MESKERM WORKIYE ASFAW (NPI# 1588122311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588122311 |
| Entity Type | Individual |
| Full Name | MESKERM WORKIYE ASFAW |
| Practice Address |
589 Vintage Grove Ct Wildwood MO 63038-2314 |
| Practice Telephone | 3144778326 |
| Mailing Telephone | 3144778326 |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AG12180037 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
589 VINTAGE GROVE CT |
| City | WILDWOOD |
| State | MO |
| Zip Code | 63038-2314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508188046 | Kelly Lynn Wittenauer | Speech-Language Pathologist | 17770 Mueller Rd., Wildwood, MO 63038 | 2010-02-25 |
| 1982041927 | Joseph Kamper | Hearing Instrument Specialist | 18741 Babler Meadows Dr, Glencoe, MO 63038-1154 | 2013-05-31 |
| 1689084972 | Michael L Masucci Dc LLC | Chiropractor | 2124 Babler Ridge Ln, Wildwood, MO 63038-1178 | 2014-05-07 |
| 1750782587 | Kathleen M Cabiedes | Registered Nurse | 19318 Jaeger Farms Rd, Wildwood, MO 63038-1181 | 2014-09-11 |
| 1265905178 | Docks Inc | Non-emergency Medical Transport (VAN) | 1850 Pond Rd, Wildwood, MO 63038-1335 | 2019-01-03 |
| 1831552728 | Lorie Campbell | Nurse Practitioner | 17204 Lafayette Trails Dr, Wildwood, MO 63038-1386 | 2016-03-30 |
| 1154652683 | Deborah Allen Beffa | Speech-Language Pathologist | 17207 Windsor Crest Blvd, Wildwood, MO 63038-1396 | 2010-01-22 |
| 1073621132 | Robert Bridge | Emergency Medicine | 1524 Garden Valley Dr, Glencoe, MO 63038-1489 | 2006-08-29 |
| 1518267749 | Sacred Heart Home Health/medical Supply Services | Case Management | 17656 Gardenview Manor Cir, Wildwood, MO 63038-1496 | 2010-10-21 |
| 1922125004 | Robert E Cuddihee Jr. | Specialist | 18000 Indian Tree Run, Glencoe, MO 63038-1576 | 2007-03-23 |
| Find all providers in zip 63038 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588632210 | Elaine E. Moorman | Nurse Practitioner | 411 N. Webster Street, Wildwood, FL 34785 | 2006-03-09 |
| 1801183397 | Levante Medical LLC | Nurse Practitioner | 112 S Main St, Wildwood, FL 34785-4539 | 2011-07-05 |
| 1447551718 | Barbara Lois Seep | Nurse Practitioner | 2638 Highway 109, Suite 101, Wildwood, MO 63040-1182 | 2010-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493275 | Destemona Bozhani-marte | Nurse Practitioner | 5804 Sw Bray Rd, Clarksdale, MO 64430-9176 | 2020-10-07 |
| 1437760675 | Justin Lucas Sweetin | Nurse Practitioner | 7727 Weston Pl, Richmond Heights, MO 63117-2018 | 2020-08-12 |
| 1962043802 | Bonne Terre Healthcare Clinic, LLC | Nurse Practitioner | 11 S Division St Ste A, Bonne Terre, MO 63628-1701 | 2019-10-02 |
| 1720639354 | Anne Nicole Dailey | Nurse Practitioner | 2330 E Meyer Blvd Ste T411, Kansas City, MO 64132-1162 | 2019-09-25 |
| 1326694605 | Affirm Management and Consulting, LLC | Nurse Practitioner | 4728 S Campbell Ave Ste 128, Springfield, MO 65810-1715 | 2019-08-13 |
| 1063983088 | Jenny Lynette Brown | Nurse Practitioner | 6912 Candlewick Way, Florissant, MO 63033-5113 | 2018-12-17 |
| 1992270011 | Andrew Joseph Gucciardo | Nurse Practitioner | 12348 Old Tesson Rd Ste 250, Saint Louis, MO 63128-2261 | 2018-10-04 |
| 1679065098 | Aaron Dewayne Gitthens | Nurse Practitioner | 898 Sw State Route O, Osborn, MO 64474-9762 | 2018-06-01 |
| 1548763121 | Jennifer Williams | Nurse Practitioner | 4618 Colima Ct, Saint Louis, MO 63128-2309 | 2018-03-09 |
| 1821597840 | Patricia Hee Huebner | Nurse Practitioner | 15450 S Outer 40 Rd, Chesterfield, MO 63017-2066 | 2018-02-05 |
| Find all providers with the same taxonomy | ||||
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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.