TREVOR C AXFORD (NPI# 1528094224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528094224 |
| Entity Type | Individual |
| Full Name | TREVOR C AXFORD |
| Credential | MD |
| Practice Address |
1035 Bellevue Ave Ste 500 Saint Louis MO 63117-1843 |
| Mailing Address |
Po Box 955534 Ste 500 Saint Louis MO 63195-1845 |
| Practice Telephone | 3146478269 |
| Practice Fax Number | 3146461700 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2001029238 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 205838600 | 05 |
| Street Address |
1035 BELLEVUE AVE STE 500 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117-1843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457351926 | Gregory Joseph Bailey | Neurological Surgery | 1035 Bellevue Ave Ste 500, Saint Louis, MO 63117-1843 | 2005-07-27 |
| 1952922395 | Jennifer Fongsamouth | Registered Nurse | 1035 Bellevue Ave Ste 500, Saint Louis, MO 63117-1843 | 2020-04-27 |
| 1669940656 | Jessica Dickman | Nurse Practitioner | 1035 Bellevue Ave Ste 500, Saint Louis, MO 63117-1843 | 2018-11-07 |
| 1205925690 | William R.m. Ogle | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1035 Bellevue Ave Ste 500, Saint Louis, MO 63117-1843 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891034484 | John Phillip Connors | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1733 Kenmont Rd, Saint Louis, MO 63124-1021 | 2013-02-03 |
| 1578634226 | Nabil A Munfakh | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11155 Dunn Rd Ste 209e, Ste 209e, Saint Louis, MO 63136-6149 | 2006-11-13 |
| 1649355355 | Michael C Murphy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3009 N Ballas Rd Ste 150d, Saint Louis, MO 63131-2322 | 2006-10-25 |
| 1972614576 | Nicholas Kouchoukos | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3023 N Ballas Rd Ste 150d, Saint Louis, MO 63131-2319 | 2006-08-31 |
| 1124066550 | John Codd | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 126 Southarm Dr, Saint Louis, MO 63122-4658 | 2006-06-04 |
| 1780636571 | Pirooz Eghtesady | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Childrens Pl Ste 5s50, Ste 5s50, Saint Louis, MO 63110-1002 | 2006-05-17 |
| 1134788136 | Chawannuch Ruaengsri | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2019-06-12 |
| 1639606106 | Tsuyoshi Takahashi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2017-05-16 |
| 1518333558 | Orlando Petrucci | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Childrens Pl, Ste 5s50, Saint Louis, MO 63110-1002 | 2015-08-13 |
| 1609131879 | William Arthue Gay Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Barnes Jewish Hospital Plz, Suite 3108 Queeny Tower, Saint Louis, MO 63110-1003 | 2012-07-12 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63117 |
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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.