AMANDA BAEBLER (NPI# 1548807613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548807613 |
| Entity Type | Individual |
| Full Name | AMANDA BAEBLER |
| Practice Address |
6420 Clayton Rd Clayton MO 63117-1811 |
| Mailing Address |
4352 Osceola St Saint Louis MO 63116-1525 |
| Practice Telephone | 3147688000 |
| Enumeration Date | 2019-12-07 |
| Last Update Date | 2019-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093039752 | Amanda Christine Baebler | Pharmacist | 11978 Saint Charles Rock Rd, Bridgeton, MO 63044-2636 | 2010-03-23 |
| Street Address |
6420 CLAYTON RD |
| City | CLAYTON |
| State | MO |
| Zip Code | 63117-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336691815 | Carol Yacula | Nurse Practitioner | 6420 Clayton Rd, Clayton, MO 63117-1811 | 2016-10-31 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063987303 | Christopher James Lane | Physician Assistant | 2076 Nc 42 W, Suite 230, Clayton, NC 27520 | 2018-10-12 |
| 1417043696 | Ernest B Perkins | Physician Assistant | 109 Stanley Road, Clayton, OK 74536 | 2006-10-05 |
| 1801814124 | Mary Katrina Padgett | Physician Assistant | 11491 Us Highway 70 W, Clayton, NC 27520-2207 | 2006-07-17 |
| 1417946930 | Russell E Cotton | Physician Assistant | 7 Western Byp, Clayton, AL 36016-2013 | 2005-10-18 |
| 1205370988 | Jerome C Newkirk Jr. | Physician Assistant | 935 Shotwell Rd Ste 108, Clayton, NC 27520-5598 | 2016-12-14 |
| 1407307598 | Madilyn Gray Smith | Physician Assistant | 935 Shotwell Rd Ste 108, Clayton, NC 27520-5598 | 2016-10-24 |
| 1548717267 | Amy Elizabeth Purvis | Physician Assistant | 935 Shotwell Rd, St 108, Clayton, NC 27520 | 2016-09-10 |
| 1134587645 | Katie Marie Gould | Physician Assistant | 935 Shotwell Rd, Suite 108, Clayton, NC 27520-5597 | 2016-01-29 |
| 1730545500 | Alexa Carda | Physician Assistant | 301 Amos St, Clayton, NC 27520-2644 | 2016-01-11 |
| 1164825956 | Kyle J Pusey | Physician Assistant | 2076 Nc Highway 42 W, Ste 100, Clayton, NC 27520-5302 | 2014-10-07 |
| Find all providers in CLAYTON | ||||
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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.