ST LOUIS NEPHROLOGY ASSOCIATES LLC (NPI# 1619912797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619912797 |
| Entity Type | Organization |
| Organization Name | ST LOUIS NEPHROLOGY ASSOCIATES LLC |
| Practice Address |
10004 Kennerly Rd Suite 315 A St Louis MO 63128 |
| Mailing Address |
Po Box 840132 Kansas City MO 64184-0132 |
| Practice Telephone | 3148433449 |
| Practice Fax Number | 3148438762 |
| Mailing Telephone | 3148433449 |
| Mailing Fax Number | 3148438762 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2014-12-05 |
| Authorized Official Name | DR. HUMAYUN QUADIR (CEO) |
| Authorized Official Telephone | 3148433449 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | R7576 | MO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | CS0823 | 01 |
| Street Address |
10004 KENNERLY RD SUITE 315 A |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447330295 | Steven Davis West | Dentist | 10004 Kennerly Rd, Suite 240, St Louis, MO 63128 | 2006-10-16 |
| 1033218102 | David Earl Goodman | Dentist | 10004 Kennerly Rd, Suite 240, St Louis, MO 63128 | 2006-09-22 |
| 1962518605 | James Norbert Purtell | Internal Medicine | 10004 Kennerly Rd, St Louis, MO 63128 | 2006-08-23 |
| 1790734994 | Nicholas Gourtzelis | Internal Medicine | 10004 Kennerly Rd, Ste 374b, St Louis, MO 63128 | 2006-05-08 |
| 1497712079 | John Mellas | Internal Medicine | 10004 Kennerly Rd, Ste 374b, St Louis, MO 63128 | 2006-04-27 |
| 1982695888 | Steven E. West | Otolaryngology | 10004 Kennerly Rd, Sle 183b, St Louis, MO 63128 | 2005-10-31 |
| 1235120130 | Emily E Ziaee | Otolaryngology | 10004 Kennerly Rd, Sle 183b, St Louis, MO 63128 | 2005-10-31 |
| 1629069521 | Jose A Lima | Otolaryngology | 10004 Kennerly Rd, Ste 183b, St Louis, MO 63128 | 2005-10-31 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437332814 | Advanced Medical Associates, LLC | Specialist | 4131 Lindell Blvd, St Louis, MO 63108-2913 | 2007-12-09 |
| 1083618904 | Farris Jackson Jr. | Specialist | 11200 Tesson Ferry Rd., Ste 100, St Louis, MO 63123-6922 | 2005-06-09 |
| 1528257698 | Kenneth J Bennett | Specialist | 1040 N Mason Rd, Ste G-03, St Louis, MO 63141 | 2007-10-15 |
| 1801919899 | W2wllc | Specialist | 8888 Ladue Rd, Suite 220, St Louis, MO 63124-2056 | 2007-04-06 |
| 1063430973 | Professional Athletic Orthopedics | Specialist | 333 S Kirkwood Rd, Ste 200, St Louis, MO 63122 | 2006-07-18 |
| 1760470686 | Mark D Packer | Specialist | 607 S New Ballas Rd, Suite 2300, St Louis, MO 63141-8234 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497381990 | Styles 40 Salon | Specialist | 4550 Gravois Ave, Saint Louis, MO 63116-2426 | 2020-03-16 |
| 1013560721 | Against The Grainz | Specialist | 8523 Drury Ln, Saint Louis, MO 63147-1313 | 2019-07-22 |
| 1487211033 | Kia Lanay Lewis | Specialist | 9700 Portage Dr, Saint Louis, MO 63136-5312 | 2019-05-20 |
| 1659935815 | Nicole Pittman | Specialist | 3004 Chance Dr, Florissant, MO 63031-1436 | 2019-04-23 |
| 1376011007 | Lashonda S Wash | Specialist | 222 Bruce Ave, Saint Louis, MO 63135-2704 | 2018-11-12 |
| 1326516048 | Showna Walker | Specialist | 2242 Berwyn Dr, Saint Louis, MO 63136-5415 | 2018-11-12 |
| 1306326061 | Sleek Barber & Beauty Salon | Specialist | 13220 New Halls Ferry Rd, Florissant, MO 63033-3231 | 2018-08-21 |
| 1760973697 | Angela Haas | Specialist | 1361 Childress Ave, Saint Louis, MO 63139-3451 | 2018-05-26 |
| 1164913497 | Gina Marie Savage | Specialist | 2400 Troost Ave Ste 3400, Kansas City, MO 64108-2666 | 2018-05-22 |
| 1962907782 | Kelsey Conley | Specialist | 2839 Howard St, Saint Louis, MO 63106-2027 | 2018-03-25 |
| 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.