DEBORAH CANDICE (NPI# 1598299117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598299117 |
| Entity Type | Individual |
| Full Name | DEBORAH CANDICE |
| Practice Address |
4532 Harvshire Ct Saint Louis MO 63128-3625 |
| Practice Telephone | 3148073354 |
| Mailing Telephone | 3148073354 |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
154857 | MO | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4532 HARVSHIRE CT |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-3625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 2471M1202X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Magnetic Resonance Imaging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578185989 | Feras Kaid | Radiologic Technologist | 3635 Vista Ave, Saint Louis, MO 63110-2539 | 2020-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922488857 | Jacob Hardin | Radiologic Technologist | 5 Kipling Way Apt 202, Columbia, MO 65201-7251 | 2015-06-05 |
| 1073646246 | Tri-lakes Diagnostic Tech. | Radiologic Technologist | 523 St. Hwy 248 Ste 300, Branson, MO 65616-7748 | 2007-03-14 |
| 1861570020 | Maple Crest Open Mri | Radiologic Technologist | 840 W Kansas Avenue, Ste A, Liberty, MO 64068-2033 | 2006-11-02 |
| 1598703589 | Opensided Mri of St Louis, LLC | Radiologic Technologist | 12101 Olive Blvd, Creve Coeur, MO 63141-6628 | 2006-06-03 |
| 1295707297 | Midwest Imaging Center, LLC | Radiologic Technologist | 604 Maple Valley Dr, Farmington, MO 63640-1976 | 2006-02-03 |
| City | SAINT LOUIS |
| Zip Code | 63128 |
Please comment or provide details below to improve the information on DEBORAH CANDICE.
| 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.