JONATHAN ADAM PELLECHIA


Address: 11155 Dunn Rd Ste 315e, Saint Louis, MO 63136-6111
Phone: 3143557500

JONATHAN ADAM PELLECHIA (NPI# 1528198439) 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) 1528198439
Entity Type Individual
Full Name JONATHAN ADAM PELLECHIA
Credential PA-C
Practice Address 11155 Dunn Rd Ste 315e
Saint Louis
MO 63136-6111
Practice Telephone 3143557500
Practice Fax Number 3143553287
Mailing Telephone 3143557500
Mailing Fax Number 3143553287
Enumeration Date 2007-03-07
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
2005035361 MO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 11155 DUNN RD STE 315E
City SAINT LOUIS
State MO
Zip Code 63136-6111

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891227393 Hollis Smith Physician Assistant 2015 Maplewood Commons Dr, Saint Louis, MO 63143-1003 2017-04-03
1649397894 Rachel S Tarr Physician Assistant 2208 Richert Pl, Saint Louis, MO 63143-2522 2007-03-23
1376174417 Robert Cory Proffer Physician Assistant 607 S New Ballas Rd Ste 2300, Saint Louis, MO 63141-8234 2020-01-28
1881246502 Ariel Ashley Schnell Physician Assistant 3655 Vista Ave, Saint Louis, MO 63110-2539 2019-07-12
1194296186 Jacob Bast Physician Assistant 10010 Kennerly Rd, Saint Louis, MO 63128-2106 2018-12-17
1508335779 Gerard Forster Physician Assistant 12647 Olive Blvd Ste 600, Saint Louis, MO 63141-6346 2018-11-17
1124509773 Sara Burke Connolly Physician Assistant 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 2018-08-22
1831675545 Kyle Patrick Mclafferty Physician Assistant 11133 Dunn Rd, Saint Louis, MO 63136-6163 2018-07-16
1649768995 Paul Thomas Mrotek Physician Assistant 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 2018-04-23
1568967628 Megan Moseley Physician Assistant 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 2018-03-29
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Competitor

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City SAINT LOUIS
Zip Code 63136

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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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