NOVA MEDICAL CENTER, LLC (NPI# 1538703863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538703863 |
| Entity Type | Organization |
| Organization Name | NOVA MEDICAL CENTER, LLC |
| Practice Address |
2230 S Brentwood Blvd Saint Louis MO 63144-1831 |
| Practice Telephone | 3146789355 |
| Practice Fax Number | 3147219559 |
| Mailing Telephone | 3146789355 |
| Mailing Fax Number | 3147219559 |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2019-10-30 |
| Authorized Official Name | SARA K VIDAN (ADMINISTRATOR) |
| Authorized Official Telephone | 6367951144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
2230 S BRENTWOOD BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63144-1831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730681214 | Patrick Kojima | Pharmacist | 1520 S. Brentwood Blvd, Saint Louis, MO 63144 | 2018-03-01 |
| 1104257385 | Karen Misty Thornton | Counselor | 1750 S Brentwood Blvd Ste 503, Saint Louis, MO 63144 | 2013-12-12 |
| 1386804433 | Lisa Marie Ross | Social Worker | 2025 S Brentwood, Suite 206, St Louis, MO 63144 | 2008-06-12 |
| 1568667665 | St. Joseph Institute for The Deaf | Speech-Language Pathologist | 1314 Strassner, Brentwood, MO 63144 | 2007-06-19 |
| 1720292030 | Albert A Barton | Social Worker | 2806 S Brentwood Blvdd, St Louis, MO 63144 | 2007-05-09 |
| 1083736243 | Gary Jean Jameson | Chiropractor | 2901 S Brentwood Blvd, St Louis, MO 63144 | 2007-04-06 |
| 1649340662 | Lindsay Michelle Ledbetter | Physical Therapist | 8228 Brentwood Industrial Drive, Brentwood, MO 63144 | 2006-11-08 |
| 1316041627 | Jandhyala Satya Sagar | Internal Medicine | 1400 Strassner Rd, Brentwood, MO 63144 | 2006-09-08 |
| 1396855326 | Jane E Loitman | Internal Medicine | 8044 Manchester Rd, Saint Louis, MO 63144 | 2006-08-31 |
| 1164532289 | Jayne M Scanlan | Physical Therapist | 2937 South Brentwood Blvd, Brentwood, MO 63144 | 2006-08-30 |
| Find all providers in zip 63144 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790205854 | Zachary Avital Goodman | General Practice | 6642 Clayton Rd # 278, Saint Louis, MO 63117-1602 | 2017-06-20 |
| 1174926224 | Anita Dewan | General Practice | 9917 Grandview Forest Ct, Saint Louis, MO 63127-0046 | 2014-10-03 |
| 1356755201 | Jessica Ellie Ma | General Practice | 216 S Kingshighway Blvd Fl 6, 6th Floor, Saint Louis, MO 63110-1026 | 2014-06-19 |
| 1235550385 | Doctor's On The Way, Inc | General Practice | 712 N 2nd St, Ste 310, Saint Louis, MO 63102-2550 | 2013-12-16 |
| 1518398916 | John Allen Cooper | General Practice | 40 N Kingshighway Blvd Apt 13f, Saint Louis, MO 63108-1343 | 2013-12-10 |
| 1417382821 | Hyung T Kim | General Practice | 11 Crestwood Dr, Saint Louis, MO 63105-3032 | 2013-09-05 |
| 1356617443 | Kirsten Frances Dunn | General Practice | 1040 N Mason Rd Ste 103, Ste 103, Saint Louis, MO 63141-6361 | 2012-03-22 |
| 1902199623 | Care Plus Medical Group LLC | General Practice | 10650 Gateway Blvd, Saint Louis, MO 63132-1802 | 2011-05-27 |
| 1437474202 | Debra Lynne Moss | General Practice | 12929 Ballantine Ct, Saint Louis, MO 63146-3701 | 2010-04-05 |
| 1558538850 | Patrice Lynn Wakefield | General Practice | 514 Donne Ave, Saint Louis, MO 63130-3918 | 2008-05-15 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63144 |
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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.