COMPREHENSIVE CANCER CARE, PC


Address: 12855 N 40 Dr, Suite 200, Saint Louis, MO 63141-8657
Phone: 3144436465

COMPREHENSIVE CANCER CARE, PC (NPI# 1629304423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629304423
Entity Type Organization
Organization Name COMPREHENSIVE CANCER CARE, PC
Practice Address 12855 N 40 Dr
Suite 200
Saint Louis
MO 63141-8657
Mailing Address Po Box 190820
Saint Louis
MO 63119-6820
Practice Telephone 3144436465
Mailing Telephone 3144436465
Enumeration Date 2009-10-29
Last Update Date 2009-12-07
Authorized Official Name MARY M KLIX (OWNER)
Authorized Official Telephone 3144436465
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
112773 MO Allopathic & Osteopathic Physicians

Office Location

Street Address 12855 N 40 DR
SUITE 200
City SAINT LOUIS
State MO
Zip Code 63141-8657

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942206354 St. Louis Pharmaceutical Services LLC Pharmacy 12855 N 40 Dr, Saint Louis, MO 63141-8635 2005-06-22
1700423076 Faisal Matar Nurse Practitioner 12855 N 40 Dr, Saint Louis, MO 63141-8622 2019-12-05
1750847984 Samantha Mintert Nurse Practitioner 12855 N 40 Dr, Saint Louis, MO 63141-8622 2019-02-12
1629439302 Elizabeth Galler Physician Assistant 12855 N 40 Dr, 180, Saint Louis, MO 63141-8657 2016-03-09
1992161210 Amy Thayer Nurse Practitioner 12855 N 40 Dr, Suite 180, Saint Louis, MO 63141-8657 2016-01-04
1821453796 Mason Ridge Ambulatory Surgery Center Lp Clinic/Center 12855 N 40 Dr, Suite 150, Saint Louis, MO 63141-8657 2015-12-21
1083090088 Rebecca Suzanne Roe Thomasson Physician Assistant 12855 N 40 Dr, Suite 180, Saint Louis, MO 63141-8657 2015-08-03
1891179040 Forefront Dermatology, S.c. Dermatology 12855 N 40 Dr, Suite 180, Saint Louis, MO 63141 2015-07-17
1669869657 Christopher Joseph Forsbach Podiatrist 12855 N 40 Dr, Saint Louis, MO 63141 2015-04-17
1346633930 Chesterfield Anesthesia Associates of Missouri, LLC Anesthesiology 12855 N 40 Dr, 150, Saint Louis, MO 63141-8657 2015-03-06
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922485986 Alexander Tremont Internal Medicine 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 2015-04-29
1235480708 James Michael Epstein Internal Medicine 12008 Heatherdane Dr, Saint Louis, MO 63131-3119 2012-09-25
1639389869 Christina J Min Internal Medicine 607 S New Ballas Rd Ste 3300, Saint Louis, MO 63141 2007-05-23
1679519508 Susan L Luedke Internal Medicine 6435 Chippewa St, Saint Louis, MO 63109-2104 2006-06-20
1154323376 Minxiang Gu Internal Medicine 10012 Kennerly Rd, Suite 100, Saint Louis, MO 63128-2197 2005-06-01
1679576359 Peter D Weiss Internal Medicine 4921 Parkview Pl, Ste 14b, Saint Louis, MO 63110-1032 2005-05-24
1659865640 Michael Harris Kramer Internal Medicine 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 2018-06-21
1871093690 St. Anthony's Physician Organization Internal Medicine 10012 Kennerly Rd Ste 102, Saint Louis, MO 63128-2197 2018-02-19
1821518036 David Aaron Russler-germain Internal Medicine 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 2017-06-20
1881049187 Alice Yao Zhou Internal Medicine 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110-1003 2016-04-25
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Competitor

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City SAINT LOUIS
Zip Code 63141

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Dataset Information

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.

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