOIS ROAD MIDWEST HEARING CENTER |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639725088 | Shelby Ann Kroeger | Physical Therapist | 29 Ronnie's Plaza, Saint Louis, MO 63126 | 2019-08-12 |
| 1396044186 | Kristin Cassidy | Occupational Therapist | 11660 Eddie and Park Rd, Saint Louis, MO 63126 | 2011-03-21 |
| 1780707034 | William Anthony Taylor Sr. | Dentist | 9730 E Watson Rd, Suite # 1, St. Louis, MO 63126 | 2007-04-09 |
| 1265576904 | Gerda Monika Thalheimer | Dentist | 11627 Gravois Rd, St Louis, MO 63126 | 2007-02-16 |
| 1841347341 | Teralandur K. Parthasarathy | Audiologist | #30 Ronnie's Plaza, St. Louis, MO 63126 | 2007-01-05 |
| 1255402624 | Paul Arthur Lapoint | Optometrist | 11611 Gravois Road, St Louis, MO 63126 | 2006-11-10 |
| 1003998907 | Jeff Thompson | Optometrist | 211 Watson Plaza, St. Louis, MO 63126 | 2006-10-19 |
| 1992802433 | Rc Physician Services, LLC | Family Medicine | 9200 Watson Rd., St Louis, MO 63126 | 2006-09-19 |
| 1386753184 | Cynthia Diane Newell | Social Worker | Personal Potentials Inc., 10000 Watson Rd #2l18, St Louis, MO 63126 | 2006-08-29 |
| 1003925876 | Joan Cassilly Petersen | Social Worker | Personal Potentials, Inc., 10000 Watson Rd #2l18, St Louis, MO 63126 | 2006-08-29 |
| Find all providers in zip 63126 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415381 | Eleni Beeve | Audiologist | 10004 Kennerly Rd Ste 205a, Saint Louis, MO 63128-5108 | 2020-10-19 |
| 1033695143 | Chelsea Marie Tisckos | Audiologist | 6400 Clayton Rd Ste 405, Saint Louis, MO 63117-1850 | 2018-07-12 |
| 1770076317 | Samantha Fox | Audiologist | 615 S New Ballas Rd Ste 385a, Saint Louis, MO 63141-8221 | 2018-06-08 |
| 1952826224 | Julia Stelmach | Audiologist | 621 S New Ballas Rd Ste 307a, Saint Louis, MO 63141-8257 | 2017-08-08 |
| 1386168318 | Lauren Christyne Locke | Audiologist | 1 Childrens Pl Ste 3s23, Saint Louis, MO 63110 | 2017-08-01 |
| 1891216123 | Elizabeth Ann Suba | Audiologist | 3660 Vista Ave Ste 312, Saint Louis, MO 63110-2540 | 2017-06-27 |
| 1114368214 | Kathleen R Rehrer | Audiologist | 3009 N Ballas Rd Ste 380c, Saint Louis, MO 63131-2324 | 2013-07-17 |
| 1861735938 | Ashley Rae Manning | Audiologist | 906 Rutger St, Saint Louis, MO 63104-3517 | 2013-03-27 |
| 1477864072 | Kenneth Ernest Marciniak | Audiologist | 607 S New Ballas Rd Ste 2300, Saint Louis, MO 63141-8234 | 2010-06-29 |
| 1720210032 | Kristen Willis | Audiologist | 3860 S Lindbergh Blvd, Ste. #108, Saint Louis, MO 63127-1373 | 2009-08-20 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63126 |
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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.