JULIE K GAMMACK


Address: 3660 Vista, St Louis, MO 63110
Phone: 3149778462

JULIE K GAMMACK (NPI# 1518975366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518975366
Entity Type Individual
Full Name JULIE K GAMMACK
Credential MD
Practice Address 3660 Vista
St Louis
MO 63110
Mailing Address 3691 Rutger Ave
Provider Enrollment
St Louis
MO 63110
Practice Telephone 3149778462
Practice Fax Number 3147718575
Mailing Telephone 3149774440
Enumeration Date 2006-08-04
Last Update Date 2008-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
2003020128 MO Allopathic & Osteopathic Physicians

Office Location

Street Address 3660 VISTA
City ST LOUIS
State MO
Zip Code 63110

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548238397 Rebecca Florence Wilkins Physician Assistant 3660 Vista, Ste 308, St Louis, MO 63110 2006-03-09
1386851012 Mary Wells Moore Social Worker 3660 Vista, 105, St Louis, MO 63110-2540 2007-05-16
1659480242 John M Richart Internal Medicine 3660 Vista, St Louis, MO 63110 2006-08-29
1063526978 Donald J Kennedy Internal Medicine 3660 Vista, St Louis, MO 63110 2006-08-18
1235140864 Kevin J Martin Internal Medicine 3660 Vista, St Louis, MO 63110 2006-08-10
1053322685 Syed H Tariq Internal Medicine 3660 Vista, St Louis, MO 63110 2006-08-10
1851302418 John E Morley Internal Medicine 3660 Vista, St Louis, MO 63110 2006-08-10
1417967969 Stewart G Albert Internal Medicine 3660 Vista, St Louis, MO 63110 2006-08-08
1770591646 Laurence J Kinsella Psychiatry & Neurology 3660 Vista, St Louis, MO 63110 2006-08-04
1023026804 Chantri Trinh Internal Medicine 3660 Vista, St Louis, MO 63110 2006-08-04
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750454484 Hector Ocampo Pineda Internal Medicine 4460 Chippewa St, St Louis, MO 63116 2006-11-17
1053322685 Syed H Tariq Internal Medicine 3660 Vista, St Louis, MO 63110 2006-08-10
1851302418 John E Morley Internal Medicine 3660 Vista, St Louis, MO 63110 2006-08-10
1023026804 Chantri Trinh Internal Medicine 3660 Vista, St Louis, MO 63110 2006-08-04
1710995568 Joseph H Flaherty Internal Medicine 3660 Vista, St Louis, MO 63110 2006-08-04
1336157106 David R Thomas Internal Medicine 3660 Vista, St Louis, MO 63110 2006-08-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164037875 Visiting Physicians LLC Internal Medicine 108 E Green Meadows Rd Ste 3, Columbia, MO 65203-3633 2020-09-10
1023572690 Specialist In Aging Successfully LLC Internal Medicine 12255 De Paul Dr Ste 260, Bridgeton, MO 63044-2510 2019-01-28
1023592946 Institute of Medicine LLC Internal Medicine 6824 Balson Ave, Saint Louis, MO 63143-2603 2018-09-17
1104235241 Generation Clinical Partners LLC Internal Medicine 11500 Olive Blvd Ste 235, Saint Louis, MO 63141-7141 2014-08-02
1477967883 Medical Directors of The Ozarks LLC Internal Medicine 302 Veterans Blvd, Branson, MO 65616-2091 2014-06-13
1306133012 Karen Markeisha Sobers Internal Medicine 901 Patients First Dr Ste 3881, Washington, MO 63090-4700 2011-07-01
1285881912 Gopal K Nair, Md, PC Internal Medicine 1023 Arlington Oaks Ter, Chesterfield, MO 63017-5936 2008-08-25
1154577799 Stanley Sharp Md Lc Internal Medicine 1310 Carondelet Dr Ste 230, Kansas City, MO 64114-4853 2008-08-14
1558563890 Hassan Dawoud Elsiddig Internal Medicine 3660 Vista Ave # 204, Saint Louis, MO 63110-2540 2007-05-31
1871795104 Shehla Sadiq Internal Medicine 3660 Vista Ave # 2104, Saint Louis, MO 63110-2540 2007-05-31
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Competitor

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City ST LOUIS
Zip Code 63110

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Dataset Information

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.

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