JAY ALLAN BRENNER (NPI# 1609832617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609832617 |
| Entity Type | Individual |
| Full Name | JAY ALLAN BRENNER |
| Credential | M.D. |
| Practice Address |
St. John's Mercy Medical Center 615 South New Ballas St. Louis MO 63141 |
| Mailing Address |
Pediatrix Medical Group 621 South New Ballas Rd Suite 2016 B St. Louis MO 63141 |
| Practice Telephone | 3142516450 |
| Mailing Telephone | 3142515860 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
R8E41 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770797664 | Jay Miller Brenner | Emergency Medicine | 750 E Adams St, Syracuse, NY 13210-2342 | 2007-05-09 |
| Street Address |
ST. JOHN'S MERCY MEDICAL CENTER 615 SOUTH NEW BALLAS |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912393810 | Jocelyn Ou | Pediatrics | 1 Children's Pl. Cb 8116, St. Louis, MO 63110-6311 | 2015-04-08 |
| 1841218567 | Kimberly L. Spence | Pediatrics | 1465 S. Grand, Cardinal Glennon Children's Medical Center, St. Louis, MO 63104 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699861740 | Saumitra Biswas | Pediatrics | 3801 S. National Avenue, 7th Floor, Springfield, MO 65807-5210 | 2006-10-05 |
| 1588758759 | Rajeev Kassal | Pediatrics | 1807 N Walnut St, Cameron, MO 64429-8615 | 2006-10-03 |
| 1396786117 | William H. Topper | Pediatrics | 416 Sw Wintergarden Dr, Lees Summit, MO 64081-2670 | 2006-06-10 |
| 1437116050 | Ozark Neonatal Associates, Inc. | Pediatrics | 1235 E Cherokee Street, Springfield, MO 65804-2203 | 2006-04-27 |
| 1760962385 | Kisha Marie Linwood | Pediatrics | 404 N Keene St, Columbia, MO 65201-6626 | 2018-08-14 |
| 1336628247 | Elizabeth Nicole Crank | Pediatrics | 1 Childrens Pl, Saint Louis, MO 63110-1081 | 2018-08-10 |
| 1982107421 | Margaret Bayley Halbert | Pediatrics | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2018-03-12 |
| 1275045171 | Kelsey Southard | Pediatrics | 3801 S National Ave, Springfield, MO 65807-5210 | 2017-11-01 |
| 1841607389 | Zaineh Alja'nini | Pediatrics | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2014-07-16 |
| 1043626013 | Fnu Karishma Rao | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2014-07-10 |
| 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.