DR. ELIAS GHOSSOUB


Address: 1438 S Grand Blvd Rm 7, Saint Louis, MO 63104-1027
Phone: (314) 977-4826

DR. ELIAS GHOSSOUB (NPI# 1528581683) 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) 1528581683
Entity Type Individual
Full Name DR. ELIAS GHOSSOUB
Credential MD
Practice Address 1438 S Grand Blvd Rm 7
Saint Louis
MO 63104-1027
Practice Telephone (314) 977-4826
Practice Fax Number 3149771099
Mailing Telephone 3149774826
Mailing Fax Number 3149771099
Enumeration Date 2017-07-20
Last Update Date 2017-07-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084F0202X Psychiatry & Neurology
Specialization: Forensic Psychiatry
2017018863 MO Allopathic & Osteopathic Physicians

Office Location

Street Address 1438 S GRAND BLVD RM 7
City SAINT LOUIS
State MO
Zip Code 63104-1027

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1174187264 Ahsan Ali Student in an Organized Health Care Education/Training Program 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 2019-04-24
1205359916 Brenda Eve Ladin Behavior Technician 1221 Allen Market Lane Rear, St. Louis, MO 63104 2017-07-25
1841722063 Gustavo G Mendez Student in an Organized Health Care Education/Training Program 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 2017-03-28
1053776716 Carmella Harper Respiratory Therapist, Certified 2678 Park Ave, St Louis, MO 63104 2015-12-23
1922485986 Alexander Tremont Internal Medicine 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 2015-04-29
1306233341 Healthcare R Us Home Health 2859 Sidney St, St Louis, MO 63104 2015-04-16
1396159091 Daniela Hermelin Pathology 1402 South Grane, St. Louis, MO 63104 2014-06-20
1992117881 Kelly Denise Durbin Social Worker 1920 S 7th St, Saint Louis, MO 63104 2014-05-27
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Taxonomy Information

Taxonomy Code 2084F0202X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Forensic Psychiatry

Taxonomy Definition

Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386633360 Terri Lynn Riutcel Psychiatry & Neurology 1600 S Brentwood Blvd Ste 600, Ste 600, Saint Louis, MO 63144-1334 2005-10-21
1992793145 Sadashiv Parwatikar Psychiatry & Neurology 2107 Menard St, Saint Louis, MO 63104-4140 2005-10-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285959163 Nikita Shah Psychiatry & Neurology 1000 E 24th St Unit Office53, Kansas City, MO 64108-2776 2010-04-02
1003086638 Anasseril E Daniel Psychiatry & Neurology 33 E Broadway Ste 115, Columbia, MO 65203-4207 2008-03-11
1659541456 David Leo Vlach Psychiatry & Neurology 1115 E Pence Rd, Cameron, MO 64429-8804 2008-03-07
1912002155 Marcia Davenport Kent Psychiatry & Neurology 324 S Hudson St, Buckner, MO 64016 2006-09-13
1184965667 William Searle Logan Psychiatry & Neurology 428 W 42nd St, Kansas City, MO 64111-3176 2013-03-08
1801137377 Stephen Eugene Peterson Psychiatry & Neurology 428 W 42nd St, Kansas City, MO 64111-3176 2013-03-08
1952569030 James Kenneth Wolfson Psychiatry & Neurology 1900 W Sunshine St, Us Medical Center for Federal Prisoners, Springfield, MO 65807-2240 2008-05-27
1417166729 Carlos Julio Tomelleri Psychiatry & Neurology 1900 W Sunshine St, Springfield, MO 65807-2240 2007-05-22
1912129362 Robert Gary Sarrazin Psychiatry & Neurology 1900 W Sunshine St, Springfield, MO 65807-2240 2007-05-03
1346323870 Jennifer Elaine Brockman Psychiatry & Neurology 321 W Promenade St, Mexico, MO 65265-2719 2006-10-20
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Competitor

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City SAINT LOUIS
Zip Code 63104

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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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