A J SQUITIERI MD PC (NPI# 1639486798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639486798 |
| Entity Type | Organization |
| Organization Name | A J SQUITIERI MD PC |
| Practice Address |
5213 Hampton Ave Saint Louis MO 63109-3170 |
| Practice Telephone | 3143535540 |
| Practice Fax Number | 3143532433 |
| Mailing Telephone | 3143535540 |
| Mailing Fax Number | 3143532433 |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |
| Authorized Official Name | DR. A J SQUITIERI (PRESIDENT) |
| Authorized Official Telephone | 3143535540 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
28648 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 200863215 | 05 |
| Street Address |
5213 HAMPTON AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63109-3170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376526418 | Ghassan Khoukaz | Internal Medicine | 5213 Hampton Ave, Suite 100, Saint Louis, MO 63109-3170 | 2005-11-22 |
| 1609961168 | Samuel Lugo M.d., F.a.c.s. | Surgery | 5213 Hampton Ave, Saint Louis, MO 63109-3170 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431907 | James Edward Trout | Community Health Worker | 3956 Wenzlick Ave, St Louis, MO 63109 | 2017-08-01 |
| 1750815023 | Andrea Hyde | Nurse Practitioner | 5302 Chippewa Street, Suite 301, St Louis, MO 63109 | 2017-04-13 |
| 1215362124 | Alex Sharifian Dds Francis Park Dentistry PC | Dentist | 6650 Chippewa Street, Saint Louis, MO 63109 | 2013-09-10 |
| 1881993962 | Rachel Elizabeth Hale Hasper | Counselor | 6555 Chippewa, St Louis, MO 63109 | 2011-03-15 |
| 1730369885 | Janis Marie Lampa | Physical Therapist | 5203 Chippewa, Suite 301, St. Louis, MO 63109 | 2007-11-06 |
| 1285753772 | James Matthew Jordan | Occupational Therapist | 32 Hampton Village Plaza, St Louis, MO 63109 | 2007-03-28 |
| 1730224478 | Mercy Health Services, LLC | Optometrist | 34 Hampton Village Plaza, St. Louis, MO 63109 | 2007-02-20 |
| 1801959903 | John Thomas Doyle | Dentist | 5400 Walsh St, St Louis, MO 63109 | 2006-12-19 |
| 1649339771 | Residencial Services Corporation | Assisted Living Facility | 5890 Eichelberger, St Louis, MO 63109 | 2006-12-06 |
| 1316039852 | Gary Raymond Rieser | Dentist | 3915 Watson Road, Suite 205, Saint Louis, MO 63109 | 2006-09-29 |
| Find all providers in zip 63109 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154665248 | Institute for Research and Education In Family Medicine | Clinic/Center | 3401 Arsenal St, Saint Louis, MO 63118-2001 | 2012-11-15 |
| 1477867034 | Md2u Missouri LLC | Clinic/Center | 111 W Port Plz, 6th Floor, Saint Louis, MO 63146-3011 | 2010-08-05 |
| 1871817726 | Cornerstone Chiropractic | Clinic/Center | 2115 Barrett Station Rd, Saint Louis, MO 63131-1606 | 2010-03-22 |
| 1124293790 | Z. A. Dalu M.d.,inc | Clinic/Center | 6744 Clayton Rd Ste 305, Saint Louis, MO 63117-1639 | 2008-04-24 |
| 1992721260 | David A Parks, Md, PC | Clinic/Center | 3960 Lindell Blvd, Saint Louis, MO 63108-3204 | 2006-07-13 |
| 1013533181 | Centralwest Immunologic Research Foundation | Clinic/Center | 3960 Lindell Blvd, Saint Louis, MO 63108-3204 | 2020-06-24 |
| 1104441302 | Mi Primary Care, Pllc | Clinic/Center | 224 N Mill St, Saint Louis, MI 48880-1523 | 2020-06-12 |
| 1467089037 | Sure Healthcare Group, LLC | Clinic/Center | 2880 Netherton Dr, Saint Louis, MO 63136-4698 | 2020-03-24 |
| 1326524604 | Daniel D Bekele LLC | Clinic/Center | 6113 Ridge Ave, Saint Louis, MO 63133 | 2018-07-19 |
| 1285160382 | Dr Robin A Kundra Inc | Clinic/Center | 555 N New Ballas Rd, Suite 110, Saint Louis, MO 63141-6825 | 2017-05-10 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63109 |
Please comment or provide details below to improve the information on A J SQUITIERI MD PC.
| 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.