GEORGE OMONDI (NPI# 1558876912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558876912 |
| Entity Type | Individual |
| Full Name | GEORGE OMONDI |
| Credential | MD |
| Practice Address |
11520 Saint Charles Rock Rd Bridgeton MO 63044-2704 |
| Mailing Address |
1021 Wentzville Pkwy Wentzville MO 63385-3437 |
| Practice Telephone | 3142910505 |
| Mailing Telephone | 6367877685 |
| Mailing Fax Number | 6368568377 |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 2017035193 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 725 S 5th St, Saint Charles, MO 633012913 | 6369229182 |
| Street Address |
11520 SAINT CHARLES ROCK RD |
| City | BRIDGETON |
| State | MO |
| Zip Code | 63044-2704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477683266 | James T Moore | Dentist | 11520 Saint Charles Rock Rd, Suite 205, Bridgeton, MO 63044-2732 | 2007-03-07 |
| 1255886412 | 1st Choice Home Health Services LLC | Home Health | 11520 Saint Charles Rock Rd, Bridgeton, MO 63044-2732 | 2016-08-17 |
| 1891028023 | Alberto Goldgaber M D LLC | Internal Medicine | 11520 Saint Charles Rock Rd, Suite 106, Bridgeton, MO 63044-2732 | 2009-09-04 |
| 1902041114 | Peer Review Consulting Services, Inc. | Chiropractor | 11520 Saint Charles Rock Rd, Ste 202, Bridgeton, MO 63044-2732 | 2008-12-03 |
| 1386898229 | Best Affordable Choices LLC | Durable Medical Equipment & Medical Supplies | 11520 Saint Charles Rock Rd, Suite 130, Bridgeton, MO 63044-2732 | 2008-11-05 |
| 1619168861 | James T Moore, Dds, PC | Dentist | 11520 Saint Charles Rock Rd, Sutie 205, Bridgeton, MO 63044-2732 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
| 1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
| 1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
| 1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
| 1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
| 1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
| 1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
| 1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
| 1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
| Find all providers in zip 63044 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629077110 | Glenna Carolyn Franke | General Practice | 3394 Mckelvey Rd, Ste 113, Bridgeton, MO 63044-2531 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305654 | Remedy Health LLC | General Practice | 37 Doctors Park Ste 3, Cape Girardeau, MO 63703-4903 | 2020-04-21 |
| 1760001598 | Md Sarefin Zaman | General Practice | 2715 W 76 Country Blvd Ste 103, Branson, MO 65616-2344 | 2020-04-12 |
| 1437707551 | Home Docs Medical Associates, LLC | General Practice | 7584 Olive Blvd Ste 204, University City, MO 63130-1600 | 2019-09-02 |
| 1912462912 | Thomas George Brett | General Practice | 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 | 2019-02-04 |
| 1295208403 | Sme Kentucky Psc | General Practice | 5728 Pergola Dr Apt 207, Columbia, MO 65201-2897 | 2019-01-10 |
| 1821579798 | Healthy Schools Missouri LLC | General Practice | 3675 S Noland Rd Ste 200, Independence, MO 64055-3369 | 2018-08-28 |
| 1902300825 | Landmark Medical of Missouri PC | General Practice | 312 Sw Greenwich Dr # 315, Lees Summit, MO 64082-4408 | 2018-03-23 |
| 1740784214 | Bridge Integrative Medicine LLC | General Practice | 305 Nw Englewood Ct Ste 200, Kansas City, MO 64118 | 2018-03-20 |
| 1093218224 | Andrew Jason Doppelt | General Practice | 200 E Southampton Dr Ste 104, Columbia, MO 65203-3032 | 2018-03-14 |
| 1114427606 | Khrystal Robinson | General Practice | 902 E Reed St, Hayti, MO 63851-1243 | 2018-02-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GEORGE OMONDI.
| 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.